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Physicians' attire linked to patient satisfaction rates
What can incent a patient to trust a physician, follow her directions, and remember the interaction with satisfaction? One recent study released in The BMJ suggests that a conservative and professional style of dress — complete with the quintessential white coat — is where trust, patient compliance, and patient satisfaction begin. The study finds that the majority of patients prefer physicians in professional attire, as defined within the study as "a collared shirt, tie and slacks for male physicians and blouse (with or without a blazer), skirt, or suit pants for female physicians."
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AAEM Oral Board Review Course — Register today!
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Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.
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Learn more about elections and the AAEM Candidates’ Forum.
Online Learning Library
Superb, AAEM-quality educational content with AMA PRA Category 1 Credits™ available. Online learning optimized for your convenience. Get started today with the 2014 Scientific Assembly or 2014 Written Board Review Course.
AAEM Insurance Program Open Enrollment: Group Personal Excess and Umbrella Liability Policy
The next enrollment period for the Group Personal Excess and Umbrella Liability Policy is under way! This benefit is available to all members of AAEM. The policy provides additional protection above and beyond what is covered by your current auto, homeowners and/or watercraft & recreational vehicle insurance and is underwritten by Crum & Forster Specialty Insurance Company (“A” Rated).
Do You Know PA Fellows in Your ED? Invite them to the PA Challenge Bowl at AAEM15!
We need your help! Join forces with other EM interests and support a PA Fellowship Team for the 2nd Annual PA Fellowship Challenge Bowl. Learn more.
Medicare, Medicaid stay on 'high risk' list
Medicare overpayment issues and poor Medicaid data are two of many problems keeping long-term care's biggest payers on a government watch list of “high-risk” programs, according to a new General Accountability Office report. Improvement will come only through much improved management and oversight, the GAO said. For Medicare, for example, that means improvements in beneficiary use of services and quality of care, and physician incentive payments and profiling. According to GAO researchers, Medicare reported an estimated $60 billion in improper payments in 2014.
Recent CMS policy goals and legislative moves bode well for healthcare IT adoption
The Center for Medicare and Medicaid Services (CMS) recently, and for the first time, set a timetable for accelerating its payment reforms. It announced that by 2018, half of its Medicare reimbursement will shift away from fee-for-service (FFS) to alternative payment models. These alternative payment models can be found in new care practices such as accountable care organizations (ACO) and Patient-Centered Medical Homes (PCMH).
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Bridging the gap between healthcare and community-based health
Health Affairs Blog
It is now commonly accepted that to achieve health, the U.S. health system must address the social determinants of health. While the integration of health care with social services and public health is happening relatively infrequently across the country, one bright spot can be found in Oregon, where an innovative Medicaid health system model, referred to as the coordinated care model, is showing early signs of success in bridging the gap between the community and the health care system.
Potential biomarkers for early diagnosis of acute aortic dissection
Heart & Lung
The purpose of this study was to identify biological markers for early diagnosis of acute aortic dissection (AAD). Seventy-six patients presented to the emergency room with acute chest pain within 6 h of occurrence were recruited for this study, and AAD diagnosed by aortic CTA. Biomarkers were measured by ELISA. ROC curve and Pearson correlation analysis were used to evaluate the sensitivity and specificity to diagnosis of AAD.
Clinical diagnostic approach to congenital agenesis of right lung with dextrocardia: A case report with review of literature
The Clinical Respiratory Journal
Congenital lung agenesis is extremely rare. Although it is often associated with acute respiratory distress and has a high mortality rate, some individuals may remain asymptomatic throughout their life. It is recommended that CT scan is the key diagnostic approach for lung agenesis and invasive diagnostic procedures and prophylactic surgery should not be done in asymptomatic cases.
Unplanned transfers from hospital wards to the neurological intensive care unit
Unplanned transfers to an NICU were common and were associated with a high in-hospital mortality rate. Quality improvement projects should target the triage process and transitions of care to the hospital wards in order to decrease unplanned transfers of high-risk patients to the NICU.
Simulation-based medical education teaches neurology residents how to treat stroke patients
One of the most challenging cases that a first-year neurology resident physician can face is a stroke patient in the emergency department.
The physician must quickly decide whether the patient is a candidate for the clot-busting drug tPA, which can minimize stroke damage. But giving tPA to the wrong patient can make the stroke worse. There's no time to waste, because in one minute, a stroke can kill nearly 2 million brain cells.
Innovation is sweeping through US medical schools
The Wall Street Journal
Critics have long faulted U.S. medical education for being hidebound, imperious and out of touch with modern healthcare needs. The core structure of medical school — two years of basic science followed by two years of clinical work — has been in place since 1910.
Now a wave of innovation is sweeping through medical schools, much of it aimed at producing young doctors who are better prepared to meet the demands of the nation’s changing healthcare system.
Tips to help doctors prepare for meaningful use audits
Given that physicians are chosen for meaningful use (MU) audits at random, the best way to prepare is for a physician to assume they will be audited, according to an article published Jan. 28 in Medical Economics.
The article presents seven strategies to ensure that practices meet the requirements of the MU program, allowing incentive money to be kept.
Study: State faces shortage of specialty doctors
As Florida grows and gets more gray, a shortage of physicians in certain specialty areas could strain the healthcare system, leading to longer wait times, lower-quality care and higher costs.
That's the conclusion of a study released by a group of teaching hospitals, including Orlando Health. The study from the Teaching Hospital Council of Florida and the Safety Net Hospital Alliance of Florida — Orlando Health is a member of both — shows Florida could face a shortage of 6,980 physician specialists by 2025 if current trends continue.
No crosswalk from ICD-9, but ICD-10 is on track for October
By Scott E. Rupp
The "delay ICD-10" proponents have found themselves another piece of ammunition to use in their war against transitioning from the current ICD-9 coding system. The latest development in the never-ending fight against replacing the decades-old version is a new study from Vanderbilt University that suggests that mapping codes between ICD-9 and ICD-10 could be a problem.
New data published in the Journal of the American Informatics Association reviewed 100 patient visits to the Vanderbilt Adult Primary Care Clinic. Visits coded manually with both ICD-9 and ICD-10 did not match when compared with general equivalence mappings and reimbursement mappings.
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