Comments on: No primary care: "Will you sign my forms?" http://www.kevinmd.com/blog/2008/01/no-primary-care-will-you-sign-my-forms.html medical blog Mon, 23 Nov 2009 01:35:28 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2008/01/no-primary-care-will-you-sign-my-forms.html/comment-page-1#comment-82952 Anonymous Tue, 22 Jan 2008 03:26:00 +0000 http://clients.emmense.com/kevinmd/2008/01/no-primary-care-will-you-sign-my-forms.html#comment-82952 No. No.

]]> By: doc ben http://www.kevinmd.com/blog/2008/01/no-primary-care-will-you-sign-my-forms.html/comment-page-1#comment-82946 doc ben Tue, 22 Jan 2008 01:55:00 +0000 http://clients.emmense.com/kevinmd/2008/01/no-primary-care-will-you-sign-my-forms.html#comment-82946 ...there you go...nobody really wants to do the dirty job of primary care --- especially since there is dearth in compensation!<br/><br/>if the primary care job is compensated more...perhaps the specialists won't hesitate doing it too<br/><br/>but then this will be too ideal, and the payment schedules have been hijacked by specialists and ivory tower types - the ones who will protect their comfortable turf by coming up with more re-/certification exams? …there you go…nobody really wants to do the dirty job of primary care — especially since there is dearth in compensation!

if the primary care job is compensated more…perhaps the specialists won’t hesitate doing it too

but then this will be too ideal, and the payment schedules have been hijacked by specialists and ivory tower types – the ones who will protect their comfortable turf by coming up with more re-/certification exams?

]]> By: Anonymous http://www.kevinmd.com/blog/2008/01/no-primary-care-will-you-sign-my-forms.html/comment-page-1#comment-82931 Anonymous Mon, 21 Jan 2008 19:39:00 +0000 http://clients.emmense.com/kevinmd/2008/01/no-primary-care-will-you-sign-my-forms.html#comment-82931 Hi Mike,<br/><br/>That might be a good idea except for a few problems. First of all there are nowhere near enough endocrinologists or pulmonologists to do the job. Most diabetes and copd is managed by family physicians or general internists and if every diabetic went to an endocrinologist for his diabeic care you would need 5-10 times more endocrinologists. The second problem is that often patients do not know really what the problem is when it begins so they do not know which specialist to go to initially. Also most endocrinologists, cardiologists, etc. do not want to do primary care. That is why they went into a specialty. I am sure that there are other problems with this idea but these are just a few of the major ones.<br/><br/>Jimmy Hi Mike,

That might be a good idea except for a few problems. First of all there are nowhere near enough endocrinologists or pulmonologists to do the job. Most diabetes and copd is managed by family physicians or general internists and if every diabetic went to an endocrinologist for his diabeic care you would need 5-10 times more endocrinologists. The second problem is that often patients do not know really what the problem is when it begins so they do not know which specialist to go to initially. Also most endocrinologists, cardiologists, etc. do not want to do primary care. That is why they went into a specialty. I am sure that there are other problems with this idea but these are just a few of the major ones.

Jimmy

]]> By: Anonymous http://www.kevinmd.com/blog/2008/01/no-primary-care-will-you-sign-my-forms.html/comment-page-1#comment-82930 Anonymous Mon, 21 Jan 2008 19:19:00 +0000 http://clients.emmense.com/kevinmd/2008/01/no-primary-care-will-you-sign-my-forms.html#comment-82930 why not just get rid of generalists? if you have DM associated morbidities have a endocrinology trained internist...long time smoker or asthmatic see a pulmonary trained internist? etc etc... all medicine specialists trained as internists so they are qualified.<br/><br/>mike why not just get rid of generalists? if you have DM associated morbidities have a endocrinology trained internist…long time smoker or asthmatic see a pulmonary trained internist? etc etc… all medicine specialists trained as internists so they are qualified.

mike

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