MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'care physician'. Sat, 03 Sep 2011 02:16:13 +0100 http://www.medworm.com/index.php?rid=5181799&cid=t_238910_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fimproving-doctor-patient-communication-to-provide-patient-centered-care%2F2011.09.01 The first experience patients are likely to have with your hospital is not in an ER visit or inpatient stay.  A patient’s first experience will most likely be in one of your primary-care physician offices.  That because a person is 10 times more likely during a year to end up in the physician’s office for a routine visit than they are to require an overnight hospital stay. As a hospital marketer or patient experience officer this should raise an interesting question. How well do your physicians–particularly your primary-care physicians–represent your brand? Take “patient-centeredness.” Lots of hospitals these days are promoting themselves as providing patient-centered care.  You know … when the hospital and its staff try where possible to be sensitive to and honor the wish... Better Health blogs http://www.medworm.com/rss/comments.php?id=5181799 Thu, 01 Sep 2011 18:00:05 +0100 5181799 http://www.medworm.com/index.php?rid=4862956&cid=t_238910_158_f&fid=38949&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FAgingWithGraceCareconnection%2F%7E3%2FQINbOZhEmc8%2Fprimary-care-physician-help-keep.html As the primary-care workforce continues to be strained, new research shows that areas with higher levels of primary care have fewer patient deaths and preventable hospitalizations, according to a study in The Journal of the American Medical Association. Researchers evaluated seniors with Medicare benefits who live in areas with higher levels of adult primary care physicians and physicians providing primary care. They found that elder patients were less likely to die or land in the hospital. Experts agree that graduating medical students electing other specialties other than primary care results in a primary care vacuum that must be filled. If the United States could fulfill the primary-care need, it would result in 50,000 fewer deaths and 436,000 fewer hospitalizations in a year, notes R... Aging with Grace CareConnection blogs http://www.medworm.com/rss/comments.php?id=4862956 Wed, 25 May 2011 20:15:00 +0100 4862956 http://www.medworm.com/index.php?rid=4841479&cid=t_238910_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmost-americans-dont-know-what-healthy-eating-means%2F2011.05.19 Only one in 10 respondents to a national survey could estimate how many calories they should consume in a day. Seventy-nine percent make few or no attempts to pay attention to the balance between the calories they consume and expend in a day. These and other piquant findings from the online 2011 Food and Health Survey fielded by the International Food Information Council Foundation (IFIC) struck home last week as I smacked up against my own ignorance about a healthy diet and the difficulty of changing lifelong eating habits. The confluence of my failure to gain weight after cancer treatment and a blood test suggesting pre-diabetes meant that as of last Tuesday, I have been on an eat-specific-types-of-food-every-hour-and-write-it-down regimen.  And despite a lifetime of recommending that p... Better Health blogs http://www.medworm.com/rss/comments.php?id=4841479 Thu, 19 May 2011 12:00:13 +0100 4841479 http://www.medworm.com/index.php?rid=4225250&cid=t_238910_87_f&fid=39187&url=http%3A%2F%2Fhealthecommunications.files.wordpress.com%2F2010%2F12%2Fphysician-recommendation-styles.jpg “I recommend.” These are two word which, when spoken by a physician to a patient have tremendous power to change behavior. That assumes of course a trusting relationship between patient and physician (but that’s a topic for another day.)   Take the colonoscopy. The U.S. Preventive Services Task Force (USPSTF) recommends that adults aged ≥50 years get a colonoscopy every 10 years. In 2005, 50 percent of adults aged ≥50 years in the U.S. had been screened according to these recommendations. Not surprisingly, the rate of colonoscopy screening is much lower than that of other recommended adult preventive services. I was curious: Why?   Here are two interesting facts: 1. Studies show that patients cite “physician recommendation” as the most important motivator of colorectal sc... Better Health blogs http://www.medworm.com/rss/comments.php?id=4225250 Fri, 03 Dec 2010 15:00:35 +0100 4225250 http://www.medworm.com/index.php?rid=4031528&cid=t_238910_175_f&fid=39258&url=http%3A%2F%2Fmypatraining.com%2F2010%2F10%2F04%2Fwill-tomorrows-pa-work-weekends%2F One of the touted joys of the physician assistant profession is that PAs don’t need to take call.  