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Intro -- Preface -- Contents -- Contributors -- Part I: Advancing Professional Calling and the Culture of Wellbeing in Medicine -- Chapter 1: Calling, Compassionate Self, and Cultural Norms in Medicine -- Medical Cultural Norms -- Deferring Personal Needs to Serve Others -- Shaming Intolerance of Error -- Compassion in Addressing Personal Well-Being and Health-Care Quality Improvement -- Compassion in Addressing Personal Wellbeing -- Compassion in Health-Care Quality Improvement -- References -- Chapter 2: Creating a Culture of Wellness -- Barriers to a Culture of Wellness Common in Medical Training and Practice -- Belief that Deferring Self-Care Equals Dedication to Patients -- Belief that Shaming and Punishment in Response to Errors Promote Safety in Health Care -- Stigma Suggesting that Physicians Who Seek Mental Health Help Are Less Fit for Duty -- Promoting Specific Culture of Wellness Factors for Physician WellBeing -- Psychological Safety -- Inclusive Leadership Style -- Leadership Support -- Values Alignment -- Appreciation and Gratitude -- Fairness/Equity -- Flexibility and Work-Life Integration -- Peer Support -- Community/Collegiality -- Conclusion -- A Culture of Wellness Is Achievable -- References -- Chapter 3: Compassion Cultivation -- Introduction -- How Is Compassion Cultivated -- Compassion Training Programs -- Cognitively-Based Compassion Training -- Compassion Cultivation Training -- Mindful Self-Compassion (MSC) -- Being with Dying (BWD) -- Brief Compassion Training for Physician Well-Being: A Case Study in Program Design -- Conclusion -- References -- Part II: Recognizing Threats to Physician Wellbeing -- Chapter 4: Mistreatment -- Introduction -- History and Prevalence -- Types of Mistreatment -- Sources of Mistreatment -- The Interplay of Wellness and Mistreatment -- Impact on Learners -- Impact on Mistreater -- Solutions.
In: Canadian public policy: Analyse de politiques, Band 27, Heft 2, S. 167
ISSN: 1911-9917
In: Health Care Issues, Costs and Access
Intro -- PHYSICIAN PRACTICES: CHANGES, TRENDS, AND IMPLICATIONS -- PHYSICIAN PRACTICES: CHANGES, TRENDS, AND IMPLICATIONS -- CONTENTS -- PREFACE -- Chapter 1 PHYSICIAN PRACTICES: BACKGROUND, ORGANIZATION, AND MARKET CONSOLIDATION -- SUMMARY -- INTRODUCTION -- PHYSICIAN SUPPLY -- Supporting Practitioners -- PRACTICE CONSOLIDATION -- Market Trends -- Larger Group Practices and Physician Organizations -- Hospital Affiliation and Employment -- Affiliation with Insurers and Other Payers -- Delivery Reforms -- Concierge Practices -- LEGAL ISSUES -- ISSUES FOR CONGRESS -- Medical Spending -- Access -- Coordinated Care/Quality -- APPENDIX. PHYSICIAN INCOME AND PRACTICE COSTS -- Federal Policies Affecting Compensation -- End Notes -- Chapter 2 PHYSICIAN SUPPLY AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT -- SUMMARY -- INTRODUCTION -- SIZE OF THE PHYSICIAN POPULATION -- Measuring the Physician Population -- Determining the Appropriate Size of the Physician Population -- PPACA and the Size of the Physician Population -- PPACA Provisions Targeting the Number of Physicians Trained -- PPACA Provisions Targeting Physician Productivity -- COMPOSITION OF THE PHYSICIAN POPULATION -- Primary Care Supply and Factors Influencing Primary Care Supply -- PPACA and the Composition of the Physician Population -- PPACA Provisions Targeting Primary Care Supply -- Primary Care Content in Physician Training -- Primary Care Physician Payment -- Care Coordination by Primary Care Physicians -- PPACA Provisions Targeting Shortages in Specialties -- GEOGRAPHIC DISTRIBUTION OF THE PHYSICIAN POPULATION -- Health Professional Shortage Areas and Medically Underserved Areas/Populations -- Why Geographic Shortages May Exist -- PPACA and the Geographic Distribution of the Physician Population -- PPACA Provisions Targeting the NHSC
In: NBER Working Paper No. w19242
SSRN
Working paper
Since 1957 the courts in most states have moved rapidly toward imposing vicarious liability on a hospital for the torts of employee-physicians. In 1965 the Illinois Supreme Court held that a hospital could be liable for the malpractice of a nonemployee-physician. This comment attempts to describe these trends, to delineate the new rules the courts are applying and to determine the rationale for adopting these new rules. The comment assumes the patient has established that the physician committed malpractice; the only issue addressed is whether the patient can recover from the hospital for his or her injuries. The scope is further limited to the liability of a private hospital; thus governmental immunity, peculiar to state or federally owned hospitals, is not discussed.
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Professionalism and Ethics in Medicine: A Study Guide for Physicians and Physicians-in-Training is a unique self-study guide for practitioners and trainees covering the core competency areas of professionalism, ethics, and cultural sensitivity. This novel title presents real-world dilemmas encountered across the specialties of medicine, offering guidance and relevant information to assist physicians, residents, and medical students in their decision-making. The text is divided into two parts: Foundations and Questions with Answers. The first part provides a substantive foundation of knowledge in the principles, scholarship, policy guidelines, and decision-making strategies of the modern health professions. The second part assists practitioners and trainees in preparing for the complex issues that arise each day in the settings where health professionals work and train - clinics, research centers, educational contexts, and communities. Developed by renowned leaders in a broad range of clinical fields, Professionalism and Ethics in Medicine: A Study Guide for Physicians and Physicians-in-Training is a major, invaluable contribution to the literature and an indispensable reference for clinicians at all levels.
The purpose of this collective case study was to understand and describe the experience of physicians who use health information technology in medical practice. There are numerous factors applying pressure to the practice of medicine with limited support to physicians practicing medicine. With recent health insurers and both state and federal governments mandating health information technology, physicians are required to implement an electronic health record (EHR) with measurable outcomes and benefits to the delivery of healthcare. This study is significant in that it offers a view into the experience of physicians who use health information technology in medical practice. To gain insight into the experience of physicians and their use of health information technology, I interviewed four physicians practicing in a medical clinic setting. Analysis of the interview transcripts revealed four themes: (a) the change process within the work was the challenge with the EHR implementation; (b) physicians learn best from other physicians; (c) implementation of the EHR impacted the entire team of care providers, not just the physicians; and (d) EHR optimization was reinforced with follow- up training after implementation.
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In: Medical care research and review, Band 75, Heft 1, S. 88-99
ISSN: 1552-6801
Although there has been significant interest from health services researchers and policy makers about recent trends in hospitals' ownership of physician practices, few studies have investigated the strengths and weaknesses of available data sources. In this article, we compare results from two national surveys that have been used to assess ownership patterns, one of hospitals (the American Hospital Association survey) and one of physicians (the SK&A survey). We find some areas of agreement, but also some disagreement, between the two surveys. We conclude that full understanding of the causes and consequences of hospital ownership of physicians requires data collected at the both the hospital and the physician level. The appropriate measure of integration depends on the research question being investigated.
In: Bulletin of the atomic scientists, Band 41, Heft 11, S. 2-2
ISSN: 1938-3282
In: Environmental policy and law, Band 3, Heft 3-4, S. 165-165
ISSN: 1878-5395