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Do hospital-based docs get sued more? Part I

Oct 15, 2014 | No Comments

  If you want to get the hair on the necks of an audience full of docs to stand on end at a health reform lecture, utter the words salary or malpractice.  Without question, the two most galvanizing issues in our field, they hit hard because we feel their impact both in our professional and personal lives.  In addition, the outsized effects med mal has on our psyche cannot be overstated—especially by those whose...

  • Ebola and “Unknown Unknowns”
    Ebola and “Unknown Unknowns”
    Oct 14, 2014 | 14 Comments

    I did not think I would ever quote Donald Rumsfeld in one of my blog posts, but some of the missed opportunities as well as the media and public panic surrounding the Ebola epidemic in West Africa have brought this quote to the forefront of my mind this past week. First, let me share my personal view of the Ebola...

  • Reactive Scheduling of Hospitalists: A viable alternative?
    Oct 7, 2014 | No Comments

    By Sowmya Kanikkannan, MD, FACP, SFHM  My earliest memories of medicine take me back to dinner table conversations with my mother, who is a physician. She would share with us her daily stories, telling us about patients she took care of in her clinics and in the hospital. As an internist, she often found herself traveling between many locations. I...

  • Shunshine Act
    Oct 6, 2014 | Comments Off

    The Physician Payment Sunshine Act (PPSA) is intended to expose any financial relationships that could compromise a physician’s research integrity or patient care. In response to the PPSA, CMS created the “Open Payments” database, into which device-drug-supply manufacturers publicly report any financial transfers to physicians or teaching hospitals. This includes 3 types of payments: “general” payments, research payments, and physician...

  • Q: How do you call a pharmacist? A: “Waiter!”
    Oct 5, 2014 | Comments Off

      That was the old cardiology joke from a decade ago when job supply exceeded demand.  The field seemed to get its groove back—through both supplier-induced and demand factors—but do not hold your breath.  Workforce needs have only begun to get critical reappraisal and I would not rule out restaurant service for any specialty as health reform shakes out our...

  • Hound Dog Holiday
    Hound Dog Holiday
    Oct 2, 2014 | 1 Comment

    Why do we love “home?”  Why is home,  despite the worn sofa with the faint but persistent odor of hound dog and the kitchen table with the varnish worn off from gazillions of spilled glasses of milk the place of satisfaction and ease? I started thinking about this concept when recently given re-credentialing forms.  At my hospital, these forms were...

  • A Day in the Life of a Pediatric Hospitalist
    Sep 30, 2014 | Comments Off

    by Dr. Erin Stucky Fisher, MD, MHM I am a career pediatric hospitalist. Not one of my days is the same because as a hospitalist I have the opportunity to serve in numerous capacities within my hospital medicine group, my hospital and the fields of pediatrics and hospital medicine. I am one of the senior attendings on the pediatric hospital...

  • The Things We Say to Our Patients That We Should Be More Tactful about
    The Things We Say to Our Patients That We Should Be More Tactful about
    Sep 25, 2014 | Comments Off

    With the increased focus on patient satisfaction and improving the healthcare experience, how we communicate with our patients is becoming more important than ever. And it’s long overdue. From our patients’ perspectives, being sick is bad enough without feeling disrespected or having an inappropriate message communicated by those who are supposed to be caring for them. Yet every day in...

  • Top 5 Medical Shows of All Time?
    Top 5 Medical Shows of All Time?
    Sep 24, 2014 | 2 Comments

    Writing about The Knick for my last post had me thinking about other entertaining medical TV shows. Every new TV season brings a fresh crop of small screen physicians. Recently, a rash of doc shows have come and gone like transitory viral infections. In the past year, Do No Harm left after two episodes, Black Box eliminated after one season, as was Sanjay Gupta’s...

  • “Why I Hope to Die at 75″
    Sep 21, 2014 | 2 Comments

      Zeke Emanuel, well known oncologist, policy wonk, and eldest brother of Rahm (Mayor of Chicago) and Ari (Hollywood powerbroker), always has a way of garnering attention. Published in the latest The Atlantic, Zeke pens a very provocative piece on when he plans on calling it a day.  In his case, age 75.  

  • Membership Corner: SHM Has a Group for You
    Membership Corner: SHM Has a Group for You
    Sep 18, 2014 | Comments Off

    By Dr. Ken Simone DO, SFHM Do you have a special interest within hospital medicine? SHM has a group for you! As hospitalists we have a lot particular interests within our specialty. There are some of us who love academia; others of us love treating children and there are particular nuances of practice associated with academia or pediatrics. For me,...

  • What the Heck Is an HAC Anyway?
    What the Heck Is an HAC Anyway?
    Sep 17, 2014 | Comments Off

    Many are well aware that Medicare has been publicly reporting the “Hospital Acquired Condition” or “HAC” list since 2008. These are conditions that should (ideally) never happen, or at least happen at a very low frequency. The HAC list has been controversial for a number of reasons: There is no risk adjustment Some HACs occur even if the best of...

  • JHM Review: Scope of Practice for NPs/PAs in the Hospitalist Team
    Sep 15, 2014 | 1 Comment

    In this week’s blog post, I have the pleasure of interviewing Anand Kartha, MD, MS from the Boston VA who is the lead author on a paper that just came out in the Journal of Hospital Medicine this week, “Nurse Practitioner and Physician Assistant Scope of Practice in 118 Acute Care Hospitals.”  Anand and his research team attempted to look...

  • What If Observation Status Worked in the Real World?
    What If Observation Status Worked in the Real World?
    Sep 10, 2014 | 5 Comments

    I have been reading SHM’s recent White Paper on Observation Status and getting depressed about the implications for our patients and our care.  I don’t enjoy having conversations with patients and family explaining how in spite of them being in an actual hospital bed, and sleeping in an actual hospital room (ok, maybe not sleeping so well), and getting all...

  • The Doctor Patient
    Sep 8, 2014 | 3 Comments

      As you can see, no glamour shots for this month’s post. I knew it would come at some point, and my first hospitalization related to my CLL came in a big way in mid-July. Given my interest in global health, it was only fitting that I managed to get sick while out of the country. The plan for July...

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