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Hospitals

The danger of grading doctors …

It goes without saying that caregivers are not interchangeable. Quality matters. What else is there other than our health? From the day I began as a doctor, the absence of a legitimate meritocracy has been a source of inflammation. In 1996, when I started private practice, referrals depended too much on old-boy networks. In 2014, […]

Hospitals

The AMA’s role in maintenance of certification

Andrew Schlafly, attorney for the Association of American Physicians and Surgeons and the group who sued the American Board of Medical Specialties over the Maintenance of Certification process, recently described (video – scroll ahead to 5min, 30 sec) the scene in court: “When I sued the ABMS and six attorneys showed up on the other […]

The new National Coordinator is commissioner of health for New Orleans

Dr. Karen DeSalvo (@KBDeSalvo), the Health Commissioner for New Orleans, who helped rebuild the city’s health system following Hurricane Katrina, has been named the new National Coordinator. The healthcare technology news development came from the Department of Health and Human Services. A statement from Secretary of Health and Human Services Kathleen Sebelius said: “Dr. DeSalvo’s […]

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Why I’m so hard on doctors

A friend recently asked me why I am so hard on doctors. “You write a lot of negative stuff about us,”  he said. That worries me. I am not a nihilist. I believe in what we do. I put doctoring decidedly in the noble category, right alongside teachers. In fact, my attachment to doctoring is […]

Hospitals

Talking sense about the physician workforce

The November Health Affairs theme issue, Redesigning the Health Care Workforce, is especially good. Much of what I’ve seen written elsewhere on the topic focuses on alleviating a (purported) looming shortages of doctors or nurses by training more of them, or by having people with less training than doctors, e.g., NPs and PAs take on […]