shutterstock_258407336 With the endless appearance of medical malpractice solutions in the press, any reader would think we have the answers to the logjam -- but no will to implement them.  If you follow the topic, you know every proposal has flaws and limited applications as they relate to individual states or delivery systems. The worst offender seems to be safe harbor protections (i.e., “follow the ...

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There was an exceptionally well-written piece published in the Washington Post recently.  I presume a hospitalist wrote it, which magnifies its significance.  In it, he describes the difficulties in caring for terminally ill patients. As I read it, it reminded me of a story my dad told me several years ago.  His friend, I will call him Steve, was experiencing a great deal of stress because of his dad’s ailing ...

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Two recent articles, one from the New York Times, the other from The Hospitalist, initiated some 24/7 staffing issue rumination on my behalf.  It stems originally from a recent op-ed by Lucian Leape: "Given the accrediting council’s reluctance to act, the federal government needs to get tougher. If we are serious about curbing the tide of injuries stemming from medical errors, Medicare should make its funding of graduate medical education ...

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In New York State, the issue of scope of practice is at the fore.  Mainly, what activities can non-physicians (NP’s) engage in, with or without physician supervision?  It is a heated subject here where I reside, but not the one I will address below. The New York Times discusses a similar matter, although altogether more controversial.  Many of you are aware nurses are obtaining doctorate degrees and advancing their training. The divisive ...

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