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Why Does Anyone Want to Be a Doctor?

Why Does Anyone Want to Be a Doctor? | Under Pressure | Scoop.it
Answer by James Pan, med student at Stanford: The alternatives to medicine are much easier if your primary goal is to make money. To become a doctor, and especially a specialist who earns in the top quartile of physicians, you'll need four years undergrad, four years med school, and then five-plus years of residency...
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Nationwide Physician Misery Index is 3.7 out of 5, Geneia Survey

Nationwide Physician Misery Index is 3.7 out of 5, Geneia Survey | Under Pressure | Scoop.it

 

GENEIA SURVEY FINDS 84% OF PHYSICIANS BELIEVE QUALITY PATIENT TIME MAY BE GONE
INVITES PHYSICIANS TO COMPETE IN THE JOY OF MEDICINE CHALLENGE
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Topol: Doctors Are Getting Squeezed

Topol: Doctors Are Getting Squeezed | Under Pressure | Scoop.it
As a practicing physician, Dr Eric Topol is well aware that doctors are getting squeezed. Here is his solution on how to fix it.
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Arkansas Gov. Hutchinson wants to renew, then rethink, Medicaid expansion

Arkansas Gov. Hutchinson wants to renew, then rethink, Medicaid expansion | Under Pressure | Scoop.it
Arkansas Republican Gov. Asa Hutchinson called on the Legislature to keep through 2016 the state's private-option approach to Medicaid expansion, backed by his Democratic predecessor, so that roughly 200,000 low-income residents won't lose access to insurance coverage.
Texas Medical Association's insight:

TMA says:

 

Texas physicians want to ensure all Texans have access to coverage and, more important, have access to physicians and other health care providers. According to the Institute of Medicine, even when uninsured patients have access to safety net services, the lack of health insurance often results in delayed diagnoses and treatment of chronic diseases or injuries, needless suffering, and even death.

 

That’s why TMA supports allowing state leaders to work with the Centers for Medicare & Medicaid Services (CMS) to develop a comprehensive solution that fits Texas’ unique health care needs. Several states have taken this step with some success, including Indiana, Arkansas, Iowa, Michigan, and Pennsylvania. (See adjacent chart.) TMA believes the Texas Legislature too can create an ingenious solution that works for the state and helps Texans in the coverage gap get affordable and timely care. Any Texas-style solution expanding access must:

 

• Draw down all available federal dollars to expand access to health care for poor Texans;

• Give Texas the flexibility to change the plan as our needs and circumstances change;

• Clear away Medicaid’s financial, administrative, and regulatory hurdles that are driving up costs and driving Texas physicians away from the program;

• Relieve local Texas taxpayers and Texans with insurance from the unfair and unnecessary burden of paying the entire cost of caring for their uninsured neighbors;

• Provide Medicaid payments directly to physicians at least equal to those of Medicare payments; and

• Continue to improve due process of law for physicians and other providers in Texas as it relates to the Office of Inspector General. 

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Physicians Are Overextended, But The Profession Is Thriving | Physicians News

Physicians Are Overextended, But The Profession Is Thriving | Physicians News | Under Pressure | Scoop.it
Doctors are overextended and want to see more trained physicians to thwart an impending shortage, according to a new survey.
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M.D. Anderson survey: morale, patient safety still concerns

M.D. Anderson survey: morale, patient safety still concerns | Under Pressure | Scoop.it
Many doctors at the University of Texas M.D. Anderson Cancer Center are still disgruntled and concerned about patient safety, a year after the issues became the focus of a spirited meeting at the elite Houston research hospital.
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‘Working for the Man’ | Rob Tenery MD

The medical profession, which has a long and honorable tradition of independence and free choice is changing. What to charge, what to collect and lately how to diagnose and treat have and is being taken from us. Some of that change is because of payer rules. Some is from legislative mandate. And some is by the physicians’ own doing.
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Pennsylvania, CMS Agree On 'Healthy PA' Medicaid Exansion Plan

The Keystone State becomes the 27th state, plus the District of Columbia, to expand the health insurance program for low-income Americans.
Texas Medical Association's insight:

"In what is described as a five-year demonstration project, Pennsylvania received the go-ahead to use federal funds to pay private insurers. The decision by the Department of Health and Human Services means Pennsylvania joins Arkansas and Iowa, which also received waivers to provide alternatives to Medicaid expansion under the Affordable Care Act."

