Practice Management

Scribes Improve Physician Workflow, Patient Interaction

Scribes Improve Physician Workflow, Patient Interaction

Scribes lower EHR documentation burden for doctors and increase time spent interacting with patients.

EPA Plan Will Maintain Carbon Emissions From Power Plants

EPA Plan Will Maintain Carbon Emissions From Power Plants

Inadequate regulation of carbon pollution will likely have current, future consequences for human health.

Incorporating Guidelines Into Clinical Practice: An Interview With Gary L. LeRoy, MD

Incorporating Guidelines Into Clinical Practice: An Interview With Gary L. LeRoy, MD

Despite their advantages, many clinicians do not necessarily agree with the centrality or content of CPGs. Others — especially primary care physicians (PCPs) — are overwhelmed by the vast and ever-increasing numbers of guidelines issued by multiple societies.

Tips for Advising Patients Living in Highly Polluted Settings

Tips for Advising Patients Living in Highly Polluted Settings

Guidance focuses on Americans posted in overseas settings with high ambient levels of air pollution.

Gender Wage Gap Facts: What the 2018 Salary Survey Reveals

Gender Wage Gap Facts: What the 2018 Salary Survey Reveals

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Is the gender wage gap among NPs and PAs shrinking? We analyzed the results of the past 5 salary surveys to find out.

Physicians Need Training for Mass Casualty Incidents

Physicians Need Training for Mass Casualty Incidents

Training includes protocols for the actual incident and self-awareness and care afterwards.

Recommendations Issued for Enhancing ICU Diagnostic Safety

Recommendations Issued for Enhancing ICU Diagnostic Safety

Include enhancing recognition of potential errors, increasing teamwork, patient-centeredness.

Medicaid Benefits for Addiction Treatment Expanded After ACA

Medicaid Benefits for Addiction Treatment Expanded After ACA

Decreases in states imposing annual service limits, requiring preauthorization for services.

Lower patient satisfaction reported at for-profit dialysis centers

Patient reported experience has recently been incorporated into Quality Incentive Programs for dialysis centers across the United States. Lower patient experience scores were reported in for-profit, free-standing, and large dialysis organization centers.

Nurse-Led Call After Discharge Doesn't Cut Peds Urgent Care

Nurse-Led Call After Discharge Doesn't Cut Peds Urgent Care

One-time nurse-led call does not lower reutilization of urgent care services after pediatric discharge.

Docs, Consumers Agree on Benefits of Virtual Care

Docs, Consumers Agree on Benefits of Virtual Care

But physician adoption of virtual care technologies is low; few plan to add video visit capability.

Fifteen Genetic Determinants of Fracture Identified

Fifteen Genetic Determinants of Fracture Identified

All determinants also associated with bone mineral density, which showed causal effect on fracture.

Discharge Directly From ICU Not Linked to Increased Health Care Use or Mortality

Discharge Directly From ICU Not Linked to Increased Health Care Use or Mortality

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Patient discharge directly home from intensive care compared with discharge from a hospital ward was not associated with increased healthcare resource use or mortality.

Social Determinants Linked to Provision of Primary Care

Social Determinants Linked to Provision of Primary Care

Strong link for social complexity with primary care indicators for prevention, chronic disease management.

Better Training Needed to Boost LGBTQ Patient Health Care

Better Training Needed to Boost LGBTQ Patient Health Care

Issues raised at AMA discussion include knowledge gaps for transgender women, screening guidelines.

PSA Testing Not Recommended for Prostate Cancer Screening

PSA Testing Not Recommended for Prostate Cancer Screening

Odds of choosing screening up for men with family history, African descent, low socioeconomic status.

Poor, Non-English Speaking Cancer Patients Need Support

Poor, Non-English Speaking Cancer Patients Need Support

Serving patients' specific needs, such as referral to socioeconomic support, can improve care.

Patient Distressed by Overturn of California End of Life Option Act

Patient Distressed by Overturn of California End of Life Option Act

Patient with ALS describes assisted death as last element of control, while losing control over his body.

EULAR Releases 2018 Recommendations for the Management of Hand Osteoarthritis

EULAR Releases 2018 Recommendations for the Management of Hand Osteoarthritis

EULAR has released updated guidelines for the management of hand osteoarthritis.

Medical Schools Phase Out Lectures as Education Shifts Outside the Classroom

Medical Schools Phase Out Lectures as Education Shifts Outside the Classroom

Medical students are choosing to forego lectures to use the time studying for the Step 1 exam instead.

WHO Issues Guidelines for Managing Diabetes in Low-Resource Settings

WHO Issues Guidelines for Managing Diabetes in Low-Resource Settings

WHO has developed guidelines for selecting therapy for treatment intensification in type 2 diabetes and on the use of insulin in type 1 and 2 diabetes in resource-poor settings.

Adding Pharmacist to Team Can Improve Patient Outcomes

Adding Pharmacist to Team Can Improve Patient Outcomes

Pharmacist roles include helping with insulin treatment, virtual consults, diabetes management.

AMA <i>Code of Medical Ethics</i>: Guidelines for End-of-Life Care

AMA Code of Medical Ethics: Guidelines for End-of-Life Care

Compassion and communication for both patients and families are among the most important factors involved in providing end-of-life care.

Mindfulness Training Acceptable Among Surgical Interns

Mindfulness Training Acceptable Among Surgical Interns

Mindfulness-based stress reduction integrated into personal, professional settings over 12 months.

Medicare, Med Advantage Health Care Use Differs Regionally

Medicare, Med Advantage Health Care Use Differs Regionally

Variation in skilled nursing facility, hospital care up in Medicare Advantage vs traditional Medicare.

No Meaningful Increase in Physician Compensation Last Year

No Meaningful Increase in Physician Compensation Last Year

Average change in median compensation 1.2% in 2017 for all medical specialties.

Serogroup B Meningococcal Vaccine, Disease Knowledge Gaps Apparent in Primary Care

Serogroup B Meningococcal Vaccine, Disease Knowledge Gaps Apparent in Primary Care

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Due to a gap in knowledge regarding serogroup B meningococcal (MenB) disease and vaccination, the majority of clinicians are not discussing MenB vaccines with their adolescent patients during routine visits.

Neonatal abstinence syndrome linked to educational disabilities

Children with a history of neonatal abstinence syndrome (NAS) had higher odds of qualifying for and receiving therapies and services for educational disabilities compared to similar peers without a history of NAS.

High, Low Carbohydrate Diets Linked to Increased Mortality

High, Low Carbohydrate Diets Linked to Increased Mortality

Increase in mortality when carbohydrates were exchanged for animal-derived fat or protein.

Medical Practices Should Address Negative Online Reviews

Medical Practices Should Address Negative Online Reviews

Staff can learn from negative reviews by acknowledging patterns and seeking solutions.

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