F. Nietzsche
There are no facts, only interpretations.
The problems with evidence
We physicians must question authority. We must all understand that science is rarely settled, rather science is always evolving.
Quality starts with diagnosis
We have politicians and administrators championing incentives to improve quality, but they are missing a key point.
Ebola in Dallas – a classic diagnostic error
All attempts at measuring quality in medicine depend on correct diagnosis. Diagnostic accuracy represents the lynchpin of high quality care. As everyone knows, the first US Ebola diagnosed patient visited an emergency department at the onset of his illness, but did not get diagnosed properly or admitted to the hospital. Few doctors would have made […]
EHRs – why good ideas do not always work
Any entrepreneur will tell you that not all their brilliant ideas work. Any researcher will tell you the same thing.
Research papers – reviewing and being reviewed
My colleagues and I hope our hours of writing, revising, looking up further references and discussing each issue will result in an excellent paper.
Interpreting the evidence is the fly in the ointment
This problem is common. The ACP Performance Measurement Committee reviews submitted measures and evaluates them in a very careful.
Get off your butt and move!
I should have separated weight and inactivity. Increasingly we are learning that movement itself has positive health benefits.
What hinders patient physician time together
Our patchwork non-system does little to encourage good doctoring. And that should become the focus of all physicians.
Burnout in primary care – administrative burdens to blame
it is an increasingly common one. I am tired of hearing it. But do the perpetrators of this nonsense understand in any meaningful way?