primary care

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  • I believe we can find and promote joy in primary care


    KevinMD.comAuthority Authority: 542
    A few years after I entered my practice as a newly certified internist, about two decades ago now, I started to burn out. I felt I was becoming a documentation drone and a guideline-following automaton. I was embarrassed for some of the care I gave–attempting to fit patients’ round needs into the square peg of the ...
    2 days ago
  • Bringing OpenNotes to Geisinger


    KevinMD.comAuthority Authority: 542
    Recently, over 520 of our doctors began sharing their office visit notes with patients. All primary care doctors and general pediatricians, and selected physicians within pediatric subspecialties, dermatology, endocrinology, pulmonology, nephrology, rheumatology, cardiology, cardiothoracic surgery, vascular surgery, ...
    2 days ago
  • Primary care physicians rely more on ER docs to evaluate their patients


    Authority Authority:
    Hospital admissions from the emergency room increased by 17 percent over seven years, in part because primary care physicians often rely on the emergency physicians to evaluate and hospitalize their most complex and sickest patients, according to a new report from the RAND Corporation. read more
    2 days ago
  • Recruiting Firm Notes “Seismic Shift” with Respect to Hospital Revenues from Primary Care


    Authority Authority:
    Posted in Corporate Healthcare Policy & The Media Knowledge & Medicine Science & Research A report from one of the largest physician recruiting firms in the country could give some heft to the specialty of primary care (whose disciplines include general internal medicine, family medicine, general ...
    2 days ago
  • Navy Medical Home Port Streamlines Care


    Authority Authority:
    Medical Home Port helps provide primary care in a way that best meets the needs of Navy Medicines beneficiaries. Read More
    2 days ago
  • I am wrong to think of myself as just a nurse


    KevinMD.comAuthority Authority: 542
    After six weeks in the accelerated bachelor of science in nursing program at the University of Rochester, I was already on clinical rotations in the hospital. I was learning clinical functions that my second-year medical school friends had no idea how to perform: catheterizations, wound dressing changes, how to ...
    3 days ago
  • 3 ways for doctors to reclaim their value


    KevinMD.comAuthority Authority: 542
    A few years ago, I sat in a coding lecture for urgent care providers given by a very entrepreneurial physician assistant. An emergency room doctor, who had recently established his own private clinic, put up his hand to ask a question. He seemed puzzled. “I can see your point about coding at a higher level for a ...
    1 week ago
  • A Great Time Saver


    Authority Authority:
    As the case for nurse practitioners is becoming increasingly obvious across the spectrum, predictably, the turf battles are rearing their ugly heads. Here is a blatant  example  of the rhetoric and follows a formula that I am going to reveal to spare any future time wasting reading them. Refer to the physician ...
    1 week ago
  • Heart Rhythm 2013: Oral Anticoagulants Less Used in Paroxysmal Than Persistent AF


    Authority Authority:
    DENVER, CO — Cardiologists are significantly less likely to prescribe oral anticoagulation therapy for their patients with paroxysmal, compared with persistent, atrial fibrillation, despite similar thromboembolic risks associated with the two forms of AF, suggests an analysis based on data from the National ...
    1 week ago
  • Hospitals get more revenue from primary care docs than specialists


    Authority Authority:
    Primary care physicians generate more revenue for their hospitals than specialists at $1.57 million versus $1.42 million, respectively, according to a May report from recruiting firm Merritt Hawkins. read more
    1 week ago
  • Report: Greater Than 80M Under- or Uninsured in 2012


    Authority Authority:
    Posted in Clinical Education CMS Corporate Healthcare Policy & The Media Politics & The Law T he Commonwealth Fund has released statistics that paint a rather hopeless picture regarding the un/underinsured in this country ahead of full implementation of refrom, come January. Eighty-four million ...
    1 week ago
  • AUA 2013: Penile Treatment Shows Promise in Peyronie’s disease


    Authority Authority:
    SAN DIEGO, California — Collagenase Clostridium histolyticum (CCH) can significantly reduce the symptoms of Peyronie’s disease, according to results from 2 phase 3 clinical trials. “From both a physiologic and psychological standpoint, CCH has benefits over placebo,” said researcher Wayne Hellstrom, MD, ...
    2 weeks ago
  • Seven Signs Of A Caring Doctor


    Authority Authority:
    In a study completed in 2006, patients were surveyed and questioned about the important characteristics that they loved in their doctors. Over two hundred patients were asked what they thought was most important for a caring doctor to have, and then described good experiences they had previously experienced with ...
    2 weeks ago
  • 5 critical elements of patient-centric care


    KevinMD.comAuthority Authority: 542
    I would like now to delve into what I consider critical elements of patient-centric care. They all involve technology to various extents. 1. There must be buy-in from providers. I am including payers, healthcare systems as well as clinical providers in this category.  While I realize that much of healthcare is ...
    2 weeks ago
  • Poots’ residential care home fiasco shows risk aversion brings its own troubles


    Authority Authority:
    So last week it was the Health Minister’s turn to get burned. Yet at the end of the week, it is not at all clear as to how the Health Trusts came to interpret ‘at least 50%’ of all Trust residential care homes as 100%, in the case of the Northern Trust, over the longer term. On one level the Minister is ...
    2 weeks ago
  • Independent nurse practitioners are not the primary care solution


    KevinMD.comAuthority Authority: 542
    In her post , “The only thing that truly separates doctors from nurses,” Dr. Leng is right that our current system creates a great deal of confusion for patients. Clothing, titles and even the word “Doctor” are no longer clear enough for people to understand which member of the health care team is caring for ...
    2 weeks ago
  • Generalists


    Authority Authority:
    GENERALISTS FOR UK HEALTHCARE - WILL IT WORK? A rethink of training is happening. We debate that here. In the USA most doctors undergo four or five years training depending on whether they are medical or surgical fields and become generalists (family practitioner, internal medicine physician or ...
    2 weeks ago
  • Reflections on medical education, medical practice and the underserved


    KevinMD.comAuthority Authority: 542
    I recently spoke at the Student National Medical Association’s (SNMA) Annual Medical Education Conference in Louisville, KY. Accompanying me was former SNMA President Bryant Cameron Webb, MD, JD. We covered three main topics in our workshop: medical education, the practice of medicine, and the underserved. Medical ...
    2 weeks ago
  • Should primary care limit its scope of work?


    KevinMD.comAuthority Authority: 542
    The shortage of primary care physicians in the U.S. has become a national theme. A common proposed solution to this shortage – and a central component of the patient centered medical home – is team-based care that utilizes various non-physician health care professionals as well as electronic communication. The ...
    2 weeks ago
  • AUA 2013: Majority of Men Do Not Treat Their Erectile Dysfunction


    Authority Authority:
    San Diego, CA, May 6, 2013 – Millions of American men live with erectile dysfunction (ED) and although ED therapies are shown to be highly effective and improve a man’s quality of life, nearly 75 percent do not seek treatment, according to a study at the 108th Annual Scientific Meeting of the American Urological ...
    2 weeks ago

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