A Teaching Internist
Blog Address: http://blogs.medscape.com/robertcentor
May 29, 2010

Mad About Lack of #docfix

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 –


Posted By: Robert Centor  

May 24, 2010

May 20, 2010

SOAP notes and the 10pt ROS

@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...

Posted By: Robert Centor  

May 15, 2010

What is Primary Care?

Here is a challenge for you.  Approach several of each of these categories and ask them what primary care is:

  1. Outpatient internists

  2. Inpatient internists

  3. Family physicians

  4. Nurse practitioners

  5. Medical subspecialists

  6. Surgeons

  7. Patients

  8. Health administrators

  9. Ins...

Posted By: Robert Centor  

May 12, 2010

Town and Gown

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...

Posted By: Robert Centor  

May 6, 2010

Abusing the Commons

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...

Posted By: Robert Centor  

May 1, 2010

SGIM 2010 - many conversations lead me to ask what should an outpatient internist do

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...

Posted By: Robert Centor  

April 29, 2010

SGIM 2010 - the "precourse" day

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.


Posted By: Robert Centor  

April 25, 2010

Day 3 - #IM10 - ending thoughts

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.

In between I went to an interesting discussion of leadership in medical education.  This lecture/discussion review one of the books in the new

Posted By: Robert Centor  

April 23, 2010

Day 2 - #IM10

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:

  1. Treating anemia with erythropoietin can increase the risk of stroke

  2. A...

Posted By: Robert Centor  

About This Blog

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.

  • Robert Centor

    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.


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