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	<title>Comments on: Why do I need a rectal exam, and what can doctors find with the gloved finger?</title>
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		<title>By: Manalive</title>
		<link>http://www.kevinmd.com/blog/2009/03/why-do-i-need-rectal-exam-and-what-can.html/comment-page-1#comment-90151</link>
		<dc:creator>Manalive</dc:creator>
		<pubDate>Sun, 08 Mar 2009 13:43:00 +0000</pubDate>
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		<description>Is your assertion about rectal exams evidenced-based?&lt;br/&gt;Listening for carotid bruits, PSA testing, and &quot;baseline&quot; EKGs are a few examples of tests that once were taken for granted as good medicine, but have not withstood &quot;evidenced-based&quot; scrutiny.&lt;br/&gt;(See how easy it is to be a nihilist?)</description>
		<content:encoded><![CDATA[<p>Is your assertion about rectal exams evidenced-based?<br />Listening for carotid bruits, PSA testing, and &#8220;baseline&#8221; EKGs are a few examples of tests that once were taken for granted as good medicine, but have not withstood &#8220;evidenced-based&#8221; scrutiny.<br />(See how easy it is to be a nihilist?)</p>
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		<title>By: Big Finger</title>
		<link>http://www.kevinmd.com/blog/2009/03/why-do-i-need-rectal-exam-and-what-can.html/comment-page-1#comment-90124</link>
		<dc:creator>Big Finger</dc:creator>
		<pubDate>Sat, 07 Mar 2009 02:42:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/03/why-do-i-need-a-rectal-exam-and-what-can-doctors-find-with-the-gloved-finger.html#comment-90124</guid>
		<description>Our hospital has bought into the Sullivan program for high risk medical presentations and has forced the ED physician group to buy into and achieve better scores.  Part of the scoring is doing rectal exams on everyone with abdominal pain.  So the majority of patients are not getting a rectal exam because they really need it but but because a hospital management demands it.  Expect more of this mandated stuff with PQRI/CMS core measures and Obamacare</description>
		<content:encoded><![CDATA[<p>Our hospital has bought into the Sullivan program for high risk medical presentations and has forced the ED physician group to buy into and achieve better scores.  Part of the scoring is doing rectal exams on everyone with abdominal pain.  So the majority of patients are not getting a rectal exam because they really need it but but because a hospital management demands it.  Expect more of this mandated stuff with PQRI/CMS core measures and Obamacare</p>
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