January 2015 HPMJC: Palliative Care and heart failure in primary care
by Katherine Sleeman and Tara WhitburnOn Monday 26th January 2015 from 8-9pm London Time (3-4p New York/ET and Noon-1p California/PT) we will be holding the monthly twitter journal club for hospice and palliative medicine: #hpmjc. The aim of the journal club is to provide an informal multidisciplinary forum for discussion of latest research findings, and we hope you will join us!You can find some more information about the journal club #hpmjc here in a previous Pallimed post. The paper for discussion this month is ‘Palliative Care among Heart Failure Patients in Primary Care: A Comparison to Cancer Patients Us...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 24, 2015 Category: Palliative Carer Workers Tags: heart failure hpmjc sleeman social media tweetchat twitter whitburn Source Type: blogs
Do you want a culturally competent practice? Here are 15 tips.
Over the last few years I started a family practice serving refugees, and have seen 10,000 refugee patient visits. With regards to culturally competent medicine, medical schools teach about traditional remedies such as coining, and maybe role play with interpreters, but stop short of practice design ideas. The AAFP provides a checklist of qualities, which I feel could be more concrete. So I asked my staff what our diverse patients appreciate about us, and we brainstormed the following tips.
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Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find ...
Source: Kevin, M.D. - Medical Weblog - October 11, 2014 Category: Journals (General) Authors: P.J. Parmar, MD Tags: Physician Primary care Source Type: blogs
Physician wellness: Take time to find what works for you
I wholeheartedly support the message behind the project, What Works For Me. As health care professionals, we continually encounter human suffering and work under stressful conditions. As a family physician for the past 14 years, I have been fortunate enough to work in a variety of clinical settings, including several in general family practice.
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Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 23, 2014 Category: Journals (General) Authors: Sara Taylor, MD Tags: Physician Primary care Source Type: blogs
You never know ...
One of our family's big achievements in our early years with special needs and autism was teaching both boys, #2 with classic autism (now "Aspergers") and #1 with more complex disabilities, to swim.This took years of persistence and patience, fueled by Emily's hatred of preventable drowning. Try and fail. Try and fail. Pool one and two. Teacher five and six. Again and again. Money spent and lost - more than many could afford. Private and group. Family practice.After years of this they could swim enough. After that it was improvement. #1, if he were motivated, could be competitive in butterfly -- a stroke I can't do. (I'm a...
Source: Be the Best You can Be - August 15, 2014 Category: Disability Tags: Asperger ' exercise sport Source Type: blogs
How perception of the patient transformed in a single visit
Have you ever had a situation where your perception of some event or entity changed dramatically in an instant?
I specifically remember an instance of this happening to me while working as a junior medical student in a family practice clinic.
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Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 15, 2014 Category: Journals (General) Authors: Gregory Bledsoe Tags: Physician Medical school Primary care Source Type: blogs
Managing pain is an experiment
I’ve been thinking a lot about clinical reasoning recently. There’s been a lot written about clinical reasoning, but not as often applied to pain management, which is a shame. One definition of clinical reasoning is that it is a “complex process that uses cognition, metacognition, and discipline-specific knowledge to gather and analyse patient information, evaluate its significance, and weigh alternative actions” (Simmons, 2009). It’s often used synonymously with with decision-making and clinical judgment. It’s not diagnosis alone, although it includes diagnostic reasoning, and it ...
Source: HealthSkills Weblog - June 29, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Clinical reasoning Professional topics Chronic pain healthcare pain management Source Type: blogs
Gaps, and answering gritty questions
Research journals are full of really interesting studies, but some of the studies I’ve been reading lately seem to lack something. While they’re interesting, they don’t seem to approach some of the gritty questions clinicians need answers to. There are enormous gaps in our understanding of processes of healthcare delivery.
I like to get practical when I want to ponder things. I’ll weed the garden, prune the roses, take some photographs, and recently I’ve even taken to getting out in the garage to carve and sand wood, rip pallets apart – and while I do, I let my mind wander over things th...
