The same problem can be said here in the US:

I am convinced a major cause of this sorry situation is the fact that family physicians have been virtually excluded from patient care in teaching hospitals with the result that medical students, interns and residents are seldom exposed to family doctors and are increasingly unaware of their very existence.

Most patients in hospital do not see their own doctors ...


Apparently, they're having staffing issues:

"I think it would be very foolish not to continue at this point because I think the market is there - it's just a matter of meeting the supply and demand. We will just continue towards the dream we had in the beginning because it was a correct dream.

A commenter sees physician assistants as the way to go:

The way to go is to be a PA (physician's assistant). You get all the cool medical work and none of the responsibility. You make a very nice salary and after the Dr. who you work under pays all the malpractice insurance, you're making just about as much as he is.
(via This Makes Me Sick)

Another example of how the NEJM kowtows to the lawyers.

In most cases, NPs are salaried and not tied to productivity. Thus, they are free to spend hours per visit. If their compensation structure changes to a productivity model, the rushed visits will start to increase.

We'll find out soon enough if this is the case.

Some say it widens the disparity between the haves and have-nots:

As some of the Washington area's hospitals expand at record levels and add amenities, others don't have that luxury. They are buckling under the burden of caring for the uninsured, raising concerns about widening disparities in health-care facilities.

In Prince George's, more than half of the residents with health insurance go outside the county for care, many to ...


The Cheerful Oncologist translates oncology jargon for patients.

As Michelle Au finds out during a night at the SICU.

Flea says there is no best time to go. If you can choose when you can go to an ER, you don't have an emergency.

The case of a malfunctioning penile implant:

Charles "Chick" Lennon, 68, received the steel and plastic implant in 1996, about two years before Viagra went on the market. The Dura-II is designed to allow impotent men to position the penis upward for sex, then lower it.

But Lennon could not position his penis downward. He said he could no longer hug people, ride a bike, swim or wear ...


Simple test, big ordeal:

I thought back to the time that I too had suffered intractable diarrhea. I was already a doctor and had ordered many stool cultures on other people without pause. I suppose I had considered what the patients would have to go through, at least in an abstract sort of way. But as the old apocryphal proverb goes: Do not judge a man, nor trifle ...


Some docs just get it. Medicine is simply a customer-service business:

It is not just a matter of moving to a small town. Ms. Kissell's doctor, Melissa Gerdes, is one of a rapidly growing number of physicians who have streamlined their schedules and added Internet services, among other steps, to better meet the needs of patients. For physicians like Dr. Gerdes, it is simply good business.


It's happened in Indonesia.

If a prescription isn't hand-printed, typed or electronically generated, it can't be filled:

Robertson said random samples of 6,000 prescriptions were collected throughout the state with help from the state's Board of Pharmacy. When pharmacists, physician assistants and others tested the samples, they found 24 percent to 32 percent illegible.
(via medmusings)

Maybe. Many physicians are bringing patients back for multiple visits rather than dealing with all of them during a single visit. Blame the HMOs:

People made more than 1 billion visits in 2004 to doctors' offices, emergency rooms and hospital outpatient departments, according to the report from the National Center for Health Statistics.

This is an increase of 31 percent from 10 years before, while population ...


A doctor explains why Japan's population is declining.

It is as weird as it sounds:

Two competitors face each other in 11 alternating rounds, six of chess, five of boxing. A bout begins with chess, which is played on a board placed directly in the middle of the ring. Each round of chess lasts four minutes. After each chess round, the bell sounds, and workmen remove the chessboard for a two-minute round of boxing, the gloves go ...


Seems like everyone is pointing fingers.

Dr. Centor writes on the possible increased reimbursement for E/M services. This single action, if it goes through, will go a long way in resuscitating primary care.

Shadowfax also writes about how emergency medicine will benefit.

Can they be finally cluing in? One can only hope.