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"The practice of medicine these days is beginning to feel like a battleship."

"The practice of medicine these days is beginning to feel like a battleship." | Under Pressure | Scoop.it

From Sarah I. Smiley, DO, president of the Travis County (TX) Medical Society

Texas Medical Association's insight:
"These are just a few of the myriad issues facing practicing physicians today, and their ramifications are daunting. Many of the things we are now being asked (or required) to do are at best inconvenient to us and to our support staff. Frequently, they impact our face time with patients, leaving them with a sense that we are distracted, tired or worse – not really focused on them at all. Patient satisfaction surveys support that this is a real and negative consequence of the increasing intrusions into the physician practice and consequently, the physician-patient relationship."
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Perfection fuels physician burnout

Perfection fuels physician burnout | Under Pressure | Scoop.it
Does the pain of perfection show up in your practice? If you are at all like me, you feel it almost weekly.
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The battle to care - "Docs are a profession of whiners"

The battle to care - "Docs are a profession of whiners" | Under Pressure | Scoop.it
Why has the mantra of the doctor moved from; I am here to help, to I am here to be harassed?
Texas Medical Association's insight:

"Doctors defend not themselves.  They perceive that the litany of assault is not just annoying, insulting, confusing and at times ridiculous, but a direct attack on patients.  Physicians rant not for treasure or personal glory, but for those who entrust their bodies to the medical profession."

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How an Unbalanced Life Hurts Doctors–and Their Patients

How an Unbalanced Life Hurts Doctors–and Their Patients | Under Pressure | Scoop.it
What’s the most common piece of advice doctors give–but don’t take themselves? Eat well, exercise, and get plenty of rest.
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Demonizing doctors won't solve our problems

Demonizing doctors won't solve our problems | Under Pressure | Scoop.it
Physicians' arms have been tied behind their backs. Now we are being blamed that no one is guiding the ship.
Texas Medical Association's insight:

"You can’t demand that doctors improve health care quality and cost, yet handicap our most basic unit of skill: our mastery.  You can’t complain that we are doing a poor job, yet pull our laser-like focus away from the patient and point it towards a computer.  You can’t have your cake, and eat it too."

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Florida Senate to consider Medicaid expansion proposal

Florida Senate to consider Medicaid expansion proposal | Under Pressure | Scoop.it
TALLAHASSEE — A Senate committee will consider a controversial plan Tuesday that would extend federally subsidized health insurance to more than 800,000 poor Floridians — but require a waiver from the federal government to pay for it.
Texas Medical Association's insight:

TMA Says:

 

Texas physicians want to ensure all Texans have access to coverage and, more important, have access to physicians and other health care providers. According to the Institute of Medicine, even when uninsured patients have access to safety net services, the lack of health insurance often results in delayed diagnoses and treatment of chronic diseases or injuries, needless suffering, and even death.

 

That’s why TMA supports allowing state leaders to work with the Centers for Medicare & Medicaid Services (CMS) to develop a comprehensive solution that fits Texas’ unique health care needs. Several states have taken this step with some success, including Indiana, Arkansas, Iowa, Michigan, and Pennsylvania. (See adjacent chart.) TMA believes the Texas Legislature too can create an ingenious solution that works for the state and helps Texans in the coverage gap get affordable and timely care. Any Texas-style solution expanding access must:

 

• Draw down all available federal dollars to expand access to health care for poor Texans;

• Give Texas the flexibility to change the plan as our needs and circumstances change;

• Clear away Medicaid’s financial, administrative, and regulatory hurdles that are driving up costs and driving Texas physicians away from the program;

• Relieve local Texas taxpayers and Texans with insurance from the unfair and unnecessary burden of paying the entire cost of caring for their uninsured neighbors;

• Provide Medicaid payments directly to physicians at least equal to those of Medicare payments; and

• Continue to improve due process of law for physicians and other providers in Texas as it relates to the Office of Inspector General. 

