Medical Economics discusses the use of clinical guidelines in malpractice litigation. One interesting point is raised regarding whether new guidelines are being affected by the current malpractice atmosphere:

. . . as trial lawyers are using guidelines more in court, the organizations writing them are changing their motives. The American College of Obstetricians and Gynecologists, for example, has recently come under fire from plaintiffs' lawyers . . . ...

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Our first winning entry is a story from a grizzled resident:

A lot is on my mind these days. I am thirty years old, I have a one year girl who is turning into an Olsen Twin with melodrama substituted for'acting'. I just had a new baby boy 7 days ago who has decided to make me relive my intern year all over again; sleepless nights and ...

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Physicians vs lawyers

More stories are coming out that demonstrate physicians taking the malpractice crisis in their own hands.

Here is one physician's extreme response to rising malpractice costs. It surely was meant to be inflammatory. The fact it was allowed to get this far reflects the deep frustration within the physician community. Some doctors are taking matters into their own hands.

A common-sense solution

This solution to rising malpractice premiums makes the most sense to me.

An Alaska surgeon was sued because a patient ignored his advice to go to the emergency room. Again - a failure of personal responsibility has resulted in yet another malpractice suit. Fortunately, the jury was sensible and ruled in favor of the physician. I still have hope yet.

No-fault malpractice

Medical Economics this month discusses the feasibility of no-fault malpractice, similar to automobile accidents and workplace injuries. A fascinating read.

I trained in Boston so I periodically keep tabs on the medical scene there. In the same vein of the previous entry I wrote today, comes this story from the Boston Globe.

. . . new patients in Boston wait an average 37 days to see a cardiologist, 45 days to see an obstetrician-gynecologist, and 50 days to see a dermatologist "” the longest waits ...

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Medpundit and DB has chimed in on the mainstream coverage of the deficiencies of PSA screening for prostate cancer that was discussed here on Tuesday and Wednesday.

Medpundit writes:
Beware of organizations made up of hospitals and urologists who call for lower thresholds for treatment. They have much to gain from the increased number of biopsies such lower thresholds would produce. Unfortunately, it's far from clear ...

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I came across this case from JAMA in January, 2004. Here are the basics:

1) A third-year resident, Dr. Merenstein, saw an educated 53-yo man for the first time at his resident clinic. A PSA level had never been done before.
2) A documented discussion about the risks and benefits of screening was done, and the patient was enouraged to consider the information. He was never ...

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