Is Internal Medicine MOC necessary?

I truly believe that we are well represented on the ABIM board by thoughtful, ethical physicians, many of whom I know.

Interpreting the new sore throat article

I hope we can find a company (or more than one) who would develop a point-of-care test for Fusobacterium necrophorum.

An observation on the MOC debates

I have both publicly and privately criticized the former MOC process. Along with my colleagues we urged major changes in the process.

Arguing in favor of appropriate MOC

We all need a roadmap for true improvement. I think MOC could provide that roadmap. If so, then MOC would be most valuable.

Resident burnout – not fixed

We need to look at programs that are successfully addressing burnout before we speculate on ways to decrease burnout.

The Lemierre Syndrome – 2014 survey data

Recently, 79 members of Facebook’s Lemierre’s Syndrome Survivor group (which has 813 members) answered a hastily written survey.

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.