Congress Set to Begin Medicare Payment Tug-of-War
December 7th 2010The end of this week could bring either a long-term delay of Medicare reimbursement cuts for physicians nationwide, either through true compromise or perhaps forced concession. Reports today, including from Politico, indicate that bipartisan leaders in the Senate have agreed on a proposal to delay Medicare reimbursement payment cuts to physicians under the sustainable growth rate (SGR) formula for a period of one year.
Beginner’s Guide to Security within an EHR
December 7th 2010One of the most powerful features of an EHR is the instantaneous access that it offers providers to patient information. From a workstation at the office or at home, physicians can access their entire patient panel and quickly drill down into clinical minutiae with a speed and precision that a paper chart can’t touch.
Forensic Ethics, Interrogations, and Getting the Facts Right
December 1st 2010DEBATE When you get facts wrong, as Dr Halpern does, it is hard to end up with the right conclusions. He suggests incorrectly that my approach to forensic ethics leads to the conclusion that participation in interrogation is permissible, when exactly the opposite is true.
Adding the Diagnosis of Temper Dysregulation Disorder to DSM-5
December 1st 2010These issues-among others-raise this question: Is the addition of a new diagnosis such as TDD to DSM-5 the best way to manage the issue of classification of youths with chronic, severe irritability and potential misdiagnosis of bipolar disorder?
Are We Training Physicians to Be Shift Workers?
December 1st 2010During residency training, young doctors learn the requisite skills, knowledge, and values essential to the practice of medicine. We will all agree that to learn, the resident must have the desire and drive to master the essential knowledge and skills of his or her specialty.
DSM5 Task Force: Do Not Go to the Mass Media-Do Your Homework
December 1st 2010As I was driving to work on February 10, 2010, I listened to the National Public Radio host Melissa Block talking about how children labeled “bipolar” may get a new diagnosis. I was shocked that the chair of one of the DSM5 work groups, David Shaffer, MD, would discuss a controversial diagnostic topic with the media.
A Conversation With Dr Richard Kogan
November 29th 2010Creative people tend to see the world in novel and unconventional ways, and they often seek out intense and destabilizing experiences. Creative ideas are frequently generated during chaotic mental states characterized by loosening of associations that resemble the psychosis of mania or schizophrenia.