Internal medicine, American health care, and especially medical education

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Teaching bedside manner

We (the universe of medical educators) have a responsibility to make bedside manner part of our everyday concerns.

Teaching bedside manner

We (the universe of medical educators) have a responsibility to make bedside manner part of our everyday concerns.

Hyperkalemia – why

A 53-year-old man, with a history of DM II, hypertension, depression and hepatitis C,  He is admitted for muscle cramps.

Why the man was jaundiced

What could cause such acute cellular destruction?  When I first heard this presentation at morning report I assumed viral hepatitis. 

A jaundiced man

Here is a puzzle for you to consider.  One of my residents told me that I needed to post more clnical problems.

RUC this

Let me explain.  The RUC has systematically (either with or without malice) over valued procedures and undervalued cognition.

Are we whining about primary care?

I ask how we should modify our system to encourage the growth of primary care.  Money does matter.  To think otherwise is unfortunately wrong.