I’ve met several people who entered PA training for just this reason.  Let me disabuse you of this notion right now: PAs already take call, evenings and weekends. It depends on the setting in general, and work [...] (Source: Palpating the Field) Palpating the Field blogs http://www.medworm.com/rss/comments.php?id=4031528 Mon, 04 Oct 2010 16:18:01 +0100 4031528 http://www.medworm.com/index.php?rid=3924905&cid=t_238910_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fa-letter-to-medical-students-considering-primary-care%2F2010.09.01 Dear Student: Thank you for your consideration of my profession for your career. I am a primary care physician (PCP) and have practiced for the past 16 years in a privately-owned practice. (At some point I intend to stop practicing and start doing the real thing. It amazes me at how many patients let me practice on them.) Anyhow, I thought I’d give you some advice as you go through what is perhaps your biggest decision regarding your career. Like me, you probably once thought that choosing to become a doctor was the biggest decision, but within medicine there are many options, giving a very wide range of career choices. It is the final choice that is, well, final. What are you going to do with your life? ”Being a doctor” covers so much range, that it really has little meaning. Dr. ... Better Health blogs http://www.medworm.com/rss/comments.php?id=3924905 Wed, 01 Sep 2010 16:00:43 +0100 3924905 http://www.medworm.com/index.php?rid=3895971&cid=t_238910_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F08%2F22%2Fimagine-an-emr-without-billing%2F For today’s weekend post, here’s a thought provoking comment: Imagine what EMR software would look like if it didn’t have to worry about billing, insurance and reimbursement. Would we then see much higher quality EMR software in regards to patient care and physician workflow? I look forward to reading your thoughts. Related posts:Imagine an EMR World… Imagine a world without HIPAA Imagine a world without 100... EMR Note Just a Billing Justification Many of you might remember my post about EMR documentation... EMR’s Affect on Medical Billing Costs I received an email not too long ago from a... (Source: EMR and HIPAA) EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3895971 Mon, 23 Aug 2010 05:26:56 +0100 3895971 http://www.medworm.com/index.php?rid=3641356&cid=t_238910_175_f&fid=37867&url=http%3A%2F%2Fcommunity.advanceweb.com%2Fblogs%2Fpa_1%2Farchive%2F2010%2F06%2F08%2Fcanadian-journal-finds-pas-integrate-well.aspx The Canadian Journal of Surgery published a study in April, " Experience with physician assistants in a Canadian arthroplasty program ," focused on how PAs can help with the demand for orthopedic services. The researchers calculated time savings by diaries...(read more) (Source: ADVANCE Blog for PAs) ADVANCE Blog for PAs blogs http://www.medworm.com/rss/comments.php?id=3641356 Tue, 08 Jun 2010 15:08:00 +0100 3641356 http://www.medworm.com/index.php?rid=3636050&cid=t_238910_160_f&fid=36189&url=http%3A%2F%2Fwww.skinmdblog.com%2F147%2Ftips-for-choosing-a-dermatology-clinic%2F Choosing a dermatology clinic is easy when there is only one in your area.  But in most communities, there are dozens to choose from.  Here’s some advice for making the right choice. Find Out About Insurance Depending on the Kind of health insurance you have, you may need a referral from your primary care physician.  If no referral is necessary, you will want to call the office and make sure that they take your insurance before you make an appointment. Generally speaking, insurance providers will not cover cosmetic procedures.  But, a flexible spending plan can usually be used to cover those procedures. Ask About Payment Plans In the event that the procedure you want is not covered by insurance, you will want to get an estimate and find out about payment plans before you make a commi... Skin MD blogs http://www.medworm.com/rss/comments.php?id=3636050 Mon, 07 Jun 2010 14:45:50 +0100 3636050 http://www.medworm.com/index.php?rid=3524269&cid=t_238910_105_f&fid=39191&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fblogspot%2FMwTK%2F%7E3%2FkUuzwNFvIYQ%2Fblog-that-ate-manhattan-was-here.html Dr. TBTAM (a NYC OB/GYN) and Mr. TBTAM were here in central Ohio last weekend, visiting The Daughter of TBTAM in Graville. She