Every medical organization comes up with guidelines that benefits their members. The American Urological Association has more aggressive prostate cancer screening guidelines, resulting in increasing business for urologists in the form of prostate biopsies.
DrRich gives a pointed example with the American Heart Association's ADHD recommendation:
In making this recommendation the cardiologists of the AHA have attempted to encroach upon the turf of the pediatricians, ostensibly to save the ...
Those sneaky DTC pharmaceutical ads: "The example she cited: an ad for Schering-Plough's Nasonex allergy drug that featured a bumble bee flying around as side effects were listed, but hovered when benefits were discussed. 'All of these wing flaps and wing flashes and sparkly things essentially divided the attention of the viewers"¦and thus led to decreased knowledge' of possible risks."
Some reasons why physicians are so meek in the public discourse of our health care system.
One problem is the disparate interests within the profession itself. Generalists and specialists each have competing goals, often at the expense of each other.
In any case, doctors need to take a front seat at the debate table. We can't let those without front-line medical experience, like ...
What a sad commentary: "First, the obesity excuse is not a new one for condemned death row inmates. It has been used before and is now an incentive for these guys to pig out."
Like Dr. Farrago, I wonder why the prison gives him so much food in the first place.
Beijing is closing some factories to improve the air quality during the Olympics. There is speculation that this can lead to a shortage of active pharmaceutical ingredients (APIs), which are used in generic and brand name drugs.
If a shortage doesn't happen, drug prices may sharply rise as a result of this Olympic action.
The Happy Hospitalist touches on the importance of physician contracts.
There's really no mincing words here: your job is only as good as the contract it's based on. Every physician needs to have a good lawyer handy to negotiate and review the contract thoroughly.
Physicians generally are in demand, and you would be surprised at what some practices are offering to recruit doctors.
retired doc laments the declining sense of duty in today's physicians, fostered by work-hour restrictions during residency.
Shift work medicine is here to stay, as hospitalists, part-time physicians and mid-levels make up an increasing amount of the clinician force.
It's just another sign of how today's physicians value lifestyle more than their predecessors. And there's nothing wrong in desiring that kind of work-life balance.
This physician in Canada uses a lottery to eliminate patients from his practice.
The primary care crisis is just as dire up north as well.
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| If I Had - Leg Swelling and Pain - Dr. Lawrence Hofmann, MD |
classid='clsid:D27CDB6E-AE6D-11cf-96B8-444553540000' codebase='http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=7,0,0,0' WIDTH='380' HEIGHT='240' id='play_continuous_flvs'> Who’s not happy with the new prostate cancer screening recommendations?Urologists, of course: "Some doctors rejected the recommendation, saying it smacked of ageism and cost control by insurers. 'It sounds like a regulation promulgated by an HMO' to save money." Did NYC’s city hospitals sell out?A controversial deal with a Caribbean medical school raises eyebrows: Critics worry that the hospital corporation, whose mission is to serve the city's poor, is conferring prestige on a foreign school whose curriculum, they say, is more vocational than research-based and often caters to affluent students who could not get into schools in the United States.Although the difference in education quality is debatable, the greater concern is that ... DeathCan come quickly in the ED. A right to Medicare?Maggie Mahar responds to The Happy Hospitalist's Reader Take over the weekend. Cooks in the ICUBuckeye Surgeon talks about the importance of having a primary physician coordinating care in an ICU case. Pills over talkHow psychiatric therapy is changing: The expanded use of pills and insurance policies that favor short office visits are among the reasons . . .With cognitive therapy getting the shaft in primary care and psychiatry, doctors are simply responding ... Prostate cancer screening in men over 75The USPSTF updates their prostate cancer screening guidelines, recommending against prostate cancer screening in men age 75 years or older. Work-hour restrictions = scut managementHow resident work-hour restrictions is affecting housestaff: The conversation is shifting. Traditional hierarchical patient management is giving way to the need for "scut management" as work hours, thrown in amongst teaching sessions, draw short. Divide-and-conquer. No time for supervision. Hurry up! We've got to get done!These restrictions have to be accompanied by a sizable bump in ancillary staff to reduce scut. Filling out paperwork and drawing ... Why physician practices are poor business modelsThis economist hits the nail on the head: "Most businesses are based on a scaleable model of sales. However the product of a doctors office can only be created by the doctor and delivered by the doctor. In essence, it is a one employee enterprise and everyone else in the office is ancillary staff. In fact, it could be argued that the doctor actually works for the employees and not ... When patients extort hospitalsAnti-dumping rules are in place in California. But sometimes it places hospitals in a difficult situation when patients don't want to leave: In hospitals, patients have a "nice, warm bed, three meals a day and maybe even a television and people waiting on them. They are literally saying to us, 'I don't want to go. If you discharge me, I will call the L.A. Times.'"The health care crisis ... Corruption at Medscape?BusinessWeek looks at how Big Pharma influenced Medscape's CME offerings. Kevin Pho, MD
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