Today’s article addresses a common complaint about physicians. “Freewheel” responded to a previous article by writing the following, “you will not make me wait more than 10 minutes.  My time is important, too.”  One of the most common complaints I hear is “I waited over an hour to see you!”  Waiting for an appointment, particularly when you are sick, is frustrating.  Once you have that appointment, waiting for a doc who ...

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In New York State, the issue of scope of practice is at the fore.  Mainly, what activities can non-physicians (NP’s) engage in, with or without physician supervision?  It is a heated subject here where I reside, but not the one I will address below. The New York Times discusses a similar matter, although altogether more controversial.  Many of you are aware nurses are obtaining doctorate degrees and advancing their training. The divisive ...

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As someone whose livelihood is dependent upon successfully recruiting physicians to various practice opportunities, whenever possible I use the tool of a "signing bonus" and it may not be for the reason you think. If you have found yourself in the role of recruiter for your practice, you should be open to use of this valuable tool within the physician recruiting process. Now, I must say, that whenever this is brought ...

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Language matters. The words we choose can have far-reaching impact on those we interact with. This is arguably more true in medicine than in any field. Ryan Madanick wrote a recent blog post on the use of descriptor terms used by physicians in patient’s charts. He felt that the use of phrases like “is a very pleasant 52 y/o woman” or “is an unfortunate 16 y/o boy” is inappropriate. I agree. ...

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Dr. Keith Ablow is an assistant clinical professor at Tufts University School of Medicine. So am I. Ablow has a problem with transgendered people. I do not. I first learned about Ablow's well publicized stance Wednesday via an email to the Tufts community, signed by the university's president, the dean of the medical school and the chair of the psychiatry department. The university reaffirmed its commitment to the complete inclusion ...

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Doctors love to talk about tort reform – states passing laws to put limits on awards such as non-economic damages for harms such as pain and suffering, and on the legal process of suing a doctor for malpractice. They speak of defensive medicine – the practice of ordering extra tests, treatments, and days in a hospital to cover their medical-legal butts. Texas passed a comprehensive tort reform law in 2003 ...

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As a mom and first-time parent, I marveled at my tiny daughter's curiosity about and interest in the world. Her quest for knowledge was insatiable and her ability to sit absorbed in what she was doing and the moment enviable. Now that she's 8 (“8 and a quarter, mom!”, said with a sigh and an attitude), she seems to have morphed into a smart, verging-on-sassy pre-tween who's beginning to think ...

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The recycling container was already full. But I had two more bags to stow before lugging the bin through the gate and into the front yard for pick up. My button down shirt untidy and bulging out from the waist. My long khaki pants felt like a fur coat in the ninety plus Chicago humidity. It was 4pm and I had just arrived home from work, dropped my computer in ...

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Are you paid fairly for what you do? How much are your services actually worth? Of course you are worth more than you are paid. Enough money is never enough. "The market decides." But, in medicine, there is no way that it is a "free market"; the American medical marketplace is historically rigged by innumerable visible and, to the average person, invisible factors. We live in one world. Ask Detroit about wages for making American ...

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At every turn, we in health care are being told we must fundamentally change the way we deliver care to the patients who come to us for assistance, advice, and decisions as to how they can, if not maintain health, at least survive in an increasingly burdensome world.  Whether referenced as medical home, health care home, advanced primary care, patient-centered approaches, or accountable care organizations, it all sounds the same ...

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