Enjoy our most current issue of the most popular medical e-newsletter on the internet.
Blogs and Thoughts for January 4th to January 10th, 2018
Here is what we had this past week:
- More Family Docs Do Not Recertify
- Ridiculous Study of the Week: Retirement Plans
- Oh, So It’s My Fault? by Pat Conrad MD
- Founder of Generic Drug Maker Murdered
- The ACP Now Wants in on Physician Burnout
- Friday Funny: What Would Dr. Jerry Maguire Say If He Was A DPC Doc?
- Quote of the Week: D.L. Moody
1. More Family Docs Do Not Recertify
January 10, 2018
Medscape put out a bogus article about board recertification and tried to pass it off as a quality study. The authors of the initial study in the Annals of Family Medicine are perplexed as to why not as many doctors are recertifying for their boards. Here are the numbers:
Among family physicians originally certified through the American Board of Family Medicine (ABFM) between 1980 and 2000, 5.6% never tried to get recertified, researchers have found.
That rate, among the 51,678 family physicians included in a new study, increased from 4.9% for those initially certified between 1990 and 1995 to 5.7% from 1996 to 2000,
Instead of getting to the real cause these idiots hypothesize:
The researchers report their findings, which have implications for the growing primary care shortage and burnout, online January 8 in the Annals of Family Medicine.
“We hypothesize that certification attrition is a transitional step between burnout and leaving the primary care workforce although future studies should elucidate the relationship,” the authors write.
They add that understanding why some physicians leave the certification process is also important because “board certification has been associated with benefits, such as improved clinical knowledge, higher quality care, and less disciplinary action.”
These “hypothesis” really smelled biased to me because almost EVERY family doctor thinks the MOC is a scam. And so I went and found out why it smelled like crap and here it was in the footnote of the study:
Conflicts of interest: Drs. Peterson and Puffer are employed by the American Board of Family Medicine.
Funding support: The Robert Graham Center received support for this study from the American Board of Family Physicians in the form of a contract for ongoing collaborative research.
This study was DONE BY THE ABFM! And the AAFP is promoting this article!! Why? See below:
The authors write that ABFM is trying several things to lower the attrition rate. One is promotion of the PRIME Registry, a tool to improve population health and clinician performance by turning electronic health record data into reportable measures. It has the potential to simplify reporting for certification and payment of fees.ABFM is also partnering with the American Academy of Family Physicians to assess for burnout and provide resources for those at risk.
More proof that the AAFP is benefitting from the ABFM MOC process. Partners in crime until the end. We all need to stop supporting them!
2. Ridiculous Study of the Week: Retirement Plans
January 9, 2018
I get a lot of medically related material sent my way but it was a down week so I happened to open up an MDLinx link. I wish I hadn’t. The title of the piece was Retirement plans vary by physician specialty, according to MDLinx survey results where they broke down survey responses by specialty, “to get a clearer picture of the various groups of physicians and their plans and reasons for retirement”. Interesting, I thought, until I looked at the results. They got information from 8 dermatologists, 7 oncologists, 15 ophthalmologists, 32 pediatricians, 21 Ob-Gyns, 4 pulmonologists, 3 GI docs, 4 allergists, 8 nephrologists, 7 rheumatologists and 1 partridge in a pear tree.
Really? How could this survey mean anything with these few respondents? I can basically get the same amount of replies by going to a hospital staff meeting. I’m kidding. I would never go to a hospital staff meeting, but you get my point. For this reason, MDLinx wins the award for the Ridiculous Study of the Week. Congrats. Now I will never open up another one of their emails.
Sorry to waste your time.
3. Oh, So It’s My Fault? by Pat Conrad MD
January 8, 2018
The first week of 2018, and I’m already weary of the same old misinformed, deceitful “journalist” claims about the medical profession and health care in general.
Writer Christian Barnard op-eds in the Washington Examiner that, “Thanks to doctors, there aren’t enough doctors.” While shaking his fist at the future, Barnard presents not a single new fact or thought from the past. “[Doctors] limit the supply of doctors to keep salaries high, and use legislation to shut out competition from other medical professions.” (And he repeats the usual cry about the U.S. lagging behind other developed nations in quality measures.)
The distillate is that doctors are bad. They tried to limit their own supply over a century ago, tried to kill managed care, and too many of them want to get rich as unnecessary specialists.
