During the MOC debate that JAMA sponsored, I was asked what I would do if “I were king” of MOC. As an internist, I believe in first making a diagnosis, then prescribing a treatment. So I have spent time diagnosing my needs as an internist. When I passed my boards I showed knowledge competency. But medicine changes over time. We have major advances and changes since I took my boards. Some examples follow:

Doctors have a difficult time adjusting to other cultures and because of this flaw, patients, and the medical profession suffer.  By culture, I do not mean religious or philosophical background, socio-economic difference, country of origin, nor even the silence created by language and education barriers.  I am referring to the communication and comprehension chasms that exist between different occupations and physicians. What are the core values and guiding principals of medical ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. How many of you have heard a flight attendant or pilot announce, “We know you have a choice of airlines when you fly, and we want to thank you for flying with us”? Over the years, many other industries have adopted similar statements.  Continuing medical education (CME) ...

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Most readers know that an EMR (electronic medical record) is the back-end software that runs a health care organization. EMRs have been around for a while. Recently most large hospitals and health systems have begun building out the patient-facing version of their EMR; allowing patients to communicate electronically with their doctors, refill prescriptions, schedule appointments, and view clinical information. I’ve written at length about the differences between B2B software and B2C ...

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When my husband and I stopped watching television a few months after we were married, we often didn't notice what had changed until we'd compare notes with friends.  "I miss my old hobby," a neighbor might complain, "but I just don't have the time."  And yet we'd see his head just above the back of the couch, silhouetted against his big screen TV for hours.  Not only did we regain ...

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In the past half century or so, medicine has changed the complexity of the human population as it has never been seen in the past. Think about it, there are people walking around today that fifty years ago, wouldn’t even be alive.   This evolution in medicine has not only brought about transformation in the human population, but it is also changing the approach of how clinicians need to treat these complex ...

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If F. A. Hayek were alive today, he would support the revival of labor unions in general and professional labor unions in particular. Towards the end of the Second World War, Hayek wrote a book warning us all that allowing governments to engage in extensive central planning of economic activities is nothing more than a road to serfdom for humanity. F.A. Hayek was not an Ayn Rand sociopath, and he ...

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shutterstock_73822633 Perhaps doctors should be more like the president. After all, we also carry the ultimate responsibility for our constituents, even though we, too, have team members who do part of that work. The way I understand things to work at the White House, those other team members collect, review and prioritize the information the president needs in order to manage his, and all ...

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If you delve into the personal stories of health IT innovators, most journeys rest on their personal interaction with the health care system on behalf of themselves, a parent, a child, or perhaps a sibling. Just a few weeks ago, I had a small interaction with the health care system that confirmed many of the impressions I have developed of providers' strengths and weaknesses. There's no way to start except with ...

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As we welcome another year, many of us make resolutions to live a better life, usually one that is healthier than the year before. As I planned my own resolutions for 2015, I was reminded of a talk given by my rabbi, David Ingber of Romemu. His sermon centered on the Torah portion about the importance of “the Shemittah” or the sabbatical year, noting how we as a society should be observing the “five Rs” ...

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