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$10B loan program targeted at small medical groupsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A bill that provides loans of up to $350,000 for physicians and $2 million for medical groups to buy electronic health record systems or other healthcare information technology is likely to benefit solo and small group practices the most, according to investment bank Piper Jaffrey. (Source: Healthcare IT News)
Source: Healthcare IT News - November 20, 2009 Category: Information Technology Authors: Bernie Monegain Tags: Online Only House of Representatives Industry News investment bank Kathleen A. Dahlkemper Pennsylvania Sean Wieland Washington Physician practices & Ambulatory Care Vendors Source Type: news

Hypocrisy, Why We Are Sometimes Guilty Of Thisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Recently Carrie Prejean, the former Miss California beauty queen was found to have contradicted her Christian values, after pageant officials discovered a solo sex tape, starring her. But this isn't the first time a well known public figure outspoken in support of righteous values has being found to have contradicted his or her moral high ground. As a matter of fact this is so rampant, that it is not a matter of how often the media can find a public figure engaging in hypocrisy, but how well known the culprit is.In all fairness, at some point in time, everyone has engaged in hypocrisy and sadly there are multiple offenders...
Source: Psychology Today Parenting Center - November 9, 2009 Category: Psychiatry & Psychology Authors: Ugo Uche Tags: Morality Parenting Therapy beauty queen california beauty carrie carrie prejean christian values condemnation culprit elders fairness hypocrisy masturbation matter of fact miss california moral high ground pageant officia Source Type: consumer

Introverts: Stretch and Get Aheademail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
New York was crawling with Madonnas and Madoffs, Blagos and Jackos, and no shortage of Sarah Palins this past weekend. Would you benefit from taking an occasional holiday from your workaday persona? Who were you for Halloween? And who are you on the other 364 days of the year? If you’re an introvert, you probably avoid drawing attention to yourself (although an occasional mask and a costume can be a clever workaround if you enjoy taking on a different persona!).In the context of work, you probably spend more time immersing yourself in the tasks at hand than creating buzz about what you've accomplished. Sound familiar? H...
Source: Psychology Today Work Center - November 3, 2009 Category: Psychiatry & Psychology Authors: Nancy Ancowitz Tags: Work buzz career advancement civvies colleagues Comfort zone cues day of the year days of the year exercises halloween mask having fun improv improvisation improvisation class insights introversion introvert jackos Jo Source Type: consumer

Solo doctors and ethical isolationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This paper uses the case of solo doctors to explore whether working in relative isolation from one’s peers may be detrimental to ethical decision-making. Drawing upon the relevance of communication and interaction for ethical decision-making in the ethical theories of Habermas, Mead and Gadamer, it is argued that doctors benefit from ethical discussion with their peers and that solo practice may make this more difficult. The paper identifies a paucity of empirical research related to solo practice and ethics but draws upon more general medical ethics research and a study that identified ethical isolation among commun...
Source: Journal of Medical Ethics - October 30, 2009 Category: Medical Ethics Authors: Cooper, R J Tags: Papers Source Type: journals

Use of Interpreters by Physicians Treating Limited English Proficient Women with Breast Cancer: Results from the Provider Survey of the Los Angeles Women's Health Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Little is known about how cancer physicians communicate with limited English proficient (LEP) patients. We studied physician-reported use and availability of interpreters. A 2004 survey was fielded among physicians identified by a population-based sample of breast cancer patients. Three hundred and forty-eight physicians completed mailed surveys (response rate: 77 percent) regarding the structure and organization of care. We used logistic regression to analyze use and availability of interpreters. Most physicians reported treating LEP patients. Among physicians using interpreters within the last 12 months, 42 percent repor...
Source: Health Services Research - October 29, 2009 Category: Health Management Authors: Danielle E. Rose, Diana M. Tisnado, Jennifer L. Malin, May L. Tao, Melinda A. Maggard, John Adams, Patricia A. Ganz, Katherine L. Kahn Source Type: journals

Ownership loses its luster: Physicians less likely to go soloemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Higher costs for practice start-ups, lower reimbursement rates and a desire for more work-life balance have driven the trend. (Source: American Medical News - BUSINESS)
Source: American Medical News - BUSINESS - October 19, 2009 Category: American Health Source Type: news

