We must redesign our health care payment systems to value primary care I share this post here to point out the discrepancy in physicians' average salaries based on their specialties. In particular, I would like to highlight that the three lowest-paid specialties are the three primary care specialties: pediatrics, family medicine, and general internal medicine. This post is not written to argue that physicians must be paid more. I would submit that if ...

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I was appalled recently by the coverage of radiology “test recalls” by CNN, amplified by Dr. Gary Becker of the American Board of Radiology (ABR). For decades, residents have studied for their rites of passage Board examinations at the end of residencies. Radiology being no exception, I vividly remember spending innumerable hours with my co-residents, heads buried in books, papers and other study guides, to ready ourselves for the ...

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The art of practicing medicine is in realizing that there is an overlap between normal variants and pathology. Being able to tell the difference can be difficult, but this where the art comes in. However, as physicians we must realize that sometimes this can not be differentiated. Radiology is no different. Many clinicians and non-health care professionals believe that radiology is cut and dry. There is no art in radiology ...

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I’ve received several inquiries from women living in various regions of the country, asking how they should choose where to go for their mammogram, and if it really matters.  I cannot emphasize this enough:  It matters!  Here are a few tips to help your search: The most basic requirement is whether a facility is accredited under the MQSA (Mammography Quality Standards Act).  The accrediting body for most states is the ACR ...

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Rarely do people think about medical costs when there is a medical emergency or an urgent need for a test. Recently, I was in such a situation. A few days after a 22-hour international flight, the calf muscle in my right leg began to ache. If it were not for the recent flight, or if I were not a doctor, I would have just let it pass. But long periods of sedentary ...

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As a veteran of World War II, my grandfather was a GI Bill success story, the first man to go to college from his impoverished neighborhood in Jersey City thanks to government at its finest.   A card-carrying member of the state teachers’ union, and a politically active Democrat for most of his life, it came as something of a shock to me when, after a few decades of observing big ...

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A tug-of-war is going on in medicine right now between the past and the future. The present is confused and very unsure of itself. Though I could be writing about health care in the U.S and the looming Supreme Court battle over the new health care law, I’m actually raising a much more intimate issue: Whether your doctor touches (examines) you or not. Many pundits have weighed in on whether the ...

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MKSAP: 35 year old woman with right upper quadrant abdominal painTest your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 35-year-old woman is evaluated for a 6-month history of right upper quadrant abdominal pain that has slowly increased in intensity and is worse on deep inspiration. The patient is otherwise well, and her only medication is an oral contraceptive pill that she has taken ...

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In October 2011, the Centers for Disease Control and Prevention reported a 60% increase in “emergency department visits for sports– and recreation–related traumatic brain injuries, including concussions, among children and adolescents” over the past decade. That’s good news: as the CDC’s press release said, they believe the increase was due in part to “growing awareness among parents and coaches, and the public as a whole, about the need for individuals with a suspected ...

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When I relocated my radiation oncology practice from Jacksonville to Tampa, Florida, I had to figure out how to compete against urologists in a market that was radically different from the one I had left. Unlike their peers in Jacksonville, Tampa urologists owned their own radiation centers, guaranteeing I wouldn’t receive referrals from them. To break the referral pattern, I updated and posted my physician profile for free on an online ...

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