Overtesting: Where Do We Go From Here?
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I heard recently about a case of over-testing that seems so typical nowadays that it makes me wonder not just how we got here, but how we go back.   A 9-year-old child comes to the ED with abdominal pain and … Continue reading

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Liability Safe Harbors and Cost-effective Care in Emergency Medicine
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A recent article in the Wall Street Journal by Barbara Sadick entitled “A Push for Less Testing in Emergency Rooms” prompted a pretty interesting discussion amongst members of the Board of Directors of the American College of Emergency Physicians (ACEP); … Continue reading

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Why Don’t Patients Trust Their Doctors Anymore?
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I came across a really good post on The Daily Beast written by a pediatrician in New England, griping (appropriately) about parents who were unwilling to trust his judgment about vaccinating their children.  The led me to ask:  why have … Continue reading

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Is Zero-Mistake Medicine the Right Goal?
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I recently began to key in on a question that has become one of the most important challenges facing health care providers in America and beyond: how do we reduce errors in medical care?   I just heard a really good … Continue reading

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Keeping the ‘Care’ in Healthcare
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I believe the greatest challenge in medicine today is keeping the ‘care’ in healthcare.  One of the most frustrating aspects of practicing medicine for me had to do with how difficult it had become to incorporate caring into my practice.  … Continue reading

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