Call-Sharing for Small-Group Docsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Dealing with constant call is the bane of many small physician groups. But with the right planning, even solo physicians can share call just like their big-practice peers. Here’s how. (Source: Physicians Practice)
Source: Physicians Practice - September 17, 2009 Category: Practice Management Source Type: info

The Moral According to Smartmarriages: “Incredible, Painful Loneliness”email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
So I guess I'm not the only one who read that New York Times story about the single-again 50-something year-old woman and had a very different reaction than the moderator of another listserv. (You can read the original Times story here if you haven't already. Then read the very thoughtful set of comments to my original post about it.)As I mentioned in my last post, I read an account of the story before I read the story itself. The description was in an email posted to the Smartmarriages listserv. Here's some of what the moderator of that listserv said about the story: "We [she means the Smartmarriages group members] don't ...
Source: Psychology Today Relationships Center - September 17, 2009 Category: Psychiatry & Psychology Authors: Bella DePaulo, Ph.D. Tags: Relationships ambivalence amp asparagus Choices conventional wisdom dining solo divorce divorcee economic loss email fish freedom friends gals gas grill gloss group members ideology julia child listserv loneliness Source Type: consumer

Management decisions in nontraumatic complaints of arm, neck, and shoulder in general practice.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Diagnostic category, long duration of complaints, and high functional limitations were key variables in management decisions with these complaints. In addition, several physician characteristics played a role as well. PMID: 19752473 [PubMed - in process] (Source: Annals of Family Medicine)
Source: Annals of Family Medicine - August 31, 2009 Category: Primary Care Authors: Feleus A, Bierma-Zeinstra SM, Bernsen RM, Miedema HS, Verhaar JA, Koes BW Tags: Ann Fam Med Source Type: journals

How to avoid malpractice liability in cross-coverage arrangementsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
For a solo practitioner or a small group practice, cross-coverage arrangements are like oxygen: Without them, there is no life—that is, no weekends, no evenings, no vacations, and no holidays. (Source: Modern Medicine Medical Economics)
Source: Modern Medicine Medical Economics - August 20, 2009 Category: Health Management Source Type: info

How to avoid malpractice liability in cross-coverage arrangementsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
For a solo practitioner or a small group practice, cross-coverage arrangements are like oxygen: Without them, there is no life—that is, no weekends, no evenings, no vacations, and no holidays. (Source: Modern Medicine)
Source: Modern Medicine - August 20, 2009 Category: Journals (General) Source Type: info

CMS touts success of three hospital projects, issues nearly $50M in incentivesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Centers for Medicare & Medicaid Services (CMS) has announced the results from three value-based purchasing demonstrations, one for large physician practices, one for small and solo physician practices and one for hospitals. They agency simultaneously commissioned the launch of three additional value-based purchasing demonstrations. (Source: Cardiovascular Business News)
Source: Cardiovascular Business News - August 19, 2009 Category: Cardiology Tags: Latest News Source Type: news

CMS touts success of three hospital projects, issues nearly $50M in incentivesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Centers for Medicare & Medicaid Services (CMS) has announced the results from three value-based purchasing demonstrations, one for large physician practices, one for small and solo physician practices and one for hospitals. They agency simultaneously commissioned the launch of three additional value-based purchasing demonstrations. (Source: CMIO.net: The News Weekly for Health IT Executives)
Source: CMIO.net: The News Weekly for Health IT Executives - August 19, 2009 Category: Information Technology Tags: Latest News Source Type: news

CMS touts success of three hospital projects, issues nearly $50M in incentivesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Centers for Medicare & Medicaid Services (CMS) has announced the results from three value-based purchasing demonstrations, one for large physician practices, one for small and solo physician practices and one for hospitals. They agency simultaneously commissioned the launch of three additional value-based purchasing demonstrations. (Source: Health Imaging News)
Source: Health Imaging News - August 19, 2009 Category: Radiology Tags: Latest News Source Type: news

