Westby G. Fisher, MD

Westby G. Fisher, MD, FACC is a board certified internist, cardiologist, and cardiac electrophysiologist (doctor specializing in heart rhythm disorders) practicing at NorthShore University HealthSystem in Evanston, IL, USA and is a Clinical Associate Professor of Medicine at University of Chicago's Pritzker School of Medicine. He entered the blog-o-sphere in November, 2005. He writes regularly at Dr. Wes. DISCLAIMER: The opinions expressed in this blog are strictly the those of the author(s) and should not be construed as the opinion(s) or policy(ies) of NorthShore University HealthSystem, nor recommendations for your care or anyone else's. Please seek professional guidance instead.

Posts by Westby G. Fisher, MD

Daily

Is the Doc Fix fine print so bad even a doctor would vote against it?

It was like magic, a vote was held in the House of Representatives on the Medicare “Doc Fix” and moments later, my inbox was filled with press releases from the American College of Cardiology and the AMA. A few seconds later, a somewhat more tempered press release from AARP arrived, urging more revisions to the […]

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Hospitals

Maintenance of Certification: Do we really need it at all?

Last week was a remarkable one for practicing US physicians.  It was when two articles appeared side by side in the New England Journal of Medicine: one promoting the American Board of Medical Specialties’ Maintenance of Certification® (MOC) program, and another that thoroughly debunked it.  The comments placed to the stories told a story of […]

Hospitals

Heart doc calls for a time-out for ABIM MOC Mandate

From theheart.org (registration required), John Mandrola, MD calls for a “time-out” for the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) mandate:The matter for debate is whether the ABIM method – and to be frank, it’s arm-twisting tactics – is the best means to achieve physician quality. Doctors are taught to be skeptical […]

Hospitals

The business of testing physicians

If you want to understand the world of professional board certification, it is important to understand the business and politics of testing professionals. Such testing is big business. So big in fact, that huge international media and education companies that trade on the New York Stock Exchange have been created to service this need. According […]

Hospitals

Doctors as drug reps: ‘God help us’

There’s a new gig for doctors – as drug rep: “Because they will be employees of Glaxo, the company won’t have to report payments to doctors under the so-called Sunshine Act in the U.S. that requires such disclosures. On the other hand, their credibility may be questioned, and they won’t be able to answer questions […]

Hospitals

How much do doctors really earn? (Infographic)

I found this infographic (see below) interesting for several reasons. The information puts the high US physician salary touted by the mainstream media and political policy makers in perspective with other countries when time spent providing care is considered. However, the data presented in this infographic also address the important issue of training debt that […]

Devices & Diagnostics

St. Jude issues ‘Dear Colleague’ letter regarding older pacemakers during surgery

On 29 January 2014, St. Jude Medical issued a “Dear Colleague” letter regarding their review of incident reports on older-model pacemakers (Affinity, Entity, Integrity, Identity, Sustain, Frontier, Victory and Zephyr models) that occasionally dropped their output voltage during surgical electrocautery. (Here’s a publication describing two such cases.) Several issues regarding this advisory letter are troubling. […]