Many of you have read my article on
My Headache a Migraine
. Recently I have been approached with questions
from my college campus students regarding their children and the brittle
headaches their kids endure. Two students in particular stated that their child’s
doctor had diagnosed them as having migraines, prescribed the medicine, periactin as needed, but did not explain to them what
migraines in children are really all about.
This is a little disturbing to me, as I feel the more educated my patients are, the better they are able to manage their headaches and lead normal healthy lives.
Doctors Strike Back
much of the controversy surrounding Maintenance of Certification (MOC), is the question of how much, or even
whether, the process as currently structured actually improves physician
performance and/or patient outcomes.
On February 3, 2015, many physicians
received a surprising email from Richard Baron, MD, MACP, president and chief
executive officer of theAmerican Board of Internal Medicine
(ABIM). Referring to the board’s controversial maintenance
of certification (MOC) program, Baron wrote, “ABIM clearly got it wrong.
Two recent studies in theJournal of the American Medical Association
are sparking fresh controversy over the effectiveness of, and need for, themaintenance of certification
(MOC) requirements mandated by the American Board of Internal Medcine (ABIM.)
The studies inJAMA’
s December 10 issue both look at MOC’s impact on the costs and quality of patient care, although in different ways. Thefirst study
led by ABIM’s Bradley Gray, Ph.D., compared costs and outcomes for two
groups of Medicare beneficiaries during the years 1999-2005: one group
treated by internists who received board certification in 1991, and were
thus required to recertify in 2001, and a second group treated by
internists who certified in 1989, and were thus grandfathered out of
ABIM’s recertification requirements.
With their hands basically tied, what doctors didn't have in many states until recently, was the ability to counter sue to win back at least their legal fees after successfully defending a malpractice litigation. It took decades to make changes to tort law, as most congressman lawmakers when not working in congress, are attorneys making money in "trial law". So they always slanted the law toward the consumer to guaranty their cash flow. Yeah, I know!
Remember that most lawsuits are pursued by most people because there is little or no financial risk to them.
We’ve been seeing a lot of NFL players wearing pink this month. Every October, we celebrate our strides against breast cancer and push to make people aware of the disease and help hunt for a cure. Certainly, when efforts such as these have come before, we have been stalwart, and winners against cancer. All one has to do is look back on the 1960’s and see the horrible disease that childhood leukemia was, and now, 95% survival rates and 60% remission rates are the rule. Or how about cervical and uterine cancer, and our success against this one time leading cause of cancer death in women, now controlled.