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May 2015 Briefing – Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for May 2015. This roundup includes the...
Low physician spending is contributing to an overall slowing of health care costs

AMA: Physicians Driving the Slowing of Health Care Costs

Physicians' spending grew more slowly over 2003 to 2013 than hospital and clinical spending
Home-based primary care practices vary in terms of size and approaches to quality of care assessment

House Call Primary Care Practices Vary Substantially

One-third of practices use a defined quality improvement process
Sixty percent of clinicians in practices with 26 or more clinicians report use of one of 10 electronic health record products

Large Practices Focused on Small Selection of EHR Products

Sixty percent of responses from clinicians in large practices were from users of 10 EHR products
Understanding the key drivers underlying medical students' distress can help address the issues and enhance student well-being

AMA: Avoiding Distress in Medical School

Drivers of distress include unsupportive learning environment, mistreatment, debt
Three steps that can be implemented by front desk staff can help increase practices' cash flow

Front Desk Staff Has Key Role in Managing Practice Cash Flow

Tips to implement include verification of insurance status, collection at time of service, ease of payment
Multisociety recommendations have been developed to help physicians respond to requests for potentially inappropriate treatments in intensive care units. The policy statement was published online May 15 in the American Journal of Respiratory and Critical Care Medicine.

Recommendations Developed for Responding to ICU Tx Requests

Multisociety recommendations on responding to requests for potentially inappropriate tx in ICU
In a letter to the Centers for Medicare & Medicaid Services

AAFP Urges CMS to Safeguard Continuity of Care for Seniors

AAFP, other groups concerned about commercial entities undermining value of annual wellness visit
For physicians who want to transition to private practice

Tips Provided for Doctors Who Want to Move to Private Practice

Physicians should prepare carefully; consider finances, legal issues, and insurance
Salary disparities exist between male and female internal medicine residency program directors

Gender Salary Gap for Internal Medicine Program Directors

Mode salary for men $200-225,000 versus $175-200,000 for women; difference persisted since 2008