posted terrific pictures from a bike ride on one of Ohio's many wonderful rail trails. Today she followed her travel post up with a great post about lung cancer in women from a GYN-perspective, but really, works for primary care, too. Read them both:An Ohio Country Bike RideLung Cancer and WomenThen go ride a bike in Granville. My Blog Name (Source: Medical Marginalia) Medical Marginalia blogs http://www.medworm.com/rss/comments.php?id=3524269 Tue, 27 Apr 2010 13:17:00 +0100 3524269 http://www.medworm.com/index.php?rid=3456912&cid=t_238910_175_f&fid=37867&url=http%3A%2F%2Fcommunity.advanceweb.com%2Fblogs%2Fpa_1%2Farchive%2F2010%2F04%2F09%2Fnps-pas-extend-the-reach-of-primary-care.aspx An article in the April issue of Managed Health Care Executive does a good job explaining the role of PAs in today's health care environment. The article is titled "NPs and PAs extend the reach of PCPs," and in it, author Mari Edlin quotes PAs Mona Sedrak...(read more) (Source: ADVANCE Blog for PAs) ADVANCE Blog for PAs blogs http://www.medworm.com/rss/comments.php?id=3456912 Fri, 09 Apr 2010 18:53:00 +0100 3456912 http://www.medworm.com/index.php?rid=3149158&cid=t_238910_114_f&fid=34646&url=http%3A%2F%2Fwww.healthlawyers.org%2FEvents%2FPrograms%2F2010%2FDocuments%2FPhysicians_Hospitals10_brochure.pdf Although it is cold today in West Virginia - I'm hoping it will be hot in Florida in February.I thought I would take a moment on this cold wintry day to write about the hot health topics that will be discussed at the American Health Lawyers Association (AHLA) Hospitals and Health Systems Law Institute scheduled for February 25-26, 2010 at the Doral Golf Resort & Spa in Miami, Florida (Conference Brochure PDF).I will be speaking at the Hospitals Law Institute along with my colleague, Jody Joiner, General Counsel at Sisters of Charity of Leavenworth Health System. Our topic scheduled for Friday, February 26 is Hospital’s Friend or Foe: The Age of Social Media and Health 2.0 where we plan to cover:The social media technology tools used by health care providers and hospitalsPros/cons and... Health Care Law Blog blogs http://www.medworm.com/rss/comments.php?id=3149158 Thu, 07 Jan 2010 15:02:19 +0100 3149158 http://www.medworm.com/index.php?rid=3122106&cid=t_238910_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F12%2F26%2Fdemystifying-psychiatry-an-interview-with-charles-f-zorumski-and-eugene-h-rubin%2F Today I have the honor of interviewing Eugene (Gene) and Charles (Church) Zorumski, authors of “Demystifying Psychiatry: A Resource for Patients and Families.” It is a fascinating and comprehensive resource to explain one of the most misunderstood sciences of our time. Question: In your book, you chart the various trends of psychiatry. In your view what are the most substantial trends and why? Answer: Thank you for asking us about our thoughts concerning the most substantial trends in psychiatry and about why we are optimistic about the future of psychiatry. We believe that three of the most substantial trends in psychiatry today are: Increasing collaboration between primary care and mental health teams in the delivery of psychiatric care Increasing use of and greater avai... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3122106 Sat, 26 Dec 2009 13:37:46 +0100 3122106 http://www.medworm.com/index.php?rid=3524278&cid=t_238910_105_f&fid=39191&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fblogspot%2FMwTK%2F%7E3%2Fkeo7nDElbZ4%2F10-ways-to-be-irritated-by-your-doctor.html Hey, I'm a patient too. Here's my list. And by the way, my doctors, this isn't about you AT ALL.1. Have stupid television playing in your lobby. I hate insipid health t.v. HATE. I don't want to watch Oprah, I don't want anything. Maybe I can listen to unobtrusive music, but nothing loud and nothing Brittny. I know the idea is that white noise or t.v. drown out the sound of actual patient care and decrease the odds of overhearing a dreaded convo involving protected health information, but really. Get a white noise machine and leave me some peace.2. Have stupid stuff to read. Actually, given recent demonstrations of nasty disease-mongering germ covered magazines, don't have anything to read.3. Ignore that I'm waiting. Listen, I know from personal experience that the 80 year old patient who s... Medical Marginalia blogs http://www.medworm.com/rss/comments.php?id=3524278 Wed, 18 Nov 2009 21:28:00 +0100 3524278 http://www.medworm.com/index.php?rid=3524279&cid=t_238910_105_f&fid=39191&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fblogspot%2FMwTK%2F%7E3%2FgnVQVd32SPk%2F10-ways-to-irritate-your-doctor.html