Doctors and nurse practitioners: Were failing the reality testA guest column by the American College of Physicians, exclusive to KevinMD.com. Over the past several months, I have covered some controversial topics, such as electronic health records and the overuse of diagnostic testing. For this month’s column, I will address a less provocative topic: the role of non-physician providers in patient care. (Okay, perhaps we will discuss something ...

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ACP: 5 excuses physicians and patients should questionA guest column by the American College of Physicians, exclusive to KevinMD.com. Whether we call them “unnecessary,” “not indicated,” “inappropriate,” or “overused,” certain tests and procedures add little or no clinical benefit to patients and in some cases they cause harm. They also contribute to the cost of care without improving care. At a time when payers are challenging payment ...

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ACP: Medicine up in the air inflates patient expectations ACP: Medicine up in the air inflates patient expectations A guest column by the American College of Physicians, exclusive to KevinMD.com. Medicine is big business. If you don't believe me, the next time that you travel by plane, pick up the airline magazine in the seat pocket and read the ads. If the advertising is a reflection of the air traveling ...

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ACP: What Ive learned from my medical homeA guest column by the American College of Physicians, exclusive to KevinMD.com. Two years ago, my practice became a patient-centered medical home (PCMH), or more accurately, my practice began the transition towards delivering patient care under this new model. While that process is far from complete at this point, it’s been a positive experience. This month, I’d like to share ...

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A guest column by the American College of Physicians, exclusive to KevinMD.com. Recently, I was invited to speak at an ACP chapter meeting on the topic of shared vision. In the talk, I used as examples Dr. Martin Luther King Jr., John F. Kennedy, and Steve Jobs, leaders whose visions inspired people and helped them to achieve great things. As I wrote the talk, it occurred to me that ...

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Inappropriate care requests: The role of health care professionalsA guest column by the American College of Physicians, exclusive to KevinMD.com. How to reduce the cost of medical care while improving quality is the focus of several initiatives, including the American College of Physicians’ High Value Care initiative, the ABIM Foundation’s Choosing Wisely campaign, and Consumer Reports’ Consumer Health Choices. The common message is that we ...

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ACP: Make flu vaccination a team effortA guest column by the American College of Physicians, exclusive to KevinMD.com. Fall is the time of year when the CDC, CMS, insurance companies, and professional societies bombard physicians with reminders to vaccinate their patients against influenza. I will do these groups one better and not only remind you, but also share a couple of ideas for improving your ...

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ACP: My EHR report cardA guest column by the American College of Physicians, exclusive to KevinMD.com. Even though September is “back to school month” and students won’t get their report cards for a while, I have a report card to share with you now. In September 2006, my practice went “live” with an EHR, so I thought that the sixth anniversary of this ...

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