Bank of America is spending $5 million to help attract primary care physicians to neighborhood health clinics in Boston. Kudos to them - but do we have to rely on corporations to save primary care?

More organizations are joining the medical blogosphere. (via Medpundit)

Dr. RW points to some student observations about IM. General internal medicine gets no love from medical students.

John Mack has blogged in the past about how their ads violate FDA rules. The FDA finally agreed with him.

Sounds like their head of epidemiology gets fried on the stand during the latest Vioxx trial.

It's looking that way. The ABIM looks to be phasing out procedures that are traditionally taught:

The authors distinguished between the types of procedures residents would be taught to do versus those that they would be taught about.In regard to the latter, we are told that for certain procedures, only what the ABIM refers to as "cognitive competence" will be required . . . Included in the set ...

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Some controversy this weekend. Scalpel and Graham have at it.

Emily DeVoto wonders whether there is any evidence behind this approach, currently used in the majority of US health settings.

UroStream: "This 'F' word is guaranteed to put the fear of God in any urologist."

Limited resources and poor planning is causing the VA to strain under the pressure:

The backlog of disability claims is up to more than 400,000 by the VA's count and climbing. Wait times to process claims are running nearly seven months, on average -- quicker in some places and much longer in others, as Lennon and other veterans have found. In cases where the extent of disability is disputed ...

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Love the pic. The increasing trend of plastic surgery in teens.

Where does the madness end? An opinion slamming the movement where pharmacists can refuse to fill prescriptions to which they have moral or ethical objections:

Writing a conscience clause into the law could open up a Pandora's box of risky possibilities. A Christian Scientist might refuse to fill certain medicines in the belief that only God is the ultimate healer. A vegetarian could refuse to fill a prescription for ...

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Ridiculous in an area where access to health care is so poor.

Richard Reece with a slice of life at the hospital. Data entry reigns supreme:

. . . this ritual is more important than ever, for everything in this fast-paced fee-for-service world, must be entered, charged, coded, and documented by computer, lest something be overlooked, a diagnosis missed, or an attorney discover a sin of omission.
(via Dr. Val)

Val Jones with a case where the ER doc is damned if he does, or doesn't. A patient, whose father is a significant donor to the hospital, insists on being admitted. Fallout ensues:

The son of a business tycoon experienced some diarrhea. He went to his local emergency room immediately, explaining to the staff who his father was, and that he required immediate treatment.

Because ...

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Teaching physicians are getting harder to come by, given the fact that teaching is largely undercompensated. Harvard is helping solve this issue:

There is wide variation in what the roughly 7,000 full-time instructors at Harvard Medical School are paid to teach the school's 771 students in classrooms, labs, and hospitals. Some are paid at well below going rates for doctors' services -- $30 an hour for some courses ...

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EMTALA is an unfunded mandate. This bill proposes a step in the right direction. Aggrvated DocSurg and GruntDoc comment.

P4 . . . what?

Pay for performance is not alone. Dr. Rob looks at other ways to pay physicians.

The ruse worked for about 10 hours:

"Our team members felt that she was a credible person," Lutton said. "They thought she was a colleague."

But soon after the Monday night shift began, triage employees noticed that the "float," their name for a temporary worker, couldn't take temperatures or read blood pressure.

By her third failed attempt, they told her to shadow another worker. She did so for ...

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They lost to the tune of $116.7 million and blame their attorneys for not settling the case:

According to lawsuits filed last week in Hillsborough Circuit Court, the doctors' attorneys turned down several settlement offers, ranging from $1.5 million to $3 million, and were negligent in their handling requests for information from Navarro's attorney.

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