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Friday Feedback: When Grief Turns Violent

How should clinicians know and react when family members blame them for adverse outcomes?

When Docs Sue Their Own Hospital

At issue: who has authority to hire, fire, and discipline staff physicians.

10 Ways Primary Care Practices Can Improve Care

High quality care and cost-cutting aren't mutually exclusive.

The 65-Minute Minute Clinic

CVS needs to reconsider its walk-in clinic business model.

I-PASS Handoff System Leads to Decline in Medical Errors

Mnemonic device helps for oral and written handoffs.

The Happy PCP: $400K/Yr and Home in Time for Dinner

Primary care doc earns a specialist's income without working overtime.

Excerpt From 'Being Mortal ... '

Ivan Ilyich isn't as foreign to today's medicine as we imagine.

MOC Watch: Debunking ABIM Pass Rate Myths

In this guest post, the American Board of Internal Medicine explains what determines pass rates for the Maintenance of Certification exam.

Doctor's Memoir Exposes Dark Side of Medicine

Sandeep Jauhar puts his life on stark display to illustrate harmful financial intrusions into medicine in his newest book.

Doctors' Spouses: What's Not to Like?

When it comes to domestic life for physicians, things have changed since an oversexed and gory 1971 film with Gene Hackman called "Doctors' Wives" featured as one of its taglines, "Doctors' wives have everything. Except husbands."

Derms Want NP/PA Practice Limits

NPs and PAs who bill Medicaid as independent practitioners are more likely to bill for a dermatology visit than for any other office-based service -- so much so that in 2012, 55% of their Medicaid billings were for derm codes, to which dermatologists claim scope of practice violations.

Now What? DEA Tosses Tramadol in Schedule IV

The Drug Enforcement Administration (DEA) scheduled tramadol as a Schedule IV substance -- whats the big fuss about tramadol that led to this decision by the DEA?

Learning How to Deal With Egos

Managing physicians need to take egos -- including their own -- into account when resolving conflicts among staff, says consultant Rosemarie Nelson.

AMA Agrees to Recharge Advocacy

CHICAGO -- The AMA will bolster their political advocacy efforts, recognize presurgical transgender birth certificates, and support insurance to cover young pregnant women and newborns, their House of Delegates voted here.

AMA Mulls Gun Violence CME

CHICAGO -- As the AMA's House of Delegates was meeting in a downtown hotel here, 29 local residents were shot and four killed within a 10-mile radius.

Lethal Injections, MOC, and E-Cigs on AMA Agenda

The American Medical Association is being asked to strengthen its ethical stance on physician participation in execution by extending its ban on doctors participating to include all health professionals.

'This Page Left Intentionally Blank'

Blank pages in correspondence from insurance companies are just an emblem of the endless waste and inefficiencies built into our healthcare system, says internist Fred Pelzman.

Top 5 Reasons Why Internists Are Sued

Not properly diagnosing a condition and nonmedical errors such as equipment failure accounted for more than half of the malpractice lawsuits against internists, a study found.

How to Replace IV Nitroglycerin in the Shortage

What are the alternatives for IV nitroglycerin in the emergency setting as the shortage saps reserves? Several experts share their thoughts.

What You Need To Know About New .health Domains

Should doctors grab a shiny new .health domain?

ICD-10 Follies: Watch Where You're Walking

Yes, there's a code for that. To mark the forthcoming move to the ICD-10 coding system, 番茄社区 is spotlighting some of those thousands of new codes that might just be getting a bit too granular.

13 Mobile Apps Every ER Doc Should Test Drive

Here are the best mobile apps for emergency medicine physicians gleaned from a recent EMJ paper by Michelle Lin, MD, Iltifat Husain, MD, Salim Rezaie, MD, and remixed with a talk from last month's AAEM meeting by Graham Walker, MD.

5 Ways Doctors Can Use Data Analytics

Data analytics takes claims data, a providers' electronic health record, and any of piece of information available to help physicians become more aware of the patients they're treating. Here are five ways the technology can help meet payers' demands for higher-quality, higher-value care.

