Pamela-Wible-Keynote-Speaker--640x480 I recently delivered a keynote in St. Louis to 600 health care leaders from a health system with 20 hospitals, 600 clinics, and 30,000 employees. They told me not to be afraid of the 12-foot-tall version of myself following me around stage. No problem. I’m one of the few people who has never been frightened by public speaking. The larger the audience ...

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Many times I have been approached to tell my story of being part of a physician family. Where would I begin? How does one cover respect, love, trust, commitment, resilience, frustration, loss and longing in one brief message? It isn’t done. I’ve decided to give you as brief an overview as I can, then, if there seems to be interest in any particular aspect, I can expand on that element ...

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July-effect July 1st is a special day at hospitals.  What does that mean?  It depends, depending if you're a medical student, resident, or attending. James Chang is a radiologist and author of Oh Doctor, The Places You Will Go… He blogs at Poor MD and can be reached on Facebook.

15.03.05 Clinical Trials Cover Small An excerpt from Clinical Trials: How Successful Doctors Navigate the Constantly Changing Medical System to achieve Financial Well Being. There is a common assumption that following a successful medical career, the logical next step is to sail off into the sunset and enjoying a life of luxury. This may be the case for some, ...

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ZDoggMD was a hospitalist in a past life, so he knows all about hospital readmissions.  Here are his R&B stylings on the ridiculousness surrounding the issue.

shutterstock_194126468 I took ten years off to play in rock bands before I applied to medical school. So when, at 31, I found myself drowning as I drank from the fire hose of medical school information, I knew I had to make a change. I discovered the concept of high-yield and it seemed like the answer to my prayers. It is a simple ...

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shutterstock_211066060 During my third year of medical school, I would often tell my parents about my days on the clinical wards. As physicians, they were excited that I was following in their footsteps and eager to engage me in conversation about my education as doctor-in-training. “So,” they would ask, “did you draw the blood for the labs?” “No, I don’t think I’m allowed to ...

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shutterstock_115761625 The Medscape Physician Compensation Report puts primary care physicians at the bottom of the heap, with a median earning of less than $200,000 per year in 2014. What if the largest insurer of older Americans took those numbers to heart and decided to give primary care a pay raise of 25 percent, in recognition of and better support for ...

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shutterstock_144006859 A loyal reader alerted me to news of a lawsuit brought by an obstetrician in South Carolina who is suing a hospital for suspending his privileges. He had performed a cesarean section while sitting on a stool because he had a foot fracture secondary to diabetes. Several witnesses said that the doctor "had been unable to properly view the ...

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shutterstock_213079855 I noticed that my writing and conversations with others convey far less emotion than usual.  My reserve for tolerating stress had reached maximum capacity, which I realized upon my first day back at work from vacation three weeks ago as exhaustion immediately erased any sense of relaxation from my trip.  Perhaps I should have requested two weeks off instead of one?  Either way, ...

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I would think that when physicians decide where to set up practice, there are things that they would want to think about other than how much money they’ll make.  Yet if one reads Medscape’s current list of the best and worst places to practice, it would appear that money trumps everything else (although Medscape said it also considered factors like “cultural attractions”). What Medscape apparently did not consider ...

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Here is a behind-the-scenes peek into an operating room in the midst of Silicon Valley. Here, routinely there is a groundbreaking intersection of technology and medicine that's blurring the lines between what's possible today and what you'll come to expect as routine in the future. Imagine two experienced surgeons working side by side to replace a calcified, stenotic and tired aortic valve within a man's heart without ever having to cut into ...

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shutterstock_282098786 Everyone has an angle. Everyone. Your doctor? Sure. But, he or she isn’t the only one. The pharmaceutical company? Of course. The medical device company? The hospital? The insurance company? You get the point. Everyone has an angle. Everyone has a conflict of interest. Know it. Get over it. It’s time to focus on something else. Like filling up your car with gas. In ...

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shutterstock_124482742 The insurance company insisted that they would be saving money in the end.  So they sent the PA (physician assistant) to my patient's house.  They didn't take into consideration that I was just there a week before.  Or that I made home visits on a regular basis.  In fact, they didn't even inform me about the appointment. My patient later told me ...

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shutterstock_206493670 A new paper in the journal Lancet Oncology evaluates outcomes after vaccination with Cervarix, which is the HPV vaccine that is effective against the 2 most oncogenic (cancer-causing) strains: HPV 16 and 18. The paper is actually a compilation of results from two studies of Cervarix among women ages 15-25 and now has four years of follow-up data on more ...

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shutterstock_253534771 Merriam-Webster defines "value" as follows:

  • The amount of money that something is worth: the price or cost of something
  • Something that can be bought for a low or fair price
  • Usefulness or importance
I find this intuitive, really. The value of something is what it is worth. However, is that something worth the same to me as it is to you? And if I give ...

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shutterstock_145545640 Teleradiology has the same effect on radiologists as Lord Voldemort has on Muggles. It’s the feared end point of the commoditization of imaging, with Rajeev in Bangalore outpricing Rajeev in Chicago for reading follow-up CTs for lung nodules. But despite the fears of U.S. radiologists, their counterparts in India have more pressing things on their mind. “U.S. radiologists think that Indian radiologists are ...

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A continuing series on physician online reputation.  Created in partnership with The Doctors Company as part of their social media resources for physicians Physicians can use online rating sites to establish your online reputation by asking more patients to rate them online. Don't just cherry pick or pressure patients into giving you good ratings. Ask all your patients to do so, in a ...

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shutterstock_140576308 Years ago as a first-year medical student, I wrote a piece titled “Be an Innovator in Medical School.” The content was meant to be a starter guide for medical students interested in creating change at their institution or community. Now, at the tail end of medical school, I reflect on lessons I have learned along the way. 1. Do what moves ...

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shutterstock_73029814 Ask anyone connected with health care these days to provide a definition for patient engagement and you will likely receive as many answers as there are agendas surrounding the discipline. While patient engagement has evolved as a critical strategy in support of the ultimate goal of creating improved health for a total population, you would think that a mandate for a unified ...

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