Association between satisfaction and stress with aspects of job and practice management among primary care physicians.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: Reform strategies aimed at improving the quality of care among PCPs needs to take into account the contextual determinants of physician satisfaction and stress, and should highlight programmes that might be pursued to improve the integration of PCPs within the Italian National Health System. PMID: 19622272 [PubMed - in process] (Source: Quality in Primary Care)
Source: Quality in Primary Care - July 24, 2009 Category: Primary Care Authors: Mazzaglia G, Lapi F, Silvestri C, Roti L, Giustini SE, Buiatti E Tags: Qual Prim Care Source Type: journals

Solo GPs face more hearingsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
GPs working alone are six times more likely to face a disciplinary hearing than those in group practices. (Source: BBC News | Health | UK Edition)
Source: BBC News | Health | UK Edition - July 22, 2009 Category: Consumer Health News Tags: Newsnight Source Type: news

A hybrid technique: video-assisted thoracoscopic surgery (VATS) pulmonary resections for community-based surgeonsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  This series shows that our hybrid VATS approach to pulmonary resection is safe and feasible at community hospital-based practices. Content Type Journal ArticleCategory TechniqueDOI 10.1007/s00464-009-0615-zAuthors Roger H. Kim, Virginia Commonwealth University School of Medicine and Massey Cancer Center Division of Surgical Oncology, Department of Surgery P.O. Box 980011 West Hospital, Room 7-402, 1200 East Broad Street Richmond VA 23298-0011 USAKazuaki Takabe, Virginia Commonwealth University School of Medicine and Massey Cancer Center Division of Surgical Oncology, Department of Surgery P....
Source: Surgical Endoscopy - July 9, 2009 Category: Surgery Tags: Surgical Endoscopy Source Type: journals

An Audit of Health Products Advertised for Sale on Chiropractic Web Sites in Canada and Consideration of These Practices in the Context of Canadian Chiropractic Codes of Ethics and Conductemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Variations in codes of ethics and in the proportions of practitioners advertising health products for sales across the country suggest that opinions may be divided on the acceptability of health product sales. Such practices raise questions and considerations for the chiropractic profession. (Source: Journal of Manipulative and Physiological Therapeutics)
Source: Journal of Manipulative and Physiological Therapeutics - June 30, 2009 Category: Complementary Medicine Authors: Stacey A. Page, Jaroslaw P. Grod Tags: Original Articles Source Type: journals

Diversity in Entertainment - Why it Mattersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
"Nothing is ever so wrong in this world that a sensible woman can't set it right in the course of an afternoon." -Jean Giraudoux, The Madwoman of Chaillot Recently, I wrote about an NPR.org posting by Linda Holmes on her blog, Monkey See. Her post, entitled "Dear Pixar, From All The Girls With Band-Aids On Their Knees" is an open letter to Pixar in praise of their films, but also identifying the lack of a single female lead character in any of their ten (plus two more in the works) films. This would seem to be a significant phenomenon given that females comprise about one half of the world's population. Imagine flipping a ...
Source: Psychology Today Parenting Center - June 30, 2009 Category: Psychiatry & Psychology Authors: Jared DeFife, Ph.D. Tags: Creativity Gender Media Parenting Personality band aids belief systems cognitive dissonance commenters dora the explorer friend alan half of the world impossibility linda holmes madwoman of chaillot major league baseball mo Source Type: consumer

Labor of Love: A Midwife's Memoiremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Cara Muhlhahn has been operating a solo home birth midwifery practice in New York City for 12 years. She's a globe-trotting, jazz-singing, salsa-dancing single mom, so it comes as a surprise when reading this very modern memoir to find oneself thinking often of Martha Ballard, the 17th-century rural Maine midwife whose diaries were so lovingly explored by Laurel Thatcher Ulrich in her Pulitzer Prize–winning A Midwife's Tale. (Source: Journal of midwifery & women's health)
Source: Journal of midwifery & women's health - June 25, 2009 Category: Midwifery Authors: Jennifer Drawbridge Tags: Media Reviews Source Type: journals