ICD-10 Follies: Struck by an Orca

Yes, there's a code for that. To mark the forthcoming move to the ICD-10 coding system, 番茄社区 is spotlighting some of those thousands of new codes that might just be getting a bit too granular.

ICD-10 Follies: The Birds

Yes, there's a code for that. To mark the forthcoming move to the ICD-10 coding system, 番茄社区 is spotlighting some of those thousands of new codes that might just be getting a bit too granular.

Can You Get Paid For Prescribing Exercise?

How do doctors get reimbursed when they prescribe exercise? We asked Jordan Metzl, MD, author of the new book, "Exercise Cure."

5 Problems With Mobile Health App Security

No federal agency has the power to properly regulate the fast-growing world of mobile health applications and telehealth systems, researchers noted while outlining several security risks and privacy threats.

What Makes a Patient High Risk?

We all know a high-risk patient when we see one, says internist Fred Pelzman, but defining what makes a patient high risk is tricky business -- and may become necessary in these days of registries and data-driven medicine.

Pay and Practice: Are Neurologists Primary Care Docs?

WASHINGTON -- Neurology isn't often mentioned in the same breath as primary care, but the American Academy of Neurology is again lobbying to gain that sobriquet -- this time to take advantage of a recent policy change that benefits primary care providers.

10 Questions: Rep. Phil Gingrey, MD (R-Ga.)

If you could change one thing about the healthcare system, what would it be? Eliminate Obamacare, says Rep. Phil Gingrey, MD (R-Ga.). That's his answer to just one of the 10 Questions the 番茄社区 staff is asking leading clinicians, researchers, and leaders in their community to get their personal views on their chosen profession. In this series we share their uncensored responses.

'Out of Network': More Money but Some Problems

Whether they plan to or not, a growing number of physicians no longer have contracts with some of the nation's largest health insurance carriers, but being "out of network" has both benefits and drawbacks.

What Bystanders Should Know About CPR -- and Why

Bystander-initiated cardiopulmonary resuscitation (CPR) has poor neurological outcome, and this is true even when bystanders are family members, which suggests deficits in public CPR training.

AMA President Discusses SGR Repeal Efforts

Shortly after the American Medical Association's interim meeting adjourned, Ardis Hoven, MD, president of the American Medical Association, sat down for a one-on-one interview with 番茄社区 to discuss the AMA's SGR repeal strategy.

Docs Need Info on 'Grace Period,' AMA Says

NATIONAL HARBOR, Md. -- The American Medical Association wants health plans to notify doctors when patients haven't paid their premiums, a situation that could leave physicians on the hook for unpaid services.

SGR Repeal Still Gets AMA Support

NATIONAL HARBOR, Md. -- The AMA's policymaking House of Delegates voted nearly unanimously to continue its support of congressional efforts to repeal Medicare's payment formula despite its opposition to a 10-year pay freeze that's part of a draft proposal.

Fast-Acting AMA Group Hopes to Fix SGR

NATIONAL HARBOR, Md. -- A large coalition of American Medical Association members met in seclusion Sunday morning here at the interim meeting of the House of Delegates and rapidly found consensus on a proposed resolution for the repeal of Medicare's sustainable growth rate (SGR) formula.

New Nerve Tracer Not Ready for Routine Use?

CHICAGO -- The radiotracer iodine-123-metaiodobenzylguanidine may be a new tool for cardiac imaging, but whether it's ready for routine use in most practices was debated by nuclear cardiologists here.

Concierge Medicine Gains Ground

SAN DIEGO -- Concierge doctors are spreading the word that it's possible to operate a direct primary care practice, make a living, and avoid one of the biggest headaches for family medicine physicians -- dealing with health insurance companies.

ACP Hedges in Debate on Scope of Practice

The American College of Physicians took a nuanced position on the role advanced nurse practitioners play in clinical care teams in a position paper published Monday.

Congress Probing VA Bonuses to Doctors

WASHINGTON -- A congressional committee is using a recent report questioning performance bonuses for Department of Veterans Affairs physicians as reason to examine a range of pay-for-performance issues at the VA.

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