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Latest Posts

Kansas Hospital Uses Interesting Tactic To Recruit Physicians To Its Rural Area

A rural hospital on the verge of closing because of problems retaining its rotating door of physicians offered two months of leave for missionary work to keep a more stable roster. It worked, according to a profile written by the Associated Press.

All employees at Ashland Health Center in Kansas, from maintenance staff to the doctors, get two months off to do missionary work in other countries or other volunteering duties for the community. The move has attracted socially minded physicians and their families, many of whom had backgrounds in missionary work already and wanted an environment to keep doing it. The recruitment was developed with support of the Via Christi medical residency program in Wichita, which is sponsored in turn by the University of Kansas School of Medicine.

It’s not the only effort underway in Kansas. Read more »

*This blog post was originally published at ACP Hospitalist*

Apps Allow Viewer To Study 3-D Details Of Human Anatomy

I remember when I had to study all the details of human anatomy from textbooks and some old books with many pictures, but I didn’t have a chance to see things in 3D (which would have made it much easier to understand, learn and memorize). After medical school, I started to discover new apps and solutions for this problem.

I’ve been using the Biodigital app on Google Chrome, it’s free but a bit hard to use.

And recently, Read more »

*This blog post was originally published at ScienceRoll*

Medical Board Exams May Be A Bureaucratic Waste Of Time

Here’s my column in this month’s Emergency Medicine News.

In 1994 I was thrilled to become certified by the American Board of Emergency Medicine. I had worked very hard. I studied and read, I practiced oral board scenarios and even took an oral board preparatory course. It was, I believed, the pinnacle of my medical education. Indeed, if you counted the ACT, the MCAT, the three part board exams along the way and the in-service exams, it was my ultimate test. The one that I had been striving for throughout my higher education experience.

I am now disappointed to find that my certification was inadequate. In fact, all of us who worked so hard for our ABEM certification find ourselves facing ever more stringent rules to maintain that status. And it isn’t only emergency medicine. All medical specialties are facing the same crunch. Our certifying bodies expect more…and more…and more.

And the attitude is all predicated on the subtle but obvious assumption that those of us in practice are not competent to maintain our own knowledge base. Despite spending decades in education that we are not to be trusted. That we are not interested in learning. That we do not attempt to learn and that our practices are not, in fact, the endless learning experiences they actually are. They assume we need more supervision, despite demonstrating (by our continued practice) that we are willing to do hard work, in hard settings, and do the right thing.

Unfortunately, the rank and file Read more »

*This blog post was originally published at edwinleap.com*

7 Observations About The Next Generation Of Physicians

For the last 4 years, I’ve been teaching medical and public health students about the use of social media and generally digital technologies in medicine and healthcare and I got a good picture of what kind of medical professionals they would become soon. They represent the new generation of physicians.

Here are my points and observations:

  1. They are technophile. I remember the time when there was no internet, I remember the first website I first saw online. They were born into the technology and internet-based world. For them, websites, Facebook, Twitter and blogs represent the basics. They love gadgets and devices.
  2. They are fast. They use smartphones, read news online, follow blogs and know what RSS is, they are familiar with multi-tasking. They are much faster than the previous generations, therefore they need different tools and solutions in their work.
  3. But they use the technology for Read more »

*This blog post was originally published at ScienceRoll*

High Value Care: Getting The Maximum Health Benefit

The past few months have offered encouraging signs that physicians and physician organizations are belatedly recognizing the need to take an active role in controlling health care costs by emphasizing “high-value” care and minimizing the use of low-value interventions with high costs and few clinical benefits. On the heels of a best practice guideline issued by his organization, American College of Physicians Executive VP Steven Weinberger, MD recently called for making cost-consciousness and stewardship of health resources a required general competency for graduate medical education.

In light of a recently published estimate that the top 5 overused clinical activities in primary care specialties led to $6.7 billion in wasted health spending in 2009, Dr. Weinberger’s call comes none to soon. Below is an excerpt from my post on this topic from April 13, 2010. Read more »

*This blog post was originally published at Common Sense Family Doctor*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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