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Malpractice insurance premiums for physicians have increased at an average rate of over 30 percent per year. This rate is significantly higher than health care cost inflation and the increase in physician costs. Trends indicate that malpractice related costs, both liability insurance and defensive medicine costs, will continue to increase for the near future. Pressures to limit physician costs under Medicare raise a concern about how malpractice costs can be controlled. This paper presents an overview of the problem, reviews options that are available to policymakers, and discusses State and legislative efforts to address the issue.

"Physician-assisted suicide (PAS) is legal in nine US states and the District of Columbia. It is not without controversy, even in those states in which PAS laws have been passed. Proponents believe that it's a matter of liberty, that the terminally ill have the right to choose how their lives will end. Opponents argue that such laws make the terminally ill vulnerable to medical errors and abuse, and that in effect they devalue life. The viewpoints in this volume examine physician-assisted suicide from many angles, providing readers with a comprehensive approach to a challenging topic"--

The physician analogy in politics is not inherently elitist or antithetical to constitutional government, as modern critics have claimed. On the contrary, in its original development among the orators of fourth-century Athens, it epitomized the aims of conservative democrats, offering both a perspective that reinforced the ideal of a prescriptive constitution grounded in tradition and a conception of leadership compatible with the egalitarian animus of the restored democracy. Moreover, this conception of the political physician enjoyed the full sanction of Greek medicine. The norms, concepts, and techniques adduced in the Hippocratic writings closely parallel those of conservative democrats.

Intro -- PHYSICIAN SUPPLY AND DEMAND -- PHYSICIAN SUPPLY AND DEMAND -- CONTENTS -- PREFACE -- Chapter 1 GRADUATE MEDICAL EDUCATION: TRENDS IN TRAINING AND STUDENT DEBT -- ENCLOSURE I -- Graduate Medical Education: Trends in Training and Student Debt -- Overview -- Introduction -- Objectives -- Scope and Methodology -- Background -- Medical education -- Key Policy Changes in Postgraduate Medical Training -- Federal student loans -- Most specialties can fall into three categories -- Summary of Findings -- 1. Surgical and Procedural Specialties Preferred, and Subspecialization Increasing -- Surgical and Procedural Specialties Have Been More Competitive -- U.S. MD students fill higher proportions of available surgical and procedural positions -- More doctors are pursuing training to become subspecialists -- 2. Multiple Factors, Demographic Characteristics Influence Specialty Choice -- Students consider multiple factors -- Factors lead students to pursue or avoid certain specialties -- Demographics and personality traits are important -- 3. Debt Is Rising but Federal Assistance Is Available and Physicians Can Earn High Incomes -- Debt, Federal Assistance, Physician Income -- Nearly half of graduating medical students are at least 150,000 in debt -- Medical school tuition is also increasing -- Federal loans are available to cover the full cost of medical education -- Options for reducing repayment burdens until after training -- Physicians incur more debt but can earn high incomes to repay it -- ENCLOSURE II -- Trends in Postgraduate Dental Education and Student Debt -- ENCLOSURE III -- Trends in Thoracic Surgery Fellowships -- ENCLOSURE IV -- Scope and Methodology -- Data Analysis -- Literature and Document Review -- Interviews with Government Officials and Professional Groups -- ENCLOSURE V.

Operation Enduring Freedom (OEF-A) in Afghanistan and Operation Iraqi Freedom (OIF) represent the first major, sustained wars in which emergency physicians (EPs) fully participated as an integrated part of the military's health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM) training. EPs supported elite special operations units, served in medical command positions, and developed and staffed flying intensive care units. EPs have brought their combat experience home to civilian practice. This narrative review summarizes the history, contributions, and lessons learned by EPs during OEF-A/OIF and describes changes to daily clinical practice of EM derived from the combat environment.

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.

"Patient sorting can confound estimates of the returns to physician human capital. This paper compares nearly 30,000 patients who were randomly assigned to clinical teams from one of two academic institutions. One institution is among the top medical schools in the country, while the other institution is ranked lower in the quality distribution. Patients treated by the two teams have identical observable characteristics and have access to a single set of facilities and ancillary staff. Those treated by physicians from the higher-ranked institution have 10-25% shorter and less expensive stays than patients assigned to the lower-ranked institution. Health outcomes are not related to the physician team assignment, and the estimates are precise. Procedure differences across the teams are consistent with the ability of physicians in the lower-ranked institution to substitute time and diagnostic tests for the faster judgments of physicians from the top-ranked institution"--National Bureau of Economic Research web site

Physician motivation and related incentive compensations plans are central to the design and delivery of safe, high-quality, satisfying medical care as well as advancing physician satisfaction and engagement. The underlying premise of this article is that the interests of physicians and patients as well as the community ought to be better aligned to improve clinical and population health outcomes. The Triangle of Patient Centered Compensation is presented as a model to design or redesign compensation programs that seek to achieve better alignment between physicians, patients and the community. After reading this article, practitioners will be able to adopt and adapt the model to fit with the vision, mission and strategies of their organization and academics will be able to empirically test this model and revise this model.