Tag Archives | physician

Professionalism of Medicine in the 21st Century

An article is titled Medical Professionalism in the New Millennium: A Physician Charter in the Annals of Internal Medicine, vol. 136, no. 3, pages 243-246, February 5, 2002, http://www.annals.org/content/136/3/243.full?ijkey=49cf14ffb35a6afdba3a14871f01fb39ad23066f&keytype2=tf_ipsecsha In the second paragraph appears the words: “…conditions of medical practice are tempting physicians to abandon their commitment to the primacy of patient welfare” The article then goes on to discuses a preamble “Professionalism is the basis of medicine’s contract with society. It demands placing the interests of patients above those of the physician, setting and maintaining standards of competence and integrity, and providing expert advice to society on matters of health. The principles and responsibilities of medical professionalism must be clearly understood by both the profession and society. Essential to this contract is public trust in physicians, which depends on the integrity of both individual physicians and the whole profession.” The […]

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Health Care Costs in America

I came across a very interesting graphic illustrating many of the myths and facts about healthcare in the United States. The graphic illustrates some reasons for the high costs of healthcare including the myths and the truths. The myths include 1) americans smoke and drink too much, 2) america has a larger elderly population, 3) obseity in america skyrockets costs, 4) malpractice is out of control. I actually slightly disagree with #3 and #4. I think being obese in the U.S. is a real problem, see this graph from the OECD. Further one has to account for defensive medicine (as in doctors being scared of getting sued  and ordering more tests than really needed) in malpractice lawsuits. Graph below illustrates the % obese in each country shown. Source: OECD Factbook 2010: Economic, Environmental and Social Statistics. I believe the truths […]

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The Well Informed Patient

In a recent editorial in the Journal of Oral and Maxillofacial surgery (vol. 69. page 1263, 2011),  titled “Shouldn’t All Clinical Research Be Scientific?”, Dr. Thomas B. Dodson,  talks to his fellow oral surgeon colleagues and says “Not only do we face rapid advances in science and technology, but we have new accountability from economic, legal, and regulatory challenges, as well as a new brand of well-informed patient.” I personally would hope that the well-informed patient are patients who are being informed by oral and maxillofacial surgeons and dentists. However, I do not believe that is really the case here. One question to ask is why patients in the past were not well informed? The other and more pressing question to ask is why are these patients still not being properly informed today? (This also applies to other doctors and […]

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