Learn to avoid being dazzled:

"We want to appeal to physicians' natural skepticism," said Dr. Ethan Halm, an associate professor of medicine and health policy at Mount Sinai School of Medicine.

The prestigious Manhattan school is including a new type of training at its Morchand Education Center, famous for its use of actors to play patients.

For these sessions, the actors will play pharmaceutical company sales representatives. The ...

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Continuing to see patients after you get "the letter".

And this year will be no different. As long as the formula stays, this will be a yearly exercise.

The physician workweek

Bottom line: More are working longer weeks, while seeing less patients.

No, according to the Arkansas Governor:

AP stalwart reporter Ron Fournier, gives Gov. Mike Huckabee the spotlight to answer the question of whethere we have an "inalienable right" to health care. The governor concludes not. Legally, that's perhaps correct. But should it be the situation in the world's most powerful and prosperous country?

Zero surprise, considering how undervalued it is here:

"Although the U.S. pays more for health care than any other country, we are under-investing in our primary care system," Karen Davis, president of the Commonwealth Fund, the foundation that sponsored the survey, said in a statement. "Other countries have made high-quality primary care a priority by putting into place the financial and technical systems that support access to, and delivery ...

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What a ridiculous event. The GOP should be ashamed:

The city has stopped offering free flu shots at early voting sites after Republicans alleged it was a ploy by the mayor to lure more Democrats to the polls.

The vaccinations, for people 50 and older, had been offered at early voting sites in predominantly black and Hispanic neighborhoods. Health officials said they had singled out medically underserved ...

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Most do. (via Dr. RW)

More thrashing of her ridiculous book.

Physician vanity plate

Orac with an original one, and a few others in the comments.

Just something I noticed while perusing headlines. They all seem pretty meaningless to me.

A possible sign of what a government-run single payer system would look like.

It must really be broken for the head of the American Heart Association to speak up. Cardiologists and other procedure-heavy specialties are the beneficiaries of the procedure-tilted reimbursement system:

Incentives in today's health-care system encourage procedures over doctor-patient face time, according to Gibbons. Many serious illnesses are preventable, but their numbers continue to rise in part because doctors "don't have enough time for preventive health measures," he said.

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Is anyone surprised at what happens next?

The medical resident who hit her car is charged with manslaughter.

Dr. A hits the nail on the head:

. . . some docs see it as a business move ("If I don't give them the antibiotic, then they will switch doctors to someone that will.") Some see it as a way to save time ("I'm running two hours behind. And, if I write for the antibiotic instead of explaining why not, then I can keep from getting further behind ...

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The numbers just aren't on your side, as intueri points out. Stay strong Maria!

How then, are they going to learn? Got to start sometime:

Of course these newly qualified doctors cannot prescribe, Professor Bramble. Please take your head out of your arse for one minute and listen. Prescribing is a PRACTICAL skill, learnt on the wards by apprenticeship. Let the doctors learn in the normal way, as they have always done. And, if you must test them, test them at the end ...

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Well documented here that decreasing reimbursement simply increases the volume of procedures. But just how much is staggering (emphasis mine):

This axiom of economics does not hold in the health care market; at least not according to a 1998 HCFA White paper to Richard Foster. The paper found that when Medicare decides to reduce its fees, the quantity of medical services supplied by physicians actually increases. ...

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A hospital CEO takes the clean hands petri-dish test:

The disk on the left shows bacteria colonies that grew from my hand before it was washed with a disinfectant. The disk on the right shows the number of colonies that grew from my hand after it was cleaned with the waterless, alcohol-based antiseptic that is in dispensers outside every patient room in our hospital.

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