Who's The Crazy One???email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
There was an episode of Larry David's Curb Your Enthusiasm in which Larry felt it necessary to discontinue therapy as a result of running into his therapist on the beach and seeing him wearing a thong bikini. Not quite as dramatic, last weekend my wife and I pulled into the parking lot at our local pool; Shari went in ahead of me and unwittingly set up our spot right next to the new psychiatrist I had just started seeing, primarily for a meds consult.<!--break-->In our first session, however, when I mentioned that I was also seeking a psychotherapist, he declared himself a "One-Stop Shop," and told me that he'd been ...
Source: Psychology Today Depression Center - June 19, 2009 Category: Psychiatry & Psychology Authors: Eliezer Sobel Tags: Depression Psychiatry Psychotherapy Spirituality antidepressants ethics pornography psychiatrist psychoanalysis ram dass therapist Source Type: consumer

Practicing Excellence: A new beginning for laid-off docsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
For the first time in his 12-year hospital career, Kevin Deighton, MD, had a choice to make: In six months, he could either go solo, find another employer, or unite with other physicians to launch their own practice. (Source: Modern Medicine)
Source: Modern Medicine - June 18, 2009 Category: Journals (General) Source Type: info

Practicing Excellence: A new beginning for laid-off docsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
For the first time in his 12-year hospital career, Kevin Deighton, MD, had a choice to make: In six months, he could either go solo, find another employer, or unite with other physicians to launch their own practice. (Source: Modern Medicine Medical Economics)
Source: Modern Medicine Medical Economics - June 18, 2009 Category: Health Management Source Type: info

Why turmeric could be the spice of lifeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Eating high-fat curries may not be as bad for us as we thought - at least, not if we lace them with turmeric. Scientists at Boston's Tufts University found that mice fed a high-fat diet that contained curcumin, a component of turmeric, put on less weight. This puts the spice in that magic group of foods with health-giving properties - along with garlic, ginger and fish oils.Like ginger, turmeric is a rhizome, a horizontal stem of a plant that grows underground. Generally speaking, it is prized more for its colour than its flavour: turmeric is the oldest natural food dye in the world, and is now seen in ingredients lists as...
Source: Guardian Unlimited Science - May 20, 2009 Category: Science Authors: Allegra McEvedy Tags: Food & drink Spicy recipes Health wellbeing Life and style The Guardian News Source Type: news

Health facilities at the district level in Indonesiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: The relatively good distribution of health facilities in Indonesia was achieved through establishing public health centers at the sub-district level and staffing them through a system of compulsory service for doctors, nurses and midwives. Subsequently, these public sector staff also established solo-provider facilities for their own private practice; these solo-provider facilities, of which those for nurses are almost half, comprise the largest category of outpatient care facilities, most are not included in official statistics. Now that Indonesia no longer has mandatory service for newly graduated doctors, n...
Source: Australia and New Zealand Health Policy - Latest articles - May 18, 2009 Category: Health Management Authors: Peter F Heywood and Nida P Harahap Source Type: journals

Dental Providers' Attitudes Regarding the Application of Fluoride Varnish by Pediatric Health Care Providersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Half of dental professionals felt that it was appropriate for medical providers to apply fluoride varnish; pediatric dental professionals were less supportive. A few dental practice characteristics were associated with acceptance of the use of fluoride varnish by medical care providers: targeting messages to dental hygienists and those with practices in mixed rural-urban areas may be a useful approach to garner greater support for this medical/dental partnership. (Source: Journal of Public Health Dentistry)
Source: Journal of Public Health Dentistry - May 13, 2009 Category: Dentistry Authors: Nancy L. Swigonski, Karen M. Yoder, Gerardo Maupome, Susan Ofner Source Type: journals

