DB'S MEDICAL RANTS

Internal medicine, American health care, and especially medical education

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Physiology on the fly

Insurers increasingly use performance measurement (often mislabeled quality measurement) to impact physician pay.

A P4P story

Since quality has many dimensions, we must worry that focusing on some dimensions will decrease our attention to other important dimensions.

Teaching diagnostic reasoning

Unfortunately, we who value the art of diagnosis are handicapped because diagnostic excellence is difficult to document with measures.