To encourage primary care careers, medical schools are offering students shortened specialty rotations in favor of fast-track graduation, half-tuition forgiveness and having students follow patients wherever they go in the health system. Different teaching models emphasize continuity of care over snapshots of diagnoses, and place students in the clinics where they can fulfill the nation's need for rural care.
Walter Reed's infectious disease unit travels the globe to identify and combat the world's deadliest infectious diseases. Driven to find vaccines that protect troops stationed overseas, the work quickly benefits civilian populations, too.
Little data supports the use of genomic testing for subjects such as warfarin dosing. Paradoxically, that lack of evidence leaves open the potential for the misuse of direct-to-consumer genomics tests for fun, or for their premature adoption by clinicians.
A primary care doctor measures the benefits that he can provide to his patients: continuity of care and a complete "story" to tell about each one.
Every Congress has made its mark on Medicare since the program's inception in 1965. Success or failure for health care reform isn't the end of the journey, but another milestone.
True North Health Center in Maine surveyed every patient who came through their doors from March through May last year to let each if its 28 practitioners know outcomes for each provider. Proprietary surveys are expensive, so they turned to ACP's tools. The results helped those performing best to teach their peers about best practices.
CMS stopped recognizing CPT consultation codes and issued instructions to physicians only a few days before the new policy took effect. ACP's practice management staff digest what internists need to know to stay atop of billing for 2009, documentation, the "3-year rule" and cross-walks for services previously billed as consultations.
Warnings, label changes, recalls, and approvals.
A 30-year-old woman is evaluated in the emergency department of a community hospital for a 2-week history of fatigue, malaise, low-grade fever, and intermittent epistaxis. Her husband states that she has been forgetful and occasionally confused during this period. Physical examination reveals bruises over the upper and lower extremities and palatal petechiae. Laboratory studies indicate a hemoglobin of 7.2 g/dL (72 g/L), leukocyte count of 9600/##mu;L (9.6 ##times; 10/L), platelet count of 12,000/##mu;L (12 ##times; 10/L), and serum lactate dehydrogenase concentration of 1700 U/L. The peripheral blood smear is shown. Plasma exchange is unavailable. What is the most appropriate next step in management?