Allscripts, Cardinal Health announce partnership to sell EHRs to physiciansemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
One of the nation’s largest electronic health record vendors is teaming up with a major healthcare distributor in an effort to convince solo and small-practice physicians to adopt healthcare IT. Thursday’s deal between Allscripts-Misys Healthcare Solutions and Cardinal Health is the latest and largest forged by Chicago-based Allscripts to create a distribution network for its MyWay EHR. The partnership allows Cardinal Health, based in Dublin, Ohio, to add Allscripts MyWay to its portfolio of products and services. (Source: Healthcare IT News)
Source: Healthcare IT News - May 7, 2009 Category: Information Technology Authors: Eric Wicklund Tags: Online Only Allscripts Allscripts-Misys Healthcare Solutions Cardinal Health Chicago Dublin Glen Tullman Industry News Kenny Smith Ohio Wilson Conti Physician practices & Ambulatory Care Vendors Source Type: news

Lettersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I am a solo pediatric practitioner in Canton, Mich., taking the plunge after many years in hospital practice. About the numerous articles discussing universal immunization: None of us in the trenches needs any convincing about the advisability of immunizing children completely. What we do need help with is being reimbursed for it. (Source: Family Practice News)
Source: Family Practice News - May 1, 2009 Category: Primary Care Authors: Meera Raghunathan, Basil E. Akpunonu Tags: Opinion Source Type: news

The Emotional Ups and Downs of Solo Practiceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
There are times when the emotional aspects of practicing medicine crop up suddenly and without warning. (Source: Medscape Allergy Headlines)
Source: Medscape Allergy Headlines - April 27, 2009 Category: Allergy & Immunology Tags: Pediatrics Source Type: info

Riding Raw: Interview with Raw Vegan Endurance Cyclist Harley Johnstoneemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(NaturalNews) Harley Johnstone has been an endurance cyclist for ten years, and he has been eating a 100% vegan diet for 7 years and a 100% raw vegan diet for over 3 years. He promotes a raw vegan diet as the ultimate in healthy eating, sustainable farming, and blissful living with a passion to realize Mother Earth as an abundant fruit-bearing paradise.David: What are some of your accomplishments as an athlete?Harley: I am the 2008 South Australian 24-hour solo Cross Country Champion. Rode Paris - Brest - Paris in 51:30 (unsupported), ran many marathons, and still compete at national level on the bike. I raced full time in...
Source: NaturalNews.com - April 20, 2009 Category: Consumer Health Advice Source Type: news

The EDUCATE Study: A Continuing Education Exemplar for Clinical Practice Guideline Implementation.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Cancer care is evolving from a solo practitioner care delivery system based on tradition and anecdotal experience to a multidisciplinary, collaborative, science-driven paradigm. Evidence-based practice facilitates optimal care quality for patients with cancer and is effected for medical and nursing practitioners through clinical practice guideline implementation. Clinician education based on principles of adult learning is one method of implementing clinical practice guidelines in clinical practice. However, research demonstrates that conventional static methods of education do little to change behavior; instead, effec...
Source: Clinical Journal of Oncology Nursing - April 1, 2009 Category: Nursing Authors: Friedman L, Engelking C, Wickham R, Harvey C, Read M, Whitlock KB Tags: Clin J Oncol Nurs Source Type: journals

New resource for the exploration of western classical music heritage - 1000 historic recordingsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The British Library‚s Archival Sound Recordings project, supported by JISC, today launches a vital new resource for the exploration of western classical music heritage. Bringing together nearly 1000 historic recordings, this freely available online collection allows researchers to easily compare various interpretations of great composers, tracing the impact of globalisation on performance style and its evolution throughout the early 20th Century. Available works include: &#63743; Bach ˆ Brandenburg concertos, orchestral suites and solo concertos &#63743; Haydn ˆ Symphonies &#63743; Mozart ˆ Symphonies ...
Source: MEDEV News - March 18, 2009 Category: Universities & Medical Training Source Type: news

Does the culture of a medical practice affect the clinical management of diabetes by primary care providers?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Attention is beginning to focus on physician behavior in the context of different organizational environments. This study provides additional support for the suggestion that organization-level interventions (especially focused on practice culture) may offer an opportunity to reduce health care disparities and improve the quality of care. (Source: Journal of Health Services Research and Policy)
Source: Journal of Health Services Research and Policy - March 18, 2009 Category: Health Management Authors: Shackelton, R., Link, C., Marceau, L., McKinlay, J. Tags: Original research Source Type: journals

