Practice Management

CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

There is considerable variation in office-based physician visit rates by patient age and sex.

Does Maintenance of Certification Status Affect Patient Care?

Does Maintenance of Certification Status Affect Patient Care?

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Researchers used administrative data to compare effectiveness measures in physicians who either did or did not maintain certification in the 20 years following their initial certification.

Primary Care Physicians Report Top Administrative Hassles

Primary Care Physicians Report Top Administrative Hassles

With the lack of compliance by administrators, primary care physicians face more administrative burdens.

Ethical Dilemmas Vary Based on Physician Professional Values, Social Regulations

Ethical Dilemmas Vary Based on Physician Professional Values, Social Regulations

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Study investigators asked physicians whether they perceived specific clinical examples as an ethical dilemma.

A Few Bad Apples: Managing Malpractice Claims

A Few Bad Apples: Managing Malpractice Claims

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Ranking or otherwise gauging physician quality isn't just a way to assign bragging rights — performance metrics can be used to set reimbursement levels, tailor insurance, and identify physicians who are falling behind.

Prompts May Up Goals-of-Care Dialogues at Outpatient Visits

Prompts May Up Goals-of-Care Dialogues at Outpatient Visits

A patient-specific preconversation communication-priming intervention targeting patients and clinicians is associated with an increase in goals-of-care discussions among patients with serious illness.

Comprehensive Primary Care Initiative Improves Care Delivery

Comprehensive Primary Care Initiative Improves Care Delivery

Introducing the Comprehensive Primary Care Initiative, a health care delivery model developed by the Centers for Medicare and Medicaid Services, improves primary care delivery but does not reduce Medicare spending enough to cover care management fees.

Greater Credibility Needed in Investigations of Scientific Misconduct Reports

Greater Credibility Needed in Investigations of Scientific Misconduct Reports

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There are substantial limitations to depending only on institutional investigations of scientific misconduct.

Older Adults Often Reluctant to Set Up Secure Patient Portal

Older Adults Often Reluctant to Set Up Secure Patient Portal

A randomly selected group of 2,013 older adults, age 50 to 80 years, completed an online survey in March 2018 regarding their experiences with patient portals.

Medical School Enrollment Projected to Surpass Recommended Target

Medical School Enrollment Projected to Surpass Recommended Target

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The current report includes enrollment projections only for the 151 institutions that grant MD degrees.

A Model for Nurse Practitioner-Physician Comanagement

A Model for Nurse Practitioner-Physician Comanagement

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Nurse practitioner and physician comanagement in primary care has 3 vital attributes: effective communication; mutual respect and trust; and clinical alignment, also known as a shared philosophy of care.

Language Used in Medical Record Can Affect Patient Care

Language Used in Medical Record Can Affect Patient Care

Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making.

Best Practices Developed for Use of EHR to Enhance Patient Care

Best Practices Developed for Use of EHR to Enhance Patient Care

Best practices have been developed for using electronic health records to enhance patient-centered care.

Direct Primary Care Rivals Fee-for-Service Models in Improving Care Quality and Costs

Direct Primary Care Rivals Fee-for-Service Models in Improving Care Quality and Costs

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The direct primary care model is a potential alternative to the traditional fee-for-service payment model.

#MeToo: Helping Victims Cope With Sexual Harassment

#MeToo: Helping Victims Cope With Sexual Harassment

Mental health professionals regularly grapple with the best way to support clients navigating an onslaught of sexual violence in their daily lives.

When Sparks Stop Flying: How Is Clinician Burnout Tied to Patient Outcomes?

When Sparks Stop Flying: How Is Clinician Burnout Tied to Patient Outcomes?

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Physician burnout has gained traction as a public health concern because more physicians are leaving medical practice altogether, resulting in decreased patient access and continuity of care.

Communication Breakdown: Using Social Media in Medicine

Communication Breakdown: Using Social Media in Medicine

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Social media has proven to be an important tool across all professional fields, including medicine.

NP, PA Employment Increasing in Primary Care and Specialty Practices

NP, PA Employment Increasing in Primary Care and Specialty Practices

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The proportion of practices with NPs and PAs increased modestly from 2008 to 2016, with similar growth found in specialty and primary care practices.

What a Building Contractor Taught Me About Informed Consent

What a Building Contractor Taught Me About Informed Consent

Identifying a patient's preferences and goals leads to a care plan that can reflect those goals, and this may improve patient satisfaction.

Practices Should Be Aware of Correct Way to Fire Employees

Practices Should Be Aware of Correct Way to Fire Employees

Physicians should be aware of the correct protocol for, as well as the laws involved in, firing employees.

Breaking the Culture of Mental Health Stigma: The Challenges Physicians Face When Seeking Help

Breaking the Culture of Mental Health Stigma: The Challenges Physicians Face When Seeking Help

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Research is clear: Many physicians are struggling but they don't always feel comfortable speaking up.

The Pilot, the Physician, and the Whistleblower: When Is it Okay to Sound the Alarm?

The Pilot, the Physician, and the Whistleblower: When Is it Okay to Sound the Alarm?

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Airplane cockpits have a lot in common with operating rooms: both host a small team that's trusted to perform an extraordinarily complex task with the clear understanding that any misstep could spell doom.

Managing Medical Requests From Family and Friends

Managing Medical Requests From Family and Friends

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Fielding medical requests from friends and family can be a complex issue for physicians to navigate.

Doctors Generally Confident With Deprescribing for Elderly

Doctors Generally Confident With Deprescribing for Elderly

Researchers administered a survey to 160 physicians attending an educational session related to deprescribing.

Current Performance Measures Lack Appropriate Validity for Clinical Use

Current Performance Measures Lack Appropriate Validity for Clinical Use

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Currently there are 2500 performance measures for US physicians listed by the National Quality Measures Clearinghouse.

New Clinic Satisfaction Tool Provides Real-Time Feedback

New Clinic Satisfaction Tool Provides Real-Time Feedback

The tool was used to assess all clinic encounters for patient satisfaction with the clinic experience, including physician communication score.

PCP eConsult Specialty Referral System Improves Care Access but Increases Workload

PCP eConsult Specialty Referral System Improves Care Access but Increases Workload

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Although the eConsult system expedites patient access to specialty services, it can lead to increased workload — and subsequent burnout — among physicians.

Retail Clinics Aim to Improve and Transform Healthcare Access

Retail Clinics Aim to Improve and Transform Healthcare Access

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Retail clinics can be more economically feasible for patients when compared with traditional medical clinics.

ACP: Shifting Focus to Social Determinants of Health Can Improve Patient Care

ACP: Shifting Focus to Social Determinants of Health Can Improve Patient Care

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The ACP is focusing its efforts on improving health outcomes through the assessment of patients' social determinants of health.

Under the Microscope: Medicine's #MeToo Moment

Under the Microscope: Medicine's #MeToo Moment

No single solution to address sexual harassment in medicine exists, but physicians of all genders must come together to make progress.

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