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Physicians to spend 26 percent more time on MOC, study says
Medscape (free login required)
For almost 2 years, many internists and internal medicine (IM) subspecialists have bitterly complained that recent changes to their maintenance of certification (MOC) program cost them more time and money but do not make them better physicians.
The Annals of Internal Medicine published a study last week that tried to quantify the extra MOC burden imposed by the American Board of Internal Medicine (ABIM).
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Aug. 18-21: Unmatched Prep for Written Boards — Register today!
Join us for the AAEM Written Board Review Course in Orlando this Aug. 18-21! Up to 27 lecture hours of intense review of EM board materials, taught by experienced emergency medicine faculty. This course is a comprehensive review of emergency medicine for all emergency physicians and is ideal for those taking the Qualifying Exam & ConCert Exam or for physicians seeking quality review materials. Learn more!
Exceptional EM Education — Join us at MEMC-GREAT 2015!
Learn about the Pre-Congress Course Options
Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract and book your hotel! Learn more about MEMC-GREAT competitions.
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.
CLICK HERE to learn more.
Registration now open! — AAEM Fall Oral Board Review Course
Join us for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register.
New Podcasts — Critical Care, Operations Management, and Legal & Policy
New episodes of all AAEM podcast series are now available!
Access all three series at: www.aaem.org/publications/podcasts
- Medical Staff v. Avera Marshall: A New Source of Physician Due Process Rights
- Surgical Airway: Preparedness and Making the Decision
- Common ED Operations Myths - What myths are we facing & what are the best practices to follow?
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Lend Your Voice — Join AAEM & AAEM/RSA Advocacy Day!
AAEM and AAEM/RSA are heading to Capitol Hill to be a voice for emergency physicians. Join us on Sept. 29, 2015, for a full day of Hill activities. Start off with a “Lobbying 101” session and then meet face-to-face with lawmakers under the expert direction of our lobbying firm, Williams & Jensen. We need your support! Register today!
July/August 2015 Common Sense
Browse the latest issue of our member magazine in a convenient online format!
Read the July/August issue today.
Medicare at 50: Medical education funding faces physician shortage problems
As the programs turn 50, Medicare and Medicaid's long role in funding medical education is finding itself stretched thin by looming nursing and physician shortages.
In 2012, taxpayers contributed $15 billion to support residency training, with $9.7 billion coming from Medicare and $3.9 billion from Medicaid. But in the coming years, $15 billion may not be enough.
Dental coverage for patients with Medicaid may not prevent tooth-related ER visits
More than 2 percent of all emergency department visits are now related to nontraumatic dental conditions, according to a study by researchers at Stanford University, the University of California-San Francisco, Truven Health Analytics and the federal Agency for Healthcare Research and Quality.
Although the expansion of Medicaid under the Affordable Care Act has made millions of low-income and rural Americans eligible for health insurance, many states don’t provide dental coverage for adults under their Medicaid programs.
Emergency department intervention does not reduce heavy drinking or partner violence
A brief motivational intervention delivered during an emergency department visit did not improve outcomes for women with heavy drinking involved in abusive relationships, according to a study in the Aug. 4 issue of JAMA, a violence/human rights theme issue. There is a strong and reciprocal association between two highly prevalent public health problems: intimate partner violence (IPV) and heavy drinking. Each risk individually represents major costs to individuals, families, and society.
Medical scopes and superbugs: Infection risk greater than previously thought
A duodenoscope linked to a recent outbreak of a lethal antibiotic-resistant superbug isn't the only medical scope that may be the source of deadly infections. In fact, the risk of a serious infection from contaminated medical scopes is much broader than previously thought. Although infection experts have warned over the years that many endoscopes can remain dirty even after following the manufacturer's cleaning guidelines, some of those concerns were ignored.
Blood test predicts prognosis for traumatic brain injuries
A new blood test could help emergency room doctors quickly diagnose traumatic brain injury and determine its severity. The findings, published July 10 in the Journal of Neurotrauma, could help identify patients who might benefit from extra therapy or experimental treatments. "Compared to other proteins that have been measured in traumatic brain injury, BDNF does a much better job of predicting outcomes," says Frederick Korley, M.D., Ph.D., an assistant professor of emergency medicine at the Johns Hopkins University School of Medicine and first author of the new paper.
Seniors' inability to assess their mobility tasks may lead to hospital readmission later on
Many seniors who visit emergency departments require more assistance with physical tasks than they think they do, which may lead to hospital readmission later on. The results of the study were published online in Annals of Emergency Medicine. "Ensuring that older adults discharged from the emergency department are able to safely function in their home environment is important because those who are unable to function safely at home are at risk for falls and return ER visits," said lead study author Timothy Platts-Mills, M.D., MSc.
3 ways to improve communication and care coordination — from the patient and family's perspective
It's easy to write about the importance of effective provider-patient communication and care coordination. How fragmented care causes patients frustration, fear and can lead to readmissions. But it's another matter entirely to attempt to navigate the healthcare system and experience the lack (or at least perceived lack) of care coordination first-hand.
My family's tale began earlier this month when a relative, who falls in one of Medicare's most vulnerable populations, needed emergency surgery.
The impact of health IT on workflow
By Scott Rupp
A new report by the Agency for Healthcare Research and Quality examines the enhanced understanding of the causal relationship between health information technology implementation and various ambulatory care workflow aspects. The report was conducted across six ambulatory care practices from across the United States, and reviewed health systems that had implemented different health IT products or systems.
Missed last week's issue? See which articles your colleagues read most.
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