What do general practitioners do differently when consulting with a medical student?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions This organising of clinical activities in order to meet the needs of both patient and student is likely to require different processing skills to solo consulting. PMID: 19250354 [PubMed - in process] (Source: Medical Education)
Source: Medical Education - March 1, 2009 Category: Universities & Medical Training Authors: Walters L, Prideaux D, Worley P, Greenhill J, Rolfe H Tags: Med Educ Source Type: journals

Physician organization agreements: reining in physician contractual autonomy--why you should do it now.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article addresses the rarely discussed cause and consequence of physician contractual autonomy and tactics...to rein it in. PMID: 19455863 [PubMed - in process] (Source: The Journal of Medical Practice Management : MPM)
Source: The Journal of Medical Practice Management : MPM - March 1, 2009 Category: Practice Management Authors: Freeman CK, Ellis JR Tags: J Med Pract Manage Source Type: journals

NEJM Perspectives Examine Physicians' Shift to Larger-Group Practices, Medicare Physician Payment Systememail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
"The Independent Physician -- Going, Going ...," New England Journal of Medicine: In the perspective, Stephen Isaacs and Paul Jellinek, partners in Isaacs/Jellinek, a firm that advises health foundations; and Walker Ray, vice president of the Physicians' Foundation, discuss the lack of information about physicians' "ongoing migration from independent solo or small-group practices to larger-group practices where they are often employees." According to the authors, "This trend and its consequences for the care of patients and the practice of medicine have scarcely been explored." They conclude that the "gaps in our understan...
Source: kaisernetwork.org: Health Policy Daily Report - February 12, 2009 Category: Consumer Health News Tags: Daily Health Policy Report Source Type: news

Big Brother Health Care Provisions Slipped Into Economic Stimulus Billemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(NaturalNews) The new $800 billion economic stimulus bill contains some striking new "Big Brother" health care language that should give pause to all freedom-loving Americans. For starters, the bill requires the electronic tracking of the medical records of all Americans. All your private medical data will be stored in a government database, including your history of disease, pharmaceutical treatments, surgeries and even emergency room visits.How would you like the government knowing all the details about your drug rehab? Or alcoholism treatments? Abortion? Sexually-transmitted disease diagnosis? Pregnancy status? Blood te...
Source: NaturalNews.com - February 10, 2009 Category: Consumer Health Advice Source Type: news

Physician's production of primary care in Ontario, Canadaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This paper examines the factors affecting the number of patient visits per week reported by family physicians in Ontario. The way that a physician is paid is potentially endogenous to the number of patients seen per week, thus an instrumental variable method of estimation is employed to account for the endogeneity bias. Once account is taken of the endogeneity of remuneration as well as relevant physician and practice characteristics, the estimated elasticity of output with respect to hours worked is 0.74; 0.68 in group practices and 0.82 in solo practices. Physicians paid on a non-fee-for-service (NFFS) conduct 15-31% few...
Source: Health Economics - February 5, 2009 Category: Health Management Authors: Sisira Sarma, Rose Anne Devlin, William Hogg Source Type: journals

ORIGINAL ARTICLE: Racial Differences in Visit Duration of Outpatient Psychiatric Visitsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  In recent years, progress has been made in closing a racial gap in the length of psychiatric office-based outpatient visits by African American vs white patients. Against a backdrop of persisting racial disparities in other areas of mental health care, ongoing attention to reducing disparities will be necessary to sustain and extend these gains. (Source: Archives of General Psychiatry)
Source: Archives of General Psychiatry - February 2, 2009 Category: Psychiatry Authors: Olfson, M., Cherry, D. K., Lewis-Fernandez, R. Tags: Medical practice, Medical practice, Other, Psychiatry, Psychotherapy, Psychiatry, Other Original Article Source Type: journals

Physicians Practice Pearls: Give a Little, Get a Lotemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Rob Lamberts, MD, on the benefits of partnership over working solo. (Source: Physicians Practice)
Source: Physicians Practice - January 30, 2009 Category: Practice Management Source Type: info

