Tag: doctors

Posted on April 1, 2016

Longitudinal Study Evaluating the Association Between Physician Burnout and Changes in Professional Work Effort: Tait D. Shanafelt, MD; Michelle Mungo, MBA; Jaime Schmitgen, MPA; Kristin A. Storz, MA; David Reeves, PhD; Sharonne N. Hayes, MD; Jeff A. Sloan, PhD; Stephen J. Swensen, MD; and Steven J. Buskirk, MD

Abstract Objective: To longitudinally evaluate the relationship between burnout and professional satisfaction with changes in physicians’ professional effort. Participants and Methods: Administrative/payroll records were used to longitudinally evaluate the professional work effort of faculty physicians working for Mayo Clinic from October 1, 2008, to October 1, 2014. Professional effort was measured in full-time equivalent (FTE) […] Read More

Posted on October 18, 2015

CASE MANAGEMENT- WHAT IT IS AND HOW IT IS DONE FOR PATIENTS WITH ADDICTIONS

Case management involves a range of functions: Screening involves identifying whether someone might have a substance use problem and should have a comprehensive assessment. It may make use of a standardized instrument. Assessment identifies and defines a client’s major strengths and needs, characteristics and problems. Its goal is to generate the information necessary to refer […] Read More

Posted on October 16, 2015

COGNITIVE BIAS IN DIAGNOSIS:

Cognitive bias is a way of thinking that influences reasoning and decision making, sometimes resulting in inaccurate judgments. Cognitive biases (distortions of thinking) and affective biases (intrusion of the physician’s feelings) may interfere significantly with reaching a correct diagnosis. In recent years, many cognitive psychologists and physicians have studied diagnostic reasoning and decision making. What […] Read More

Posted on July 5, 2015

WHAT TO DO IF YOU ARE STUCK WITH A BIG U.S. HOSPITAL BILL: Raymond Rupert MD. MBA. Rupert Case Management Inc.

THE PROBLEM: A number of Canadians end up in hospitals in the U.S. Many of them are either uninsured or under-insured. The result is that they end up stuck with a big hospital bill. The bills are a lesson in humility. One night in the ER results in a bill of $32,000.  A fractured femur […] Read More

Posted on November 1, 2014

WHEN NO ONE IS DRIVING THE BUS, PATIENTS ARE UP THE CREEK WITHOUT A PADDLE:

Veronica was  a very complex young lady. She was 32 and had type 1 diabetes. She had a serious motility (motor) disorder of her colon. Her gut did not move food contents along from top to bottom, in the way that it should. This lead to a number of serious complications including persistent vomiting and […] Read More

Posted on May 11, 2014

A HEALTHCARE SYSTEM GONE AWRY:

Controlling costs is essential for all healthcare systems.  How costs are controlled is key. Here is a case study of a healthcare system gone awry in its efforts to control costs. Case Study: Bill is a 69 year old Israeli citizen. Originally from Ohio, he came to work in Israel about 35 years ago. He […] Read More

Posted on December 11, 2013

DESIGNING EXIT STRATEGIES IN THE MIDST OF CHAOS:

End of life management can become very complex because of the deep emotions involved, the uncertainty of the outcome, and the conflicting ideas about how to best manage the patient Case Study: The client was an 91 year old grandmother who had been in the ICU for 10 weeks. She had irreversible multi-system failure.  There was […] Read More