STAT_Logo The term “physician compensation” could be among the top phrases in health care this year. Though it’s always been a hot topic, it got hotter when the Trump administration announced a proposal that would affect nearly 40 percent of Medicare payments. That plan would replace a fee scale that compensated doctors more for seeing sicker patients with ...

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An excerpt from Doctor Brooklyn: Love & Life at the End of a Knife. “Goddamn, you’re getting married? Are you outta your mind?” “I’m going to tell Goldie your advice on marriage. I predict you will spend the next twenty years sleeping on that very lumpy couch you own,” Zach said to ...

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"I don't want to get to the end of my life and find that I lived just the length of it. I want to have lived the width of it as well." - Diane Ackerman Nathan picks up a pen from the tray next to the dry erase boards. “OK,” he says. “Here’s what he showed us.” The rest of our small group watches. Nathan is one of the more intense medical students I ...

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This article is sponsored by Careers by KevinMD.com. To err is human, and in the health care arena, avoiding errors is crucial. Efforts to address communication-related or “soft skill” failures have been ongoing since about 20 years ago when the Institute of Medicine (IOM) published reports titled To Err Is Human and Crossing the Quality Chasm. When we rely on ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in follow-up for severe COPD, which was diagnosed 2 years ago. He has had two exacerbations in the past year requiring hospitalization, and his baseline exercise tolerance is low. He completed pulmonary rehabilitation 3 months ago without much improvement in exercise capacity. He quit ...

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Asset protection is a term that gets tossed around quite a bit when we discuss how long and difficult the journey is for doctors to establish their careers.  You always want to protect what you’ve worked hard for, right? The principles for asset protection apply not only to doctors but essentially anyone who wishes to have some sort of security for their assets. The key is to make sure you don’t over ...

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Career burnout is becoming increasingly common and is a hot topic lately, particularly for physicians and other health care workers. The causes are many. Increased demands. Decreased reimbursement and recognition. Longer hours and lower benefits. The feeling that you’re just another wheel in the cog. In medicine, it’s the ever-thickening red tape. Clumsy electronic health records (EHRs). Prior authorizations. In-baskets that fill up with dozens or hundreds of messages any time you’re ...

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In the last year of medical school, all medical students are faced with important decisions about where they would like to complete their residency. For osteopathic students, one key element of this decision is to what extent do they want to be a minority within their program. I am an osteopathic physician. Osteopathy is core to my identity and pride as a physician. I am one of two osteopathic physicians ...

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It has been suggested that once leadership of an organization is made up of 30 percent women, integration and increased success are enjoyed. As an orthopaedic surgeon, the feeling of being surrounded by so many women is not something that I have experienced. But last week I felt something close.

The International Pediatric Orthopaedic Symposium (IPOS) has been held in Orlando, Florida, for the past 12 ...

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Veterans do not only matter one day of the year. Beyond Veterans Day, it is not only important to reflect on the lives lost and the sacrifices made by those who served our country, but to ask: are we doing enough as a nation to give veterans the support and care that they need? Veterans deserve to be more than a political football. We discuss “supporting our troops” and “honoring ...

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Over the course of several years, IBM’s fledgling Watson for Oncology program has received a wide range of reviews. Among them is a harsh critique published by Gizmodo.  The article is filed under the keywords “AI,” “Watson,” “health,” “health care,” and “Doctor: This product is a piece of shit.” The last keyword is courtesy of a provider in Florida commenting on a highly publicized medication error. While the ...

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“Dr. Rahman, this is the nurse in OR 12, Dr. H is doing a robotic/laparoscopic hysterectomy. He thinks he’s injured the ureter and is requesting help. Are you available?” I knew what came next was going to be complex — challenging surgically, disruptive to my schedule and potentially risky. I told the nurse that I would be over in about 10 minutes. Under anesthesia was Michelle C, a 46-year-old African American ...

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With over 22 million page views for the year, thank you for making 2018 such a success. KevinMD continues to be the web's leading platform that highlights the voice of the many who intersect with our health care system, but are rarely heard elsewhere: physicians, advanced practitioners, nurses, medical students, and patients who can share their insight and tell their stories. This year, I'm ...

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In the United States, 25 million adult women are insured by their state Medicaid program. Medicaid covers 60 percent of all births in the United States as per federal law, and states must cover all pregnancy-related services for pregnant women with incomes up to 133 percent of the federal poverty line. There are two Medicaid insurance payment models: a fee-for-service model, where the state pays ...

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"Pathognomonia." I do not believe this is a real word. That’s OK. I don’t care if it isn’t. I have wanted to write this little blurb several times over a period of a few years. My theme is related to what we physicians regard as pathognomonic — i.e., definitive proof of a particular condition based on one sign or symptom. Sometimes causing unwitting harm to our patients and families. Why haven’t ...

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Of late, doctor/friends on social media have taken to reposting news articles detailing the horrors taking place in other nations because of the evil scourge known as socialized medicine. In fact, the two words, alone or together, just don’t carry anything near the weight of the pain and suffering they imply, so I have taken to adding this exclamation point, in parentheses, to make it absolutely clear how terrible a ...

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From second through fifth grade, I mastered the art of being sick. I got out of school, soccer practice and piano lessons so that I could be the child I wanted to be — not sick, but loved, cared for. Here was my recipe: 1. Wake up. 2. Feel anxious about the day to come (this was natural). 3. Let the anxiety morph into a sickly pallor. 4. Bolster suspected illness with refusal to eat ...

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Coffee —"because of the caffeine which it holds," described Dr. Henry Elsner in a 1911 review article in the journal of Hypertension and Arteriosclerosis — causes "increased rapidity of the heart's action. It makes the heart irritable, it increases the power of the heart's contractions, it places an extra load upon the kidneys, increasing the urine flow. Because of these effects, I have for some time ...

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Physicians receive rigorous medical training for the better part of a decade. However, we emerge unprepared for the real-world job application process to which our friends in other professions are accustomed. One of these logistics includes credentialing and verification for hospitals and clinics where your group intends to practice — a process that can take up to three months. There are a number of items that are requested during the credentialing ...

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In the mid-1990s, I was working as the medical director for a national computer processing company that had the medical policy and utilization review contract for many Medicaid programs in the United States. Within the first few weeks of being hired, I was invited to attend an IT meeting where the computer project supervisor was going to show off a beta medical reporting program the company had developed for an ...

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