From Dr. Rob last week was this post:Top 10 ways to annoy your doctorVery amusing. My personal favorite is #8, send your teenage son or elderly parents with dementia to the office alone, without letting anybody know what the appointment is for. Sound crazy? Ha!To be fair, the next post was:Top 10 ways doctors can annoy patientsHere's my own personal top 10 historical, real-life ways I have been pissed off by patients. Have I covered this before? If so I do apologize, but it's Friday afternoon and I'm too lazy to look.Lie about reason for appointment: Never, ever say, "I told the nurse I had a cold, but really, I'm having an affair, I want to kill somebody, and I haven't pooped in a week, and I'm addicted to my sister's Ativan." I'm still angry about that one."I don't know why my wife sched... Medical Marginalia blogs http://www.medworm.com/rss/comments.php?id=3524279 Fri, 13 Nov 2009 20:30:00 +0100 3524279 http://www.medworm.com/index.php?rid=2920459&cid=t_238910_136_f&fid=39025&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Feverythingchangesbook%2F%7E3%2FZ_tVJLa6atI%2Fdoctor-patient-disclosur I injured my knee while napping on Wednesday.  (Who gets injured napping?)  Still super painful on Thursday, Shannon pushed me into my doctor’s office in a wheelchair.  The cause of the pain is still a mystery.  We joked with my doc that it’s H1N1 in my knee, or a very new and original manifestation of PMS.  He told me to ice, rest, pop Advil and check in with him on Monday when he gets back from vacation. My doc’s going on vacation.  Well that’s what he said at first.  Then at the end of the appointment he said, “I’ll be back on Monday, it’s a simple procedure so I should be on my feet in no time.”  What?  He slipped up but obviously wanted me to think he was off to Tahiti not the OR. The same day, I read on the New York Times Well Blog a post called &#821... Everything Changes blogs http://www.medworm.com/rss/comments.php?id=2920459 Fri, 23 Oct 2009 14:25:33 +0100 2920459 http://www.medworm.com/index.php?rid=2851836&cid=t_238910_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F10%2F01%2Fcookies-or-empathy%2F I recently came across a short “introspection” published in The American Journal of Psychiatry by Dr. Jonathan Benjamin describing the case of Mr. A, an unemployed alcoholic, during the time Dr. Benjamin was working as a consultation-liaison psychiatrist in a primary care setting. Mr. A. wanted to show his primary care physician that he was no longer drinking (a routine the physician and patient had been through many times in the past) by suggesting he could come into the clinic every other day so the doctor could smell his breath. But Dr. Benjamin had another idea: “Mr. A, I like the idea of your coming to the clinic every other day, but I do not like the idea of your reporting in disgrace. How about if you learned to bake a little? On every visit you could bring the t... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2851836 Thu, 01 Oct 2009 19:03:41 +0100 2851836 http://www.medworm.com/index.php?rid=2842588&cid=t_238910_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F09%2F29%2Fadding-counseling-to-doctor-visits%2F The problem? Mental health problems occur throughout many people’s lives and yet they don’t seek out specific help for them. Instead, they turn to their primary care physician to help relieve associated physical complaints. Don Sapatkin, writing for The Philadelphia Inquirer, has the story: Mental health traditionally has been considered a specialist level of care, and often requires a referral. Yet huge numbers of people go to their doctor for problems that have a behavioral component: headache, fatigue, even diabetes that is out of control because stress has gotten in the way of refilling a script. Some have a serious problem but don’t want to see a specialist; more antidepressants are prescribed by primary doctors than by psychiatrists. Others have less significant be... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2842588 Tue, 29 Sep 2009 16:35:35 +0100 2842588 http://www.medworm.com/index.php?rid=2814757&cid=t_238910_175_f&fid=37867&url=http%3A%2F%2Fcommunity.advanceweb.com%2Fblogs%2Fpa_1%2Farchive%2F2009%2F09%2F21%2Fcardiovascular-health-webcast-to-feature-pa-input.aspx Greg P. Thomas, PA, MPH, AAPA senior vice president for education, membership and resource development, will take part in “ Time to Talk CARDIO: Creating A Real Dialogue In the Office ,” a Webcast that takes place tomorrow morning at 8 a.m. EST. He will...