Source: HealthSkills Weblog - June 23, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Clinical reasoning Research biopsychosocial Source Type: blogs
Being a Transgender Ally and Unconscious Bias
Regarding the experience of being an ally – one of the best experiences of my professional career – I wish it upon every physician and nurse interested in making humanity a better place for all.
I began working on this back in January, when I put out a call for assistance: Crowdsource Request: Being a transgender ally and unconscious bias | Ted Eytan, MD
Thanks to everyone who offered their help, all outstanding individuals, who willingly shared their wisdom, their stories, their presence in society as examples of the future of health, even in some cases when we’ve never met in person (yet ).
I’ll write more abou...
Source: Disruptive Women in Health Care - June 5, 2014 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Access Advocacy Source Type: blogs
New and Established Patient E/M Definitions (CMS vs. CPT ®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient. Identifying the correct classification will prevent delays or denials of payment. Many evaluation and management (E/M) codes are by definition described as new or established. This lecture will attempt to explain various important clinical aspects related to this determination. Keep in mind while the Centers For Medicare& Medicaid Services (CMS) uses Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT ® definitions. This discre...
Source: The Happy Hospitalist - February 27, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
New and Established Patient E/M Definitions (CMS vs. CPT®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient. Identifying the correct classification will prevent delays or denials of payment. Many evaluation and management (E/M) codes are by definition described as new or established. This lecture will attempt to explain various important clinical aspects related to this determination. Keep in mind while the Centers For Medicare & Medicaid Services (CMS) uses Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT® definitions. This di...
Source: The Happy Hospitalist - February 27, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
New and Established Patient E/M Definitions (CMS vs. CPT ®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient. Identifying the correct classification will prevent delays or denials of payment. Many evaluation and management (E/M) codes are by definition described as new or established. This lecture will attempt to explain various important clinical aspects related to this determination. Keep in mind while the Centers For Medicare& Medicaid Services (CMS) uses Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT ® definitions. This discre...
Source: The Happy Hospitalist - February 27, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
5 Tips for Good Patient Engagement while Using an EHR Software
Electronic medical records offer a number of efficiency and accuracy benefits for physicians offices, but a new study shows tech tools can also reduce patient engagement when not used correctly. During the study, researchers from the University of Wisconsin and Northwest University analyzed 100 doctors visits that involved physicians accessing patient data through electronic health records. Researchers noted that physicians looked at the computer screen for one-third of the visit. The patient also looked at the screen more, even though researchers pointed out that the patients didn't always know what they were looking at.
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Source: EMR EHR Blog for Physicians - February 26, 2014 Category: Technology Consultants Authors: Alok Prasad Source Type: blogs
Focus on ambulatory care on WIHI
Madge Kaplan writes:The next WIHI broadcast — Improving Safety and Satisfaction in Ambulatory Care — will take place on Thursday, November 7, from 2 to 3 PM ET, and I hope you'll tune in.Our guests will include:Gordon Schiff, MD, Associate Director, Brigham Center for Patient Safety Research and Practice, Brigham and Women's Hospital Nicholas Leydon, MPH, Director, PROMISES Project, Massachusetts Department of Public Health Frank Federico, RPh, Executive Director, Strategic Partners, Institute for Healthcare Improvement (IHI) Damian Folch, MD, Family Practice and Lifestyle Medicine (Chelmsford, MA) ...
Source: Running a hospital - November 7, 2013 Category: Health Managers Source Type: blogs
Postnatal Depression Test Pro medical app, review of a postpartum depression screening medical app
The Postnatal Depression Test Pro app provides an electronic version of the EDPS for perinatal care providers and their patients. (Source: The Palmdoc Chronicles)
Source: The Palmdoc Chronicles - October 31, 2013 Category: Technology Consultants Authors: Kelli Barbour MD Tags: App Review App Type Clinical Reference depression app depression screening medical app EDPS EDPS app Family Practice iphone medical apps medical apps for doctors Medical Calculators Medical Specialty Medical/PDA Nurse (RN, LPN, P Source Type: blogs
