As hospitalist programs become more prevalent, the issue of how best to communicate discharge summaries and instructions to primary care physicians remains.
A recent study suggested that only 16% of pending lab tests were written in hospitalist discharge summaries, which is a staggeringly low number.
Doctors who see hospitalized patients in follow-up need to know what they're looking for; whether it's abnormal potassium level or the result of an imaging study ...
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I never thought I would be in academic medicine for so long.
When I was hired about 12 year ago, I figured I would stay in academics for a few years and then join a private practice Internal Medicine group. Now, I can't even fathom that idea. One of the reasons I have stayed at my institution for so long is that I love teaching and the academic environment.
However, a second ...
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Originally published in MedPage Today
by Crystal Phend
Aid appears to still be trickling in to Haiti, making little headway against the swelling need for food, water, and medical care after last Tuesday's earthquake.
With a projected death toll between 100,000 and 200,000, the dead bodies piled in the streets -- and reportedly even being incorporated into roadblocks by angry Haitians ...
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I've written recently that "I'm sorry" are the hardest words for doctors to say.
Good piece in The New York Times, observing that the health care industry, in general, has a hard time apologizing. In many cases, hospitals and drug companies simply state they "regret" the situation.
Is there a difference? Of course there is: "The difference between apologizing and simply offering a 'regret' may seem semantic. Yet ...
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Originally published in HCPLive.com
by Ed Rabinowitz
There’s a great scene in the movie The Big Chill where the main characters are having a discussion on the topic of rationalizations. One individual comments that he doesn’t know anyone who could get through the day without two or three juicy rationalizations. That may be true. But when a rationalization involves taking things from the office or workplace, and that office just happens ...
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Johns Hopkins Hospital is consistently named one of the best in the country. I can't disagree with that; after all, I just started working there as an internist in September. Coincidentally, in the midst of the raging debate around health care reform, the past few months have seen increasing discussion of a small but crucial question: why do some of the best hospitals spend more money than others? If other ...
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Just like movies, restaurants, and hotels, doctors are being rated on the Internet. Several websites give patients the ability to post what they think of their physicians. But how useful are these sites?
Patient reviews can be manipulated. It's easy for a doctor or his staff to counter negative reviews by posting numerous positive ones. And how can one be sure that the reviewer is even actually a ...
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Originally posted in HCPLive.com
by Jeff Brown, MD
When I am in a civilian situation and someone asks me what I do, if I am feeling whimsical, I sometimes answer "I'm in sales."
Think about it - almost all of our professional interchanges can be seen as: 1) trying to talk someone out of doing something, like smoking, or 2) trying to talk someone into something, like exercising. Using a broader brush, ...
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General medicine is not sexy. Less than a fourth of the doctors in the United States are currently primary care providers like Pediatricians, Ob/Gyns, and Internists. According to a recent study published by the Journal of the American Medical Association, only 2% of medical students intend on pursuing a career in general internal medicine. So when health-care reform becomes a reality, and the 46 million uninsured men, women, and ...
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A jury is about to decide how far hospitals have to go to protect themselves against natural disasters.
It all starts in New Orleans, during the Hurricane Katrina disaster. Hospital generators were not protected against floods, and predictably, that contributed to the loss of power during the category 5 hurricane. If all hospitals were to protect their generators appropriately, it's estimated that it would cost millions to do ...
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-Eric Topol, MD, author of The Creative Destruction of Medicine
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