Enjoying Alabama ACP at the beach despite: Politics and the SGR
The Alabama Chapter of the ACP is meeting in Orange Beach. I type this missive in my room overlooking the beach with no oil visible in our water. The chapter meeting is great as always, but having our ACP President (Fred Ralston) here adds a wonderful extra benefit.
Fred gave a wonderful update on health care reform first, and then he addressed the SGR folly. Sitting next to him, I watched his Blackberry flying with emails as he approved the important following statement – ACP Statement on Congress’ Failure to Stop Medicare Physician Payment Cuts
The statement starts –
DrRich with his expected wisdom and sarcasm tells a wonderful story about th...
@yejnes : Just saw term "ten point review of systems" in another office note. Why does that remind me of what you get at a Jiffy Lube with each visit?
Once upon a time we wrote medical notes to document the patient's status, our analysis and our plans. Today we write notes to meet documentation requirements. Back in the 70s when I learne...
Here is a challenge for you. Approach several of each of these categories and ask them what primary care is:
- Outpatient internists
- Inpatient internists
- Family physicians
- Nurse practitioners
- Medical subspecialists
- Health administrators
Yesterday I wrote this post on my other blog (db's Medrants) =
I received a wonderful inquisitive email from a 1st year medical student. He aspires to an academic internal medicine career and as a non-traditional student with an MPH has realistic goals. He asks:
What scares me is the prospect of going into a relatively low-p...
Medicare has greatly helped those over than 65. We have universal health once you reach that age. That program comes with abuses.
Long time readers will remember that I have discussed the Tragedy of the Commons. Too often Medicare leads to this problem.
I am currently on a golf vacation in Pinehurst. Yesterday...
Most readers know that I love to stir controversy. Today I plan to start a big one.
I have spent most of the past 2 weeks on the road - first at ACP and this week at SGIM. I have talked with many internists, but several conversations have contributed to writing this post. Each of several leaders contributed to these ideas, but I will keep them anonymous so the inn...
After a day and a half in my home state, I went back on the road. Back to back meetings are brutal, but I love both meetings. SGIM - the Society of General Internal Medicine - is the place where I developed my academic career and where I have many long time friends. I can walk seconds before I see someone that I just must talk with.
I was back to busy yesterday at IM10. We had an organizing meeting of the Membership Committee at 7, the business meeting at 12:45 and a Board of Regents meeting at 2:00.
Today was much less tiring. I went to several sessions and attended a committee meeting.
This morning I went to an update in nephrology. Since I keep up with the nephrology literature, I did not learn a great deal. Here were some big points that I would emphasize:
- Treating anemia with erythropoietin can increase the risk of stroke
Internal medicine remains a passion after 35 years. This blog will reflect on facets of learning internal medicine and will also address the present and future of this important field.
Dr. Robert Centor is Associate Dean of the Huntsville Regional Campus of the University of Alabama at Birmingham School of Medicine. A general internist, Dr. Centor is a past President of SGIM and currently a member of the ACP Board of Regents.