Friday, February 18, 2011
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...
Friday, January 28, 2011
Rapid Response Teams: What do you thing about it?
Rapid Response Teams: Ready for Prime Time?, by Bob Wachter
Rapid response teams saves lives, but is it good medicine?
What do you thing about RRT's?
Monday, January 24, 2011
Wednesday, January 19, 2011
When hospitalists stay longer, patients leave sooner
Researchers, led by Kenneth R. Epstein, FACP, now chief medical officer for Hospitalist Consultants, Inc. (HCI), found that as fragmentation increased, length of stay did, too. Dr. Epstein recently spoke with ACP Hospitalist about the study's results, problems with handoffs, and pros and cons of block schedules.
Evidense BIASed Medicine
Suggestion of a very good activity that we made in POA and you could see it online: http://www.unisimers.com.br/videos/?palestra=353
Below an interview with the speaker (almost everything in English):
Below an interview with the speaker (almost everything in English):
Wednesday, January 5, 2011
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