By  | October 30, 2014 |  0
by Dr. Howard Epstein MD, FHM I have practiced medicine for more than 20 years now, and it still amazes me how poorly the health care system meets the needs of those nearing end of life. The chance to do better and help others do so led me to become a hospice and palliative medicine […]
By  | October 29, 2014 |  0
The new SHM/MGMA State of Hospital Medicine (SOHM) report has just been released and as always it is full of interesting nuggets about the way hospital medicine is practiced these days in our country. One fact/trend caught my eye. The number of 7-on/7-off scheduled programs is climbing. In the past two years, we have seen […]
By  | October 28, 2014 |  7
I talk a lot with different physicians about integrating NP/PA providers into their practice.  I am frequently astonished by the level of reluctance, resistance and downright animosity from these physicians.  Many times a doctor will have a medical “horror story” with the NP/PA  playing  the  villain.  One bad encounter or event seems to  justify a […]
By  | October 23, 2014 |  0
Think about that.  The equivalent move for SHM would be $2-3M to promote HM.  That’s a lot of dough. Organizations have tough choices.  Does SHM spend their money on research grants, exam recertification programs, services to members, advocacy in DC, or developing communications platforms (like the blog)?  You may not know it, but choices like these […]
By  | October 23, 2014 |  0
by Joshua Allen-Dicker, MD, MPH I am a young hospitalist who is 16 months into my role at an urban academic medical center. Unlike many of my more-senior colleagues who found their way to hospital medicine by circumstance, luck, or as a second-career path, I have been planning my career in hospital medicine since the […]
By  | October 22, 2014 |  0
by Melinda J. Johnson, MD, FHM, FACP The observation status problem has continued to grow both larger and worse. My hospitalist colleagues and I are caring for patients in hospital beds in the exact same way as other patients in the hospital, but we are told that we must give them the designation called observation […]