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Business of Medicine

Is the Impending Physician Shortage Real?

It’s crunch time for radiologists. The New York Times reported that an osteopathic radiology residency in the Bronx was abruptly terminated (the decision was later reversed for this year), casting its 12 residents adrift....

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PCPs Make More Money for Hospitals than Specialists

For the first time, primary care physicians (PCPs)–family physicians, general internists, and pediatricians—surpassed specialists in hospital revenue generated, according to a new survey by Merritt Hawkins. This may give PCPs a...

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Why I Left Academic Medicine

A medical student who thinks he wants a career in academic surgery asks, “You were deep into academic medicine and walked away from chairman, program director, etc. Why?” [Background: For over 23 years, I was a full-time...

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Time Spent on Unresolved Malpractice Claims

The average physician in the United States spends nearly 11% of a 40-year career with an unresolved, open malpractice claim, according to a study from American researchers. The authors recommend that malpractice reform efforts...

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Say it Ain’t So, HIPAA!

Dear HIPAA: I’m sure you get a lot of hate mail, especially from folks in my profession, so when you got this letter from me you probably assumed it was more of the same.  Let me reassure you: I am not one of those docs. I do...

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The “Second Victims” in Nursing

Tears rolled down my face as I came across an article written 2 years ago. A veteran pediatric nurse took her own life several months after administering a fatal overdose of an electrolyte to an infant. After investigations and...

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Physician Turnover Rate Hits New High

Following suit with stock prices and home sales, physician turnover rate is rising, reaching the highest rate since 2005 and exceeding pre-recession levels. According to the 8th annual Physician Retention survey from Cejka...

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Unnecessary Pre-Op Tests & Evidence-Based Guidelines

Another paper on the subject of unnecessary preoperative laboratory testing appeared not long ago. A group from the University of Texas Medical Branch looked at more than 73,000 elective hernia repairs in the National Surgical...

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High Costs With Critical Care Telemedicine Programs

Telemedicine programs in ICUs (tele-ICU) appear to have substantial costs, but associated profits are unclear, according to American investigators. A systematic review found that the combined costs of implementing tele-ICUs and...

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What Goes On At a Real M&M Conference

If you’ve read my reviews of the new medical TV show “Monday Mornings” (here, here and here), you’ll know I’ve been critical of many things about it. I was particularly disappointed with the way the show handled one of its...

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A Look at Suicide Among Physicians

Mental illness appears to be an important comorbidity for physicians who complete a suicide, according to findings from a data review. After assessing postmortem toxicology data, researchers observed low rates of medication...

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New Rules for Paying MDs Proposed in NY

New York City’s Health and Hospitals Corporation (HHC), which runs 11 hospitals in four of the five boroughs of New York, is negotiating a new deal with the union representing some 3,300 salaried physicians. The corporation...

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Examining Standards of Care in Disasters

Following the terrorist attacks of September 11, 2001 in the United States, experts began to re-examine current approaches to providing care during disasters. A definitive standard of care for disaster victims has yet to emerge....

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