Welcome to Purgatory, our new EMR!

This is my column in this month’s EM News.  If you’ve ever been present for the instillation of a new Electronic Medical Records system, you’ll understand.  And if you are outside medicine and think the idea of electronic records is … Continue reading

Silly Scripting Games. Yet another scourge on medicine and nursing.

This is my March EM News column Silly Scripting Games   Our nurses will soon have ‘scripting’ guidelines for their interactions with patients.  This is apparently widespread in many industries.  The idea being, patients will be more satisfied with their … Continue reading

The hospitalists’s wing-man. (My January EMN column.)

Here’s the link to my January EM News column on the symbiosis between emergency medicine and hospital medicine.  Text follows. http://journals.lww.com/em-news/Fulltext/2013/01000/Second_Opinion__The_Hospitalist_s_Wing_Man.8.aspx Dear hospitalists, This is just a note to say that we, in emergency medicine, appreciate you.  Like all of us, … Continue reading

Mandatory flu vaccination for medical staff: a physician’s objection

Dear readers, Below is a letter from one of my dearest friends to his hospital administration.  This year, the administration has mandated Influenza vaccination.  Short of a few accepted exemptions, it is a requirement for continued medical staff participation by … Continue reading

Atlas endures…for now

This is my column in this month’s Emergency Medicine News.  In Medicine, Atlas endures.  For now… http://journals.lww.com/em-news/Fulltext/2012/11000/Second_Opinion__Atlas_Endures___For_Now.6.aspx Most modern American are familiar with the classic political novel, Atlas Shrugged.  Love or hate it, the novel had a great impact on … Continue reading

Cowboy doctors and shootin’ irons

This is my column in the October edition of Emergency Medicine News   When I was a resident physician, I had the coolest classmates ever.  We worked together, laughed together, learned together and many of us stay in touch to … Continue reading

Customer satisfaction surveys have their limits

This is my column in last Sunday’s Greenville News, about the peril of customer satisfaction surveys. http://www.greenvilleonline.com/article/20120909/OPINION/309090011/Customer-satisfaction-surveys-their-limits?odyssey=mod|newswell|text|Opinion|s&nclick_check=1 Customer satisfaction is quite the rage these days. Many stores and restaurants, many professional offices, hand out surveys, or ask customers to log … Continue reading

Speaking truth to charting: my column in September’s EM News

Here’s the link, text below. http://journals.lww.com/em-news/Fulltext/2012/09000/Second_Opinion__Speak_Truth_to_Charting.7.aspx I remember a short lecture I received in my medical officer’s course, as I joined the Air National Guard around 1988. The room was full of young medical students, physicians, nurses and other health-care … Continue reading

Practice model and economic perspective…thoughts?

I am an emergency physician in private practice.  My partners and I are a corporation, and we contract ourselves to one facility.  As such, we are small business owners.  In the current economic and politicical climate, my views on Obamacare … Continue reading