Category: primary care

The economics of primary care in a COVID-19 world

Much has been written about the response of the governmental agencies in the foreseeability of COVID-19 spread and management in the United States. Travel restriction from mainland China seemed to be a very timely intervention. However, instead of cons…

How MOC is contributing to the demise of physicians

Let me start by saying that I am a diplomate (i.e., “board-certified”) by the American Board of Psychiatry and Neurology. I was completely in agreement that to display competence in my specialty after four years of residency, I should pass …

Primary care isn’t broken. It needs a better support system.

Primary care is at the heart of each and every health care system. Effective and efficient primary care leads to positive health outcomes across the board, most notably lower rates of mortality and hospitalization, and higher life expectancy. But to ac…

The COVID-19 pandemic is a catalyst for reimagining future health care delivery

Coronavirus has overwhelmed hospitals, staff, and supply chains, stripped many Americans of health care coverage along with their jobs, and affected billions of people worldwide with mounting fatalities. Despite its massive human toll, the pandemic off…

Does the EMR improve or worsen patient safety?

An excerpt from When We Do Harm: A Doctor Confronts Medical Error. One of the selling points for the electronic medical record (EMR) was that it would be a boon for patient safety. Just having all the medical records in one place is a monumental improv…

Telemedicine is making our patient-doctor relationships more human. And that’s a good thing.

COVID-19 essentially shut down my in-person primary care practice, and we immediately turned to telemedicine (“seeing” a patient virtually either through a phone or video-based visit). My primary care group did this out of necessity, but nobody predict…

I wrote my memoir. Should you write yours?

An excerpt adapted from Being Authentic: A Memoir. Our existence is fragile. I learned that in many intricate ways, long before the COVID-19 pandemic, so I do not take today for granted. I do not know what tomorrow will bring. I do not even know if tom…

Take the time now to hear your patients’ stories

I rounded recently on a 100-year-old veteran of the Battle of the Bulge. It was a terrible and costly battle fought in Belgium during the winter of 1945, the coldest and snowiest in memory at that time. The German army made a desperate last stand again…

Will telemedicine make us better diagnosticians?

We have all heard that 90 percent of the time, a patient’s history provides the diagnosis before we even perform a physical exam or order any tests. At the same time, much of our reimbursement used to hinge on how many body systems we examined. Like so…

This isn’t the time for bombastic tributes to health care workers

The Blue Angels have awed generations with tight aerial choreography and the sonic roar that heralds their aerobatics. No doubt millions have felt patriotic goosebumps watching their technical mastery at summer air shows. Last week, as the fighter jets…