Health care and sick care are interchangeable

Does anyone really want health care for all? I promise this is not a political rant. Americans, of any political persuasion, should not be misled by the implications of health care for all: It does not mean medical care for all. Providing a card stating you have health insurance is only a nominal solution, provided…

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Medical error disclosure programs: Old habits die hard

A radical change is emerging from within our health care system: Rather than deny or defend medical errors, some hospitals are acknowledging them upfront. This enlightened response has been gaining ground since 2001 when the University of Michigan Hospital introduced one of the first medical error disclosure programs: the Michigan Model. Hospitals that adopt the…

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Start a hospitalist program with these 6 steps

Just to give you my background, I manage a large hospitalist program for a busy downtown community hospital that is part of a large health system consisting of a total of 29 acute care hospitals in the same geographical area. One of the reasons why our team was hired recently to manage this hospitalist program…

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Can a rehabilitated sex-offender make positive change?

Ed is not from Kentucky. I believe he told me he is from West Virginia and from a very low-income family. At about 15, he was hit by a car and paralyzed from the waist down. He’s now about 30. But for a guy in a wheelchair, he is nothing short of remarkable for what…

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Gun violence requires medical intervention

109. This is the number of people who died each day from firearms in the U.S. in 2017, the most recent year for which the CDC has published data. It is a staggering number, one that deeply damages the fabric of communities and tears families apart. What’s perhaps most disconcerting is that this number –…

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What’s the future of the physician assistant?

Currently, in America, there are only three legal groups of prescribers, the physicians (which include MDs, DOs, DPMs), the nurse practitioner (NPs), and the physician assistant (PAs). The first class of physician assistants, in 1965, was also the year of the first class of nurse practitioners. Today there are nearly 300,000 NPS In America and…

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MKSAP: 36-year-old man with abdominal cramping, diarrhea, malaise, and nausea

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 36-year-old man is evaluated for a 10-day history of abdominal cramping, diarrhea, malaise, and nausea. Diarrhea is watery without mucus or blood. He returned 2 weeks ago from a 7-day trip to Lima, Peru. On physical examination, temperature is 37.7…

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