It’s 2011 and the pendulum is once again moving toward private practices selling to hospitals or affiliated foundations. Several years ago, the same phenomenon drove the medical market. Management companies and hospitals went on an acquisition frenzy, purchasing practices at breakneck speed. Soon, hospitals were dissatisfied, management companies went broke and physician practices went private again. Physicians simply proved to be less motivated and productive when employed by hospitals or affiliated with management companies.
Falling on Deaf Ears: Hearing loss in older adults may be an undertreated condition
Most people will experience some degree of hearing loss as they age. Statistics from the National Institute on Deafness and Other Communication Disorders at the National institutes of Health (NIH) indicate that 30 percent of adults ages 65 to 74, and 47 percent of adults 75 years or older, have hearing loss.
New Frontiers: Medical tourism brings potential for big business but poses big questions
Mission Accomplished?: Measuring success on humanitarian trips
The first time Gayle Woodson, MD, went on an international otolaryngology outreach mission 15 years ago, she was “a little afraid to go.” The chair of otolaryngology at Southern Illinois University in Springfield was traveling to Tanzania, a country prone to violence and war, and there was no telling what kind of environment she was entering.
Experimental Tort Reform: States take different approaches to implement change
The health care reform law passed in March created a $50 million demonstration program to test alternatives to the current medical liability system. But reaction is mixed as to whether the new project will help fix what the physician and medical liability insurance communities view as a flawed and inefficient system.
Advertise with Caution: State laws restrict how physicians can market themselves
In this economy, investing in advertising as a way to increase profits is an attractive idea. But, before you reach out to a marketing firm, let me tell you about a recent scenario that happened to one of my physician clients.
A New Direction for Sleep: New OSA guidelines fuel another evidence-based medicine debate
Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon.
A Coping Mechanism: Child life specialists can ease hospital stays for pediatric patients
Seven-year-old Michael is scheduled to have a hemangioma removed from his face at the Arkansas Children’s Hospital (ACH) Ambulatory Surgery Center in Little Rock. The morning of surgery, he and his mother meet with child life specialists Cassandra C. James, MS, CCLS, and Camille Dante, MS, CCLS, who show him pictures of the operating room. They let him play with an anesthesia mask and a pulse oximeter, and talk about what to expect when he goes to sleep.
Safety Net: With violence on the rise, otolaryngologists implement prevention strategies
The shooting of a doctor and two patients at Johns Hopkins Hospital in Baltimore in September sent a shudder of fear through all physicians, but for those who knew the late otolaryngologist John Kemink, MD, it was particularly saddening.
Career Shift: Mid-career mentors can help you change course
Like many physicians, otolaryngologists at mid-career may experience some form of burnout and be looking to make a professional shift. Indeed, a study published in the Annals of Surgery last year found that otolaryngologists had high rates of career burnout that paralleled those of trauma and vascular surgeons.
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