ACP Internist - February 2011
Scanning and Testing
How many are too many for CT scans?
As many as one-third of the 70 million imaging tests ordered during the year may not be needed. Experts attempt to determine whether repeated radiation scanning doses could prove potentially yet unintentionally harmful.
Lack of kidneys for transplant raises debates
A shortage of transplantable organs has led to previously unthought-of issues that entangle ethics, policy, costs and clinical complications. Internists now must consider transplant tourists, long waits and “donation chains” as factors in their patient counseling.
Careers in Medicine
Years after leaving practice, some doctors choose to return
Physicians sometimes take up the stethoscope again, years or even decades after having involved themselves in other personal or professional pursuits. Programs exist to draw these doctors back into clinical practice, where they are needed.
Propoxyphene withdrawn, bevacizumab loses indication
Recalls, warnings, approvals and other regulatory news.
Can the electronic medical record contain an entire genome?
Genetic records create data by the petabyte—that’s a number with 15 zeros trailing along. That’s 1,000,000,000,000,000 bytes. That’s a lot of data for primary care physicians to manage as genetic tests become more common.
Report on nurses’ scope of practice requires clarification
An Institute of Medicine report comes at a transformational time for health care in America. How this report changes scope of practice issues and nurses’ interactions with physicians will affect the team-based approach sought from new health care models.
Reining in the use of CT scans
A look at concerns over the use and overuse of imaging tests in primary care.
Letters to the editor
A reader responds to ACP Internist’s coverage of integrated health care delivery models.
History will judge outgoing Congress’ impact on health reform
Not since Congress passed Medicare and Medicaid has there been such an impact on health care as happened by the close of 2010.
Cut costs without cutting corners to keep the office efficient
Today’s health care environment demands that physicians wring every last drop of efficiency from their practices. Here are five easy ways to accomplish that.
E-prescribing incentives change to penalties on June 30
Physicians who do not begin e-prescribing by June 30 will face 1% penalty on all Medicare Part B charges for 2012. Learn how to qualify, quickly.
New year brings big, small changes to practice administration
Federal regulations will change how internists practice this year. Learn about the primary care incentive program, the annual wellness visit and medical savings accounts.
The e-prescribing paradox
Practices need to have an e-prescribing system up and running by the end of May. Learn how to qualify by using the G8553 code at least 10 times by then.
Governors-elect designees for the class of 2016
ACP announces incoming Governors-elect.
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