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October 2015 Briefing – Internal Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for October 2015. This roundup includes the...
Displaying order prices to physicians seems to reduce order costs

Displaying Prices to Providers Seems to Reduce Order Costs

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Review shows price display decreases aggregate order costs more frequently than order volume
According to the American Medical Association

Competition for Fellowships Broke Records in 2015

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One-quarter of applicants did not didn't receive a position
About 20 percent of U.S. pediatricians regularly drop families who refuse to have their children vaccinated

One in Five Pediatricians Drop Families Who Refuse Vaccines

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Experts say deep philosophical differences, concern for other young patients may explain why
There has been a 25 percent increase in the number of medical school enrollees since 2002

Increasing Numbers of Med School Applicants, Enrollees

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Med school classes continuing to diversify, with increases in nearly every racial/ethnic category
A considerable proportion of federal marketplace plans lack at least one in-network specialist

Nearly 15 Percent of Plans Lack In-Network Specialists

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Most commonly excluded specialists are in endocrinology, rheumatology, and psychiatry
The importance of thanking patients for coming to see you

Physician Emphasizes Importance of Saying Thank You

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Doctor reports feeling deeper connection to his patients; improvement in patient satisfaction score
Markets with greater increases in physician-hospital integration show greater increases in spending for outpatient care

Outpatient Spending Higher With Physician-Hospital Integration

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Authors say increased spending attributable to price increases, not utilization changes
The pros and cons of the annual physical are discussed in two perspective pieces published online Oct. 14 in the New England Journal of Medicine.

Pros and Cons of Annual Physical Discussed

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Pros include fostering of therapeutic relationship; cons include lack of evidence for benefits
More than half of American doctors do not feel confident that they can spot the reason for a stroke that strikes in the absence of a clearly established cause. The survey results were to be reported Friday at the American Heart Association and the American Stroke Association-sponsored Cryptogenic Stroke Public Health Conference in Washington

Many Doctors Struggle With Treating Cryptogenic Stroke

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Between 51 and 70 percent of survey respondents say they do not feel confident