What physicians should believe about Accountable Care Organizations

by Jeffrey L. Cohen

In the 90s, physicians were told “The sky is falling. You have to find a tree to stand under or you will be crushed.” The “trees” were things like IPAs and PHOs. The future outlook was bleak. All patients were going to be part of some system with which the physician would have no input or control. Decisions would be made on purely …

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KevinMD posts of the week, ending February 13, 2011

Here are the top posts from this past week, based on the number of times they were viewed.

1. Female physicians make less money than male doctors, here’s why. By spending more time with patients, female physicians are financially penalized by seeing less patients during the day.

2. Pelvic exam by a medical student for the first time. They say you never forget your first “real” patient. Mine was …

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Why a patient waited 80 hours in the ER for placement

by erdoc85, MD

When I arrived for my shift this am, I was passed off the following patient.

EMS responded to a 50-year old guy laying alongside the Interstate. He had no idea who he was or how he got there. He complained of knee pain and shoulder pain. They were kind enough to tote him to my ER where his evaluation revealed that he had a fracture …

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Should the FDA regulate medical apps?

by Chad Hyett

There’s a storm brewing around the regulation of medical apps. The FDA has been skirting the issue for too long and it’s having detrimental effects on the potential for such apps. Recent FDA hearings have revealed that the agency is watching the apps stores for potential alarms and that they are drafting guidance. Whatever that means.

The FDA needs to make a decision quickly if …

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Physicians’ voices heard through AMA advocacy activities in Washington, DC

A guest column by the American Medical Association, exclusive to KevinMD.com.

by Ardis Dee Hoven, MD

This week, hundreds of physicians and medical students converged in Washington, D.C., for the AMA’s annual National Advocacy Conference. The current and future physicians learned about and discussed key legislative issues, including how new policy will impact physician practices, and heard from officials including CMS Administrator …

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The golden hour and the difference between life and death

An excerpt from Surviving the Emergency Room.

by Ron Clark, MD

With regard to emergency trauma care, a few minutes can mean the difference between life and death.  This first hour of definitive medical care is called the “golden hour.”  It is usually this first hour where the patient’s medical fate is sealed.  In general, the faster that medical care is rendered, the better the medical outcome will be.

The old adage …

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