Changing Careers: Is It Different for Singles?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Recently, I received a book in the mail with a request that I review it for this blog. Hallie Crawford's Flying Solo: Career Transition Tips for Singles may be of interest to some singles for what it offers at face value. I'll describe that in Section I of this post. What I find even more intriguing, though, is the worldview that is conveyed between the lines. Crawford is an author who wants to send a positive message to singles. She is not a deliberate practitioner of singlism. So I read the book closely to see what assumptions about single and married life were woven throughout her text. That's in Section II. As always, ...
Source: Psychology Today Work Center - January 28, 2009 Category: Psychiatry & Psychology Authors: Bella DePaulo, Ph.D. Tags: Work career couples economics family financial risk friends hiring practices law law of attraction living arrangements loneliness marriage mobility parents salary siblings singled out singles singlism social support Source Type: consumer

Solo Practice -- My Waiting Roomemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Popular physician blogger, #1 Dinosaur, considers waiting room decor. Medscape Business of Medicine (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - January 12, 2009 Category: Primary Care Tags: Business of Medicine Source Type: info

Long-Term Impact of a Robot Assisted Laparoscopic Prostatectomy Mini Fellowship Training Program on Postgraduate Urological Practice Patternsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: An intensive, dedicated 5-day educational course focused on learning robot assisted laparoscopic prostatectomy enabled most participants to successfully incorporate and maintain this procedure in clinical practice in the short term and long term. (Source: The Journal of Urology)
Source: The Journal of Urology - January 10, 2009 Category: Urology & Nephrology Authors: Aldrin Joseph R. Gamboa, Rosanne T. Santos, Eric R. Sargent, Michael K. Louie, Geoffrey N. Box, Kevin H. Sohn, Hung Truong, Rachelle Lin, Amanda Khosravi, Ricardo Santos, David K. Ornstein, Thomas E. Ahlering, Darren R. Tyson, Ralph V. Clayman, Elspeth M. Tags: Outcomes/Epidemiology/Socioeconomics Source Type: journals

San Francisco chiropractor sues patient over negative online commentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A billing dispute between a chiropractor and his patient escalated into a lawsuit early this year with the chiropractor accusing the patient of defamation for comments posted about the solo practitioner on an online ratings site. (Source: Medical Economics - Technology)
Source: Medical Economics - Technology - December 12, 2008 Category: Information Technology Source Type: journals

San Francisco chiropractor sues patient over negative online commentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A billing dispute between a chiropractor and his patient escalated into a lawsuit early this year with the chiropractor accusing the patient of defamation for comments posted about the solo practitioner on an online ratings site. (Source: Modern Medicine Medical Economics)
Source: Modern Medicine Medical Economics - December 12, 2008 Category: Health Management Source Type: info

San Francisco chiropractor sues patient over negative online commentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A billing dispute between a chiropractor and his patient escalated into a lawsuit early this year with the chiropractor accusing the patient of defamation for comments posted about the solo practitioner on an online ratings site. (Source: Medical Economics - Technology)
Source: Medical Economics - Technology - December 12, 2008 Category: Information Technology Source Type: journals

Setting Up a Solo Practice? Don't Go It Aloneemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Are you thinking of opening a solo practice, but don't know where to begin? From securing a loan to hiring staff to choosing software and equipment, a myriad of tasks and important decisions awaits you. (Source: Blogged_Arteries)
Source: Blogged_Arteries - November 3, 2008 Category: Health Management Source Type: organizations

Lettersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
I am a solo pediatric practitioner in Canton, Mich., taking the plunge after many years in hospital practice. About the numerous articles discussing universal immunization: None of us in the trenches needs any convincing about the advisability of immunizing children completely. What we do need help with is being reimbursed for it. (Source: Pediatric News)
Source: Pediatric News - November 1, 2008 Category: Journals (General) Authors: Meera Raghunathan Tags: Opinion Source Type: news

The Bigger Picture: Death of Solo Practice — A Mythemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
It’s true that more physicians are choosing group practices, but reports of the death of the solo practice have been greatly exaggerated. (Source: Physicians Practice)
Source: Physicians Practice - November 1, 2008 Category: Practice Management Source Type: info