Is Barnard truly ignorant, or simply dishonest in pushing an accepted party line? He claims, “The thin supply of physicians drives up costs. U.S. physicians make twice as much as the average developed-world physician.” But he is applying the basic economic principle to an artificial context that ignores economics. Costs are far more a function of price inflation (caused by government interference/entitlements), premium spikes (government-Big Insurance cronyism), counterproductive administrative overhead (government, Big Insurance, hospital corporations), and defensive medicine (hug a lawyer). If greedy doctors are to blame for cost increases, then how could he explain the success of DPC? A rhetorical question of course, because truly market-driven medicine will not enter into Barnard’s (third) worldview. He cries about physicians lobbying in favor of capping Medicare funds for residency slots in 1997. Barnard does not have the imagination or honesty to question why it’s up to the federal government to fund residency slots in the first place, and how this invited AMA corruption.
Another thing Barnard can’t grasp is that greedy doctors, including evil specialists, can’t really set their own costs as he imagines. Most have to work within price caps established by the parties he ignores, thus having to see more and more to make their obscene profits. If docs were truly able to jack up prices they way he implies, they would lobby like hell for fewer medical school slots, double current prices, and work half as hard.
In the same breath, this unoriginal parrot complains about the lack of primary care doctors, and how doctors “restrict the scopes of practice of nurse practitioners, midwives, physician assistants, and other mid-level healthcare professionals.” So while this clearly overpaid scribe whines that doctors make too much, he wants more docs, who he will seek to pay on a socialized medicine scale, while putting them in competition with LELT’s.
The whole thing is one more appeal for lower cost, limited access, government-run everything. Nothing new here. And when Mr. Barnard develops acute urinary retention from an overly large prostate, unfixable by a primary care tech in the clinic, may he enjoy his ER wait for an overworked, underpaid urologist.
4. Founder of Generic Drug Maker Murdered
January 7, 2018
He also feared retaliation from rivals. “The branded drug companies hate us,” he said in an interview excerpted in a 2001 book by Jeffrey Robinson. “They have private investigators on us all the time. The thought once came to my mind, why didn’t they just hire someone to knock me off?”
Dr. Sherman, 75 years old, and his wife, Honey, 70, were found dead in mysterious circumstances at their Toronto mansion Dec. 15. The police have said they died of “ligature neck compression,” a type of strangulation. The deaths remain under investigation.
Could Big Pharm have knocked him off? It is kind of weird. The tragedy was first publicized as a murder-suicide but now the police are calling it a homicide. Therefore it was made to look like a murder-suicide, which means it was done by professionals. It was a hit. Hmmmm. I don’t want to point fingers and I am not a conspiracy, buff but I don’t trust anyone. Those with power don’t like the little guys pushing back.
5. The ACP Now Wants in on Physician Burnout
January 6, 2017
I have mentioned before how the AMA and the AAFP have suddenly jumped in on the “physician burnout” bandwagon. Well, the American College of Physicians just realized there is a money train here as well and don’t want to be left out:
Led by the Physician Well-Being and Professional Satisfaction Task Force, the program will provide the tools and programs for individual members, their practices, and ACP Chapters to improve practice efficiencies, reduce administrative burdens, and ultimately combat burnout.
“It is critical to address the many factors that can lead to professional dissatisfaction, burnout, depression, and suicide among physicians,” ACP’s Board of Regents Chair Susan Thompson Hingle, MD, MACP, stated in a press release. “The ACP is committed to helping internists experience greater fulfillment by identifying, promoting, and disseminating approaches to improve the practice environment so that they can better serve their patients.”
A key component of the initiative is establishing a team of ACP Well-Being Champions to share strategies, provide peer coaching, and create a deeper awareness of issues in the field.
Good for them. I will say the same thing about the ACP as the AAFP and AMA. You all agreed to EVERY mandate that has caused burnout. You were warned this would happen and now you want to come in like the cavalry to save us? Shame on you all. And isn’t it funny that you will ignore your role in causing this burnout problem and yet create programs to make money off of us?
You all need to go away. You are not fooling anyone. You are all frauds.
6. Friday Funny: What Would Dr. Jerry Maguire Say If He Was A DPC Doc?
January 5, 2017
Let Dr. Jerry Maguire push you over the edge. [WARNING: EXPLICIT LANGUAGE at end of this clip. May or may not be appropriate for your sensibilities, place of work or household]
The Direct Primary Care Alliance is a grassroots organization providing vision, leadership, and guidance to the DPC community through physician-led education, mentorship, advocacy, and organizational intelligence.
7. Quote of the Week: D.L. Moody
January 4, 2017
“Our greatest fear should not be of failure, but of succeeding at something that doesn’t really matter.”
UNTIL NEXT TIME, KEEP SMILING, KEEP LAUGHING AND KEEP OUT OF THE SAMPLE CLOSET!
Douglas Farrago MDTweet