Saturday, February 26, 2011
Thursday, February 24, 2011
Jamie speaks about Pan American Hospital Medicine issues. Listen and comment
"It took many years to Hospital Medicine to grow in the USA. It has taken ten years to be a full specialty. At first there was only a few hundred doctors doing it and people thought it wouldn’t last, and now there is tens of thousand hospitalists in the USA, it is a huge growth. But it took five or six to start really growing and in the last three or four to really expand. It is a ten year process!"
Tuesday, February 22, 2011
Sunday, February 20, 2011
Friday, February 18, 2011
PASHA2010 from a fifth-year medical student from Universidade Positivo, Curitiba, Brazil point of view
The meeting, held in November at a beautiful beach resort in Florianópolis in southern Brazil, was pioneering in several aspects...
PASHA2010: An Argentine perspective
Daniel Grassi speaks about the meeting and about the Hospital Medicine in Argentina. Listen and comment.
Aleta Borrud speaks about the PASHA2010
Aleta Borrud, Mayo Clinic hospitalist, speaks about the PASHA2010, about the evolution that she observes between the moment of the first big meeting about HM in Brazil (I Brazilian Congress of Hospital Medicine, 2008) and now. Borrud compares aspects of the North American and the South American movement and speaks about the decision of not having pharmaceutical industry funding for the PASHA2010. Listen and comment.
Thursday, February 17, 2011
Sunday, February 13, 2011
Tuesday, February 1, 2011
Will we be replaced by hospitalist “midlevel” providers?
Considering the fact that some hospital administrators have a tendency to view hospitalists as floaters who fill in for other physicians.
In Brazil we can’t use midlevel providers.
My fear in that [bad] hospitals in Brazil start to use young licensed doctors as “midlevel hospitalists”. A physician assistant in the US is a healthcare professional licensed to practice medicine with supervision of a licensed physician. There is a movement here to have a licensed physician (not medical resident anymore) working for hospitals and attending physicians giving rear to the traditional model. Some hospitalist programs start because of the increasing necessity of around-the-clock doctors at the hospitals, but to be just for the attending physicians’ temporary substitution, what adds another layer of costs, perhaps duplication...
Will we be replaced by hospitalist “midlevel” providers?
Hope comments could help us...
We know that the role of the hospitalist is more than being on-site as a “super resident” processing patients for other physicians or as a “nurse's doctor of convenience”, but...Brazil is champion in absolute number of medical schools and we have a profession in crisis: too many doctors - lots of dysfunctional competition - low salaries;
In Brazil we can’t use midlevel providers.
My fear in that [bad] hospitals in Brazil start to use young licensed doctors as “midlevel hospitalists”. A physician assistant in the US is a healthcare professional licensed to practice medicine with supervision of a licensed physician. There is a movement here to have a licensed physician (not medical resident anymore) working for hospitals and attending physicians giving rear to the traditional model. Some hospitalist programs start because of the increasing necessity of around-the-clock doctors at the hospitals, but to be just for the attending physicians’ temporary substitution, what adds another layer of costs, perhaps duplication...
Will we be replaced by hospitalist “midlevel” providers?
Hope comments could help us...
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