Performance measurement and the new cholesterol guidelines
We once gave estrogen to post-menopausal women to prevent heart disease, now we avoid them to prevent heart disease.
Greatly improved new statin guidelines – with one exception
Overall the panel deserves a strong B+. They could have received an A if they had not tried so hard to include large numbers.
What is paternalism?
My friend and ACP senior staff advocate on public policy – Bob Doherty – has a response to my recent blog post about political philosophy.
Why such differing opinions on the ACA?
The philosophical divide is deep. While the old system had losers, the new law creates different ones, impacting fairness and elections.
Dueling opinions on individual insurance cancellations
Reading the article should stimulate your thoughts. I would love to read your personal recollections of tough teachers and how they impacted your career.
Dueling opinions on individual insurance cancellations
I want this to work, but the individual cancellation story (started by investigative reporting at the LA Times) does bother me.
Thoughts on diagnosis – reflections of #SIDM2013
Having spent the past 2 days at the 6th annual Diagnostic Errors in Medicine Conference, many thoughts have percolated as I reflect on the meeting.
Teaching medicine requires teaching thinking
Great medicine occurs when the clinician knows enough to either proceed or know that they need another physician to help.
Satisfaction – not a useful quality measure
Satisfaction on the surface should be a great quality measure. It should reflect bedside manner, which we all know is most important.
The P4P debate
The con side is well done, however, it does miss a major point. Performance is too complex to summarize in measures.