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Category Archives: Medical Professionalism in Practice
On July 28, my wife’s brother, Marcos, died from cancer at the age of 58. He died at home under hospice care and was heavily sedated over the last weeks of his life. Marcos had undergone two chemotherapy regimens and one experimental treatment. His doctor was exemplary – she provided the best treatment options yet […]
One of my relatives has metastatic cancer. He has several tumors in his body, one of which measures five centimeters. Two chemotherapy regimens have failed to beat back the disease. Yet, when he’s not in treatment and has no pain, he is able to go about the daily activities of his life, even going to […]
Regular readers of this blog know I support the adoption of lean methodology to eliminate health care waste. So, it was with great pleasure that I accepted an invitation from Oregon Health & Science University’s (OHSU) Chief Medical Officer (and my friend), Chuck Kilo, to visit his academic medical center and speak about Choosing Wisely®. […]
A section of the tabloid, US Magazine, called “Stars – They’re Just Like Us”, shows pictures of celebrities doing mundane activities like walking the dog or taking out the garbage. This helps to remind us that, just like the average Joe, they walk their dogs and take out the garbage and— because they are people, […]
How is it that when the health care system is going through needed and positive changes, people like Pamela Hartzband and Jerome Groopman write an opinion piece in The New York Times in which they profess a longing for the “good old days” before measurement? For a moment, let’s go back to those old days. […]
Most issues in health care are replete with nuance rather than absolutes. I was reminded of this recently at the National Physician Alliance’s (NPA) 2014 Annual Conference & Transforming Healthcare Summit. NPA is considered a “progressive” physician leadership organization. It champions transparency in the disclosure of conflicts of interest, health care reform and avoiding waste […]
As a physician, is it possible to remain professional and market yourself? While it is understandable that physicians and physician researchers need to promote themselves to get jobs, patients, research grants etc., it should never come at the cost of patient care or trust.
“Outrageous!” was the reaction of some physician leaders to a recent article in The New York Times by Elisabeth Rosenthal entitled After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know. In the piece, Rosenthal tells the story of a patient negotiating charges for his neck surgery to correct herniated disks even as he […]
I recently met with former CEOs of prepaid group practices (PGPs) that were part of the early years (1984-2000) of the HMO Group—now the Alliance of Community Health Plans—a coalition of not-for-profit, pre-paid group practices. (I was the first president and CEO.) One of the most notable accomplishments of this alliance back then was the […]
This week, I participated in a tweet chat (#BopChat) hosted by the Commonwealth Fund (@commonwealthfnd). The event, “Incentives 2.0: Thinking Beyond Financial Rewards & Penalties,” echoed the theme of the 2013 Foundation Forum and I looked forward to sharing some of the takeaways from that meeting as well as hearing from others on the subject.