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How Do We Restore Joy to the Practice of Medicine? - 33 Charts

How Do We Restore Joy to the Practice of Medicine? - 33 Charts | Under Pressure | Scoop.it
The Joy of Medicine Challenge is an online competition to solicit ideas from physicians on how to restore meaning to the practice of medicine.
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Indiana to expand Medicaid, 350,000 to become eligible

Indiana to expand Medicaid, 350,000 to become eligible | Under Pressure | Scoop.it
Republican Indiana Gov. Mike Pence and HHS have reached an agreement on the state's Medicaid expansion proposal submitted in July, according to CMS spokesman Aaron Albright. As many as 350,000 people could gain coverage as a result.
Texas Medical Association's insight:

TMA Says:

 

Texas physicians want to ensure all Texans have access to coverage and, more important, have access to physicians and other health care providers. According to the Institute of Medicine, even when uninsured patients have access to safety net services, the lack of health insurance often results in delayed diagnoses and treatment of chronic diseases or injuries, needless suffering, and even death.

 

That’s why TMA supports allowing state leaders to work with the Centers for Medicare & Medicaid Services (CMS) to develop a comprehensive solution that fits Texas’ unique health care needs. Several states have taken this step with some success, including Indiana, Arkansas, Iowa, Michigan, and Pennsylvania. (See adjacent chart.) TMA believes the Texas Legislature too can create an ingenious solution that works for the state and helps Texans in the coverage gap get affordable and timely care. Any Texas-style solution expanding access must:

 

• Draw down all available federal dollars to expand access to health care for poor Texans;

• Give Texas the flexibility to change the plan as our needs and circumstances change;

• Clear away Medicaid’s financial, administrative, and regulatory hurdles that are driving up costs and driving Texas physicians away from the program;

• Relieve local Texas taxpayers and Texans with insurance from the unfair and unnecessary burden of paying the entire cost of caring for their uninsured neighbors;

• Provide Medicaid payments directly to physicians at least equal to those of Medicare payments; and

• Continue to improve due process of law for physicians and other providers in Texas as it relates to the Office of Inspector General. 

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Physicians Under Pressure To Remain Independent

Physicians Under Pressure To Remain Independent | Under Pressure | Scoop.it
In order to maintain their autonomy, independent physicians must look to new and innovative practice models that allow them to adapt to shifting market dynamics
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6 key findings on clinician satisfaction, burnout

6 key findings on clinician satisfaction, burnout | Under Pressure | Scoop.it
Job satisfaction among clinicians is faltering, as physicians and healthcare professionals find it harder to be engaged with their work.
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Survey Finds Low Morale Among Texas Physicians « D Healthcare Daily

In Texas, where 48.6 percent of physicians remain in private practice—second only to Louisiana with its 52 percent—just 35.7 percent of physicians report their morale being “somewhat positive” or better. That dubious marker plunks the state as the 46th lowest in the country.

The vast majority of physicians—81 percent—report being over-extended or at full capacity. Just 19 percent say they can take on additional patients.

“You want the medical professionals to be feeling really good about everything because they’re the ones who take care of us and save our lives,” said Lou Goodman, executive vice president of the Texas Medical Association. “I’m not happy with the trend right now. We have to do something.”

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Why Doctors Are Sick of Their Profession

Why Doctors Are Sick of Their Profession | Under Pressure | Scoop.it
American physicians are increasingly unhappy with their once-vaunted profession, and that malaise is bad for their patients. But physicians can still save themselves—and us too
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The epidemic of physician burnout is heartbreaking

The epidemic of physician burnout is heartbreaking | Under Pressure | Scoop.it
The burned-out physician is exhausted -- mentally and physically -- and often no longer able to find empathy or connection with patients.
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Is Your Doctor Burned Out? Why Doctors Are Set Up for Stress

Is Your Doctor Burned Out? Why Doctors Are Set Up for Stress | Under Pressure | Scoop.it
Every job can lead to burnout, but what happens when it strikes doctors, who make decisions that can affect their patients' lives?
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3 systemic changes to create more happy doctors

3 systemic changes to create more happy doctors | Under Pressure | Scoop.it
I think that there are institutional and systemic changes that can be made if we are to see more happy and empowered physicians.
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Physician Autonomy Is Under Siege And Morale Is Declining « D Healthcare Daily

Physician Autonomy Is Under Siege And Morale Is Declining « D Healthcare Daily | Under Pressure | Scoop.it
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Doctors’ dilemma: Physicians weigh ways to thrive economically — and sometimes even to survive

Doctors’ dilemma: Physicians weigh ways to thrive economically — and sometimes even to survive | Under Pressure | Scoop.it
As the costs of doing business soar, doctors are looking at different models of compensation to thrive — and sometimes even to survive.
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