RIP primary care? Regular readers of this blog already know this:

Primary care -- the basic medical care that people get when they visit their doctors for routine physicals and minor problems -- could fall apart in the United States without immediate reforms, the American College of Physicians said on Monday.

"Primary care is on the verge of collapse," said the organization, a professional group which certifies internists, in ...

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An academic conceirge practice. "The University of Miami's medical school -- best known for treating the poor at Jackson Memorial and in clinics -- has gone into the upscale concierge business, opening a practice in Key Biscayne in which patients must shell out a $1,500 annual fee."

This is the first one I've seen that is affiliated with a university.

What the hell is going on at UC Irvine? First their transplant programs come under attack. Now this:

The University of California, Irvine Medical Center accepted a young doctor into a residency position in radiology after the man's father pledged $250,000 to the radiology department, according to a published report.

UCI did not choose Alfred Sein during the regular selection process that determines where most medical school ...

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Grand Rounds 2:18



Welcome to Grand Rounds, the weekly best the medical blogosphere has to offer, and a hello to all the new readers from WebMD. I'm honored to be hosting for the third time - it has come a long way since Kevin, M.D. last hosted way back in 2004.

The phenomenon of medical blogs has been gathering increasing mainstream recognition, with ...

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The "July effect" of new residents takes place in January in Australia. "It's an oft-quoted fact that 'complications' increase in January, aided by the influx of nervous junior doctors who have yet to find out just how their new hospital works and where everything is. We've been through medical school and passed our exams, we've been floating around various hospitals for the past few years of our lives; but ...

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NY Times on the NJ state medical school corruption scandal. "The most egregious wrong, to our mind, was the double-billing of Medicaid for the care provided to poor people. Doctors were billing for the services they provided at university clinics, and the university was separately billing for the same services, generating almost $5 million in extra payments at latest count. What makes this double-billing especially reprehensible is that university ...

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A reporter from the Roanoke Times on medical blogs. "Do any doctors, nurses or other medical people in Western Virginia write a blog? It's time and you've got to expect something like that would be well-read. (I would read it. Would you?)

So, this is my appeal. Might a prof in Blacksburg throw back the curtain cloaking the new medical school? Would a hospital P.R. person share tales of ...

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Reprinted from the Annals - on patients and customer (dis)service:

Humming a little tune as I rounded the corner and headed down the homestretch of my afternoon in the office, I plucked a chart from the wall outside of room 14. Carol Todd, a woman of 48, had come to see me about "cellulitis of the scalp." My nurse had scrawled a question mark after her history, and then ...

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Good for them

From today's Wall Street Journal, Surgery Journal Threatens Ban for Authors' Hidden Conflicts (subscription required, emphases mine):

With conflicts of interest increasingly casting doubt on the credibility of medical research, a leading surgery journal is cracking down on authors who fail to disclose links to industry, threatening to temporarily blacklist them.

The surgical society that owns the journal approved the penalties for "future violations" after learning that researchers ...

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Also Posted on KidneyNotes.

The following are the top 100 keywords from the Medical Blogosphere Tag Cloud, a way of seeing at a glance what people are talking about online. The full cloud with links to individual posts is here.

access ... american ... american heart association ... avian flu ... bioethics ... bird flu ... blog ... blogosphere ... boston ... bush ... california ... canada ... ...

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