(read more) (Source: ADVANCE Blog for PAs) ADVANCE Blog for PAs blogs http://www.medworm.com/rss/comments.php?id=2814757 Mon, 21 Sep 2009 15:33:00 +0100 2814757 http://www.medworm.com/index.php?rid=2804259&cid=t_238910_175_f&fid=37867&url=http%3A%2F%2Fcommunity.advanceweb.com%2Fblogs%2Fpa_1%2Farchive%2F2009%2F09%2F17%2Fpharmacist-pas-are-barefoot-doctors-with-minimum-training.aspx California pharmacist Barbara Morris has made her thoughts about physician assistants known in a news release about the ramifications of a primary care physician shortage under a new health care plan. She insinuates that PAs have minimal training, and...(read more) (Source: ADVANCE Blog for PAs) ADVANCE Blog for PAs blogs http://www.medworm.com/rss/comments.php?id=2804259 Thu, 17 Sep 2009 15:24:00 +0100 2804259 http://www.medworm.com/index.php?rid=2386953&cid=t_238910_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F05%2F03%2F6-ways-to-prepare-for-withdrawal-from-an-antidepressant%2F This year, I celebrated my 2nd anniversary of being Paxil-free. (The “hurray!” I feel compelled to type here is a complete understatement of my joy.) Back in 2004, I started taking the drug under the advice of my primary care physician for panic attacks and anxiety. After growing (very) disenchanted with its frustrating side effects, I decided to quit. A row of split and shaved Paxil fragments, lined up in descending size, that I took near the end of my taper. Here’s the CliffsNotes version of my withdrawal attempts. First attempt: Cold turkey. (Bad idea.) Second attempt: Wean by 50% each week by splitting pills into halves and quarters until I’m down to zero within a month or two. (Also a bad idea.) Third attempt: Wean at 10%-25% dosage by splitting/shaving pills ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2386953 Sun, 03 May 2009 16:03:09 +0100 2386953 http://www.medworm.com/index.php?rid=2302815&cid=t_238910_175_f&fid=37867&url=http%3A%2F%2Fcommunity.advanceweb.com%2Fblogs%2Fpa_1%2Farchive%2F2009%2F04%2F02%2Freimbursement-shift.aspx PA blogger physasst suggets a radical shift in medical reimbursement on his blog. Essentially, If I were health care "czar", my first action would be an across the board cut of 30% in payments (CMS) to surgical specialists and interventional radiology,...(read more) (Source: ADVANCE Blog for PAs) ADVANCE Blog for PAs blogs http://www.medworm.com/rss/comments.php?id=2302815 Thu, 02 Apr 2009 21:09:00 +0100 2302815 http://www.medworm.com/index.php?rid=824582&cid=t_238910_114_f&fid=34646&url=http%3A%2F%2Fhealthcarebloglaw.blogspot.com%2F2007%2F08%2Fcms-stark-iii-regulations-now-available.html Today CMS released the Stark III Final Rule which are now available on the Physician Self Referral section of the CMS website and will appear in the September 5 Federal Register. 516 pages of light health care regulatory reading for the Labor Day Holiday.The Phase III Stark Final Rule (CMS-1810-F) is officially titled, "Medicare Program; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships (Phase III)". The regulations will be effective 90 days after the publication date which is expected to be September 5, 2007.Below is a copy of the rule summary and the table of contents directly from the final rule:Summary: This final rule is the third phase (Phase III) of a final rulemaking amending our regulations regarding the physician self-referral prohibition ... Health Care Law Blog blogs http://www.medworm.com/rss/comments.php?id=824582 Mon, 27 Aug 2007 20:45:00 +0100 824582 http://www.medworm.com/index.php?rid=551037&cid=t_238910_114_f&fid=34901&url=http%3A%2F%2Fdocadvocate.com%2F%3Fp%3D795 CNN It was more like a scene from an episode of “ER” than one from a real-life hospital in a small college town. “Nobody had ever seen anything like this before,” CEO for Montgomery Regional Hospital Scott Hill said. “You can never adequately prepare for this level of violence.” On a day where too many died on the scene, many more were taken, injured and bleeding to the hospital. It was a process hindered by the weather. High winds prevented the use of helicopters to move patients, Hill said. Dr. Joseph Cacioppo, an emergency room doctor at Montgomery, indicated he was stunned when victims began pouring in. “The injuries were just amazing. This man was brutal. There wasn’t a shooting victim that didn’t have less than three bullet wou... Doc Advocate blogs http://www.medworm.com/rss/comments.php?id=551037 Wed, 18 Apr 2007 13:47:09 +0100 551037