Physician

St. Vincent’s Hospital closes, but who’s to blame?

by Marie Cooper

St. Vincent’s Medical Center in Greenwich Village was founded in 1849, making it the third oldest hospital in New York City. It has been an occasional scene of notoriety but mostly it has witnessed countless episodes of anonymous compassion and care. My two sons were born there. As a major teaching hospital, it has over 1000 affiliated physicians. It is where generations of …

Read more…

Total face transplant by surgeons in Spain

by John Gever

Surgeons in Barcelona announced on Friday that they had performed the most extensive face transplant yet reported, including skin, muscles, teeth, and some bone.

The procedure was performed March 20 by a team of 30 surgeons at Vall D’Hebron Hospital in Barcelona.

classid=”clsid:d27cdb6e-ae6d-11cf-96b8-444553540000″ width=”356″ height=”294″ codebase=”http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0″>

Doctors led by Joan Pere Barret, MD, took 24 …

Read more…

Patient satisfaction scores improve when doctors sit

Patient satisfaction, as I wrote previously, is being increasingly focused upon.

Doctors are often pressed for time, and appear rushed — which can potentially lead to unhappy patients.

I saw this small study showing that the simple act of sitting down while talking to patients can have a profound effect. Many doctors I know already do this, but now there’s some data to support sitting.

According to the study, performed at …

Read more…

MRSA control takes consistent time and effort

by Michael Smith

It’s possible to reduce the burden of drug-resistant pathogens in hard-hit hospitals — all it takes is consistent effort over time, French researchers say.

That’s the conclusion after a 15-year, intensive program aimed at reducing the impact of methicillin-resistant Staphylococcus aureus (MRSA) on Parisian hospitals reported in the March 22 Archives of Internal Medicine.

The program started in 1993 in the 38-hospital, 23,000-bed Assistance Publique-Hôpitaux de Paris, the largest …

Read more…

Primary care needs better physical exam skills

by Joseph Biundo, MD

Not long ago, primary care physician Rob Lamberts did a blog post about the economics of seeing Medicare and Medicaid patients, stating that doing so was bad business. While I agree with most of his points, I have a quarrel with his statement that primary care physicians keep down the cost of care by keeping people healthy, away from specialists, and out of the hospital.

That may be …

Read more…

Breastfeeding rates cost the country billions

by Crystal Phend

Poor compliance with breastfeeding recommendations costs the nation at least $13 billion each year, with nearly all of the cost related to infant morbidity and mortality, according to a comprehensive economic analysis.

If 90% of new mothers followed guidelines for six months of exclusive breastfeeding for their children, an estimated 911 deaths would be prevented annually, said authors Melissa Bartick, MD, MSc, of Harvard Medical School, and Arnold Reinhold, …

Read more…

Checklists help reduce hospital deaths

by Michael Smith

The use of treatment checklists for 13 common diagnoses was associated with a dramatic reduction in patient deaths at three London hospitals, researchers said.

The year the checklists were introduced, the three facilities in the North West London Hospitals NHS Trust registered 255 fewer deaths than the previous year, according to Brian Jarman, PhD, of Imperial College London, and colleagues.

The targeted diagnoses accounted for 174 fewer deaths than the …

Read more…

Primary care and the three year medical student

It’s well documented on this blog that the primary care shortage will only worsen once most of America has access to affordable health insurance.

As I wrote in a recent op-ed. not only will there a shortage of primary care physicians, but nurse practitioners and physician assistants won’t alleviate the problem either, mostly because they are also enticed by the lucrative allure of specialty practice.

Enter the three-year primary care physician.

Texas …

Read more…

Rural medicine won’t be helped by health reform

by Rick Bendinger, MD

I am a rural health provider in Abbeville, Alabama and have been here almost 30 years. I originally went to school on a public health scholarship and took the private practice option. This was a program that existed in the 1980s that paid for tuition and a stipend with the obligation to go either to a prison, rural area, or Indian reservation.

Sadly the program no longer exists. …

Read more…

Private practice medicine will soon become extinct

I’ve written previously that the days of the private practice physician are numbered.

A detailed piece from the New York Times confirms the exodus.

Young doctors, who are burdened with medical school debt exceeding $150,000 are opting for the financial stability that a salary from a hospital-owned practice, or a large integrative medical center, can bring. Gone are the days where a solo practitioner can hang a shingle and …

Read more…

Healthcare workers in the ER hit hard by H1N1

by Michael Smith

Healthcare workers in a New York City emergency department had the highest rate of infection among employees of an urban hospital system during the first wave of the H1N1 pandemic flu, researchers said.

In a single-institution study using medical and administrative records, the adult emergency department had an H1N1 infection rate of 28.8% during April, May, and June of 2009, according to Robert Bristow, MD, and colleagues at New …

Read more…

Emergency departments are frequently used by young adults

by Kristina Fiore

Twenty-somethings rely on emergency departments (EDs) for care far more than do other age groups, researchers have found.

In 2006, nearly a quarter of all young adult healthcare visits — 22.1% — took place at an ED, compared with 12.6% for children and adolescents and 8.3% for patients over 30.

That rate has significantly increased over a 10-year period, Robert J. Fortuna, MD, MPH, of the University of Rochester Medical …

Read more…

485
pages

✓ Join 150,000+ subscribers
✓ Get KevinMD's most popular stories