Few Young Doctors Are Training To Care For U.S. Elderly

http://www.healthleadersmedia.com/physician-leaders/few-young-doctors-are-training-care-us-elderly?spMailingID=9208161&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=961199903&spReportId=OTYxMTk5OTAzS0#

“With the growing elderly population across America and West Virginia, obviously we need healthcare providers,” Goldberg said. That includes geriatricians — physicians who specialize in the treatment of adults age 65 and older — as well as nurses, physical therapists and psychologists who know how to care for this population.

“The current workforce is inadequately trained and inadequately prepared to deal with what’s been called the silver tsunami — a tidal wave of elderly people — increasing in the population in West Virginia, across America and across the world really,” Goldberg said.

The deficit of properly trained physicians is expected to get worse. By 2030, one in five Americans will be eligible for Medicare, the government health insurance for those 65 and older.

How One Doctor Realized He Was His Own Biggest Management Problem

http://www.chcf.org/articles/2016/06/how-one-doctor-realized

Geoffrey Leung

http://www.chcf.org/projects/2009/chcf-health-care-leadership-program

Oh, the things they don’t teach you in medical school. . . .

Every practicing physician carries around a list of blunders, miscommunications, errors, and missed chances — a pile-up of regrets and lessons learned the hard way. These doctors carry on by doing the very thing that propelled them through med school and residency: toughing it out, pushing through the next obstacle to achieve their goal. It can sometimes feel like a Pyrrhic victory.

The road can get really rough in the middle of the journey. Frustrations mount, hopes darken — especially for physicians moving into leadership roles. The pressures from all sides can drain the satisfaction out of a career in medicine, leading to depression, lousy home life, self-defeating workaholism, and ultimately, professional burnout.

That’s what Geoffrey Leung, MD, was at risk of experiencing when he applied for the California Health Care Foundation’s leadership program two years ago. Now finishing up his second and final year in the fellowship, Leung wants other aspiring physician leaders in California to know there’s a path out of the swamp.

Drop in Percentage of Physicians Participating in Medi-Cal Raises Red Flags

http://www.chcf.org/aca-411/insights/physician-participation?_cldee=aGVucnlrb3R1bGFAeWFob28uY29t

Physician Participation in Medi-Cal from 2013 to 2015

The share of physicians accepting new Medi-Cal patients is an indicator of the program’s capacity to meet demand. If a decreasing share of participating physicians are willing or able to take new Medi-Cal patients, beneficiaries in the program may have trouble getting the care they need. The proportion of physicians accepting new Medi-Cal patients has historically lagged behind the proportion accepting new patients covered by Medicare, which has a higher reimbursement rate, as well as behind the proportion accepting new patients with private health insurance.

New 2015 data now available on ACA 411 show the percentage of physicians participating in Medi-Cal has declined since 2013 — during the same period Medi-Cal enrollment skyrocketed by 39%. This raises serious concerns about whether the supply of physicians participating in Medi-Cal can meet the increased demand.

Physicians’ willingness to treat Medi-Cal beneficiaries is critical to ensuring Medi-Cal enrollees have adequate access to care. Without a sufficient number of doctors serving Medi-Cal beneficiaries, Medi-Cal enrollees may not be able to receive care in a timely manner. Beneficiaries may delay seeking needed care with disastrous effects or may end up receiving care in more costly settings.

 

Radiologists Take On Bigger Role in Diagnosing

http://www.wsj.com/articles/radiologists-take-on-bigger-role-in-diagnosing-1468261106?utm_campaign=KHN%3A+First+Edition&utm_source=hs_email&utm_medium=email&utm_content=31540667&_hsenc=p2ANqtz-_0Pi-yLJKkgRXeSz30YgGrRQJo-l6X7K8_V5U8he3tQDl1M1kRhpstr8Ok1FboF5hRM12Pdh6HySpemIkTlJVY7kWWig&_hsmi=31540667

Dr. Michael Recht, head of radiology at NYU Langone, has been working to more closely integrate his fellow radiologists with the hospital’s clinical teams. Radiologists shouldn’t simply interpret images but should also help with medical decision-making.

The doctors who interpret imaging scans have begun working more closely with physicians who make medical decisions for patients at NYU Langone Medical Center.

Knowing How Doctors Die Can Change End-Of-Life Discussions

http://www.npr.org/sections/health-shots/2015/07/06/413691959/knowing-how-doctors-die-can-change-end-of-life-discussions

A family portrait of Nora Zamichow, husband Mark Saylor and their daughter, Zia Saylor.

How Doctors Die

 

Mr. Trump, Here’s Some Health Policy Advice — From a Physician

http://www.medpagetoday.com/Blogs/KevinMD/57318?xid=fb_o_

hospital-money

Free-market healthcare won’t last long in modern society, says Saurabh Jha, MD

California Nurse Practitioners Lose Battle For Independent Practice, Again

California Nurse Practitioners Lose Battle For Independent Practice, Again

Neonatal-Nurse-Practitioner

Expanding the medical role of nurse practitioners has long been opposed by doctors – some say for economic reasons. Proponents of the idea say it can help address the shortage of primary care doctors in the state by making treatment more accessible — and more affordable.

Under current state law, nurse practitioners can independently provide basic primary care, such as assessing a patient’s health status or diagnosing ailments. But they must follow physician-approved guidelines to prescribe medication, order tests or otherwise manage patients.

Nurse practitioners are among the most highly trained nursing professionals and must have at least a master’s degree. Registered nurses, are only required to hold an associate’s degree at minimum, and they don’t diagnose or prescribe on their own. Nurse practitioners say they provide quality care that’s comparable to that provided by physicians. They want California lawmakers to allow them to practice without the supervision of a doctor.

ProPublica: For-profit southern hospitals host to most industry payments

http://www.healthcaredive.com/news/propublica-for-profit-southern-hospitals-host-to-most-industry-payments/421832/

Cash in Hand

The subject raises debate due to studies that have identified an association between industry payments and higher rates of brand-name prescribing, ProPublica reported, with some advocates arguing for limits or transparency to allow consumers to make informed decisions about providers who may be weighing outside factors in their care.

Top 8 challenges physicians face

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/top-8-challenges-physicians-face?cfcache=true

Physician Challenges

Click to access HC_IssueBrief-PhysicianPressurePoints_TL_0316v2.pdf