The recession and stock market downturn are forcing previously retired doctors to go back to work.

But, after being away from medicine for so long, some are finding that hospitals and clinics aren't willing to take them back with open arms.

Malpractice coverage will be higher for these physicians, and indeed, a cited gastroenterologist commented that "he couldn't get liability coverage because he hadn't done an endoscopy ...

Read more...

Top story in The New York Times.

Excellent.

There's hope that maybe, just maybe, we're getting through to the decision makers in Washington.

The article itself is old news to regular readers of this blog, and regurgitates many of the arguments impeding health reform, as well as the problems in solving them.

"Obama administration officials, alarmed at doctor shortages, are looking for ways to increase ...

Read more...

Many hospitals prefer so-called "closed" intensive care units solely managed by intensive care specialists.

The reason being that specialists can supposedly better adhere to quality measures, and hence lower costs, which are goals that hospital administrators pine for.

The problem is, there aren't enough intensivists to staff closed-ICUs for many medical centers across the country.

So, hospitalsts are stepping in as a "stop-gap" measure, and ...

Read more...

A neurosurgeon has higher malpractice premiums than an internal medicine physician, but do they really take on more risk?

The Happy Hospitalist says no.

That's a counter-intuitive take, as surgeons and proceduralists are perceived to take on more risk, and thus, pay higher malpractice rates.

"I don't think any physician, who is trained in their scope of practice, takes on anymore risk than any other physician, ...

Read more...

Color me unsurprised.

A Boston Globe article today confirmed what has been discussed on this blog during the past year. Universal care without primary care access is a recipe to increase both emergency department crowding and health care spending.

We now have more data to back up this expected conclusion.

Despite an individual mandate covering almost everyone in Massachusetts, the cost of emergency care ...

Read more...

A doctor is sentenced to 9-months in jail after prescribing Prozac to a teen who later committed suicide.

The contract physician, who had a restricted license in Colorado, prescribed generic Prozac for the patient after reading his questionnaire online. It's one of the first criminal convictions for a doctor practicing medicine over the phone or internet.

This is one of the dangers of prescribing drugs, sight ...

Read more...

A surgical procedure is truly a team effort.

Along with support staff, the patient outcome depends on how well the surgeon and the anesthesiologist work together.

Dr. T provides a fascinating account of the issues that she faces when behind the screen, and indeed, there is a spectrum of surgical personalities she has to deal with.

Although noting that some surgeons have the patient's best interests ...

Read more...

With entries dating back to 2004, here are 10 classic blog posts on primary care:

1. Why not a down payment for primary care, and problems with the medical home?

2. How connected are you to a primary care doctor?

3. Mid-levels for primary care, but not for surgery?

4. Half of primary care doctors want to quit

5.
Read more...

With a second poignant op-ed in the Wall Street Journal within the span of a month, Drs. Jerone Groopman and Pamela Hartzband take on quality measures.

It's no secret that I've been a proponent of increased standardization in medical care, adhering the evidence-based practice guidelines.

That assumes, however, that the recommendations themselves are rigorous and have been shown to help patients.

And that assumption, as the ...

Read more...

Some basic public relations skills can come in handy when building your practice.

I'm cited in a recent piece from the American Medical News, which talks about how consciously creating a "brand" can help shape your practice, and perhaps, make your medical work more rewarding.

With more patients having high-deductible health plans, "patients are going to be more picky about where and with whom they spend their money." ...

Read more...

Most Popular

Join 150,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 150,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.