Deductibles and donuts change the flavor of health careA guest column by the American College of Physicians, exclusive to KevinMD.com. In the annual cycle of a medical practice, there are seasons. For example, we have "flu season," "poison ivy season," "camp or school physical season," “snowbirds back from Florida season,” and in my part of the world, "Lyme disease season." There are other seasons that physicians must endure that have ...

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The high cost of free, unnecessary medical equipmentA guest column by the American College of Physicians, exclusive to KevinMD.com. A couple of weeks ago, a television commercial caught my attention. It was an official-sounding announcement, a “national healthcare alert” that if you have Medicare, you might qualify for a knee brace “at little or no cost to you.” I found it interesting because a week earlier, a durable ...

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How I changed my private practice glass from half empty to half fullA guest column by the American College of Physicians, exclusive to KevinMD.com. A few months ago, I attended a social event and ran into a few colleagues whom I had not seen in a long time. In the interest of privacy, I won’t reveal their specialties but I will note that I was the only primary care specialist in the group. As ...

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ACP: Increase screening for second leading cause of cancer related deathsA guest column by the American College of Physicians, exclusive to KevinMD.com. According to the Centers for Disease Control (CDC), in 2012, 65% of U.S. adults ages 50-75 were current with screening for colorectal cancer. Almost 28% were never screened. Despite the availability of multiple methods for detecting precancerous polyps or early cancers, the number of people who take advantage of ...

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ACP: Practicing high value care and overcoming patients’ concernsA guest column by the American College of Physicians, exclusive to KevinMD.com. In earlier columns I wrote about two initiatives to promote physicians providing the best possible care by reducing or eliminating the use of tests or treatments that have little or no value to patients. They are ACP’s High Value Care and ABIM Foundation’s Choosing Wisely. I ...

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ACP: Making the most of opportunities to get people immunizedA guest column by the American College of Physicians, exclusive to KevinMD.com. It seems to begin earlier and earlier each year -- displays are up in stores in late July, newspaper and radio ads start appearing in August, and the media reports on it before the kids even go back to school. Yes, flu vaccine season is in full motion. Last year I ...

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ACP: Raising the profile of internal medicineA guest column by the American College of Physicians, exclusive to KevinMD.com. ACP recently launched a campaign to celebrate and increase awareness of internal medicine, the "I.M. Proud to Be an Internist" campaign. If you visit the website, you will find a summary of the campaign’s goals,  information for patients and families, links to downloadable posters for the office, and merchandise ...

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Are we unfair to the RUC? A view from the insideA guest column by the American College of Physicians, exclusive to KevinMD.com. I will begin this month’s column with a confession on something that most people don’t know about me. I hope it doesn’t lose me any friends. I am a member of the AMA/Specialty Society Relative Value Scale Update Committee, better known as the RUC. Actually, I'm an alternate, but ...

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ACP: Physicians around the world face similar non clinical issuesA guest column by the American College of Physicians, exclusive to KevinMD.com. Over the past several years, I have had the honor of representing the American College of Physicians at scientific conferences and professional society meetings. In addition to hearing about the latest advances in internal medicine at these events, I learn what is on the minds of physicians in ...

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English is the second language of medical documentationA guest column by the American College of Physicians, exclusive to KevinMD.com. English is the international language of medicine, according to many. Regardless of whether that is true, what is becoming increasingly clear is that English is the second language of medical documentation.  For those of you who blame EHRs for this, the replacement of English by something else started ...

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