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Delaware Academy of Family Physicians
Geriatric Medicine Symposium
Thursday, Sept. 1
8 a.m.-12 p.m.
Ammon Center at Christiana Hospital
If you are interested in being an exhibitor or sponsor, please click here for more information.
Nemours/Alfred I. duPont Hospital for Children
Pediatric Perspectives 2016:
Issues in Pulmonology, Infectious Diseases and Newborn Care
Friday, Saturday and Sunday
Atlantic Sands Hotel and Conference Center
Rehoboth Beach, DE
This program is designed for pediatricians, family medicine physicians,
PAs, APNs, physicians in training, nurses and other allied health professionals. This conference
is designed to convey new perspectives on pediatric infections, pulmonary diseases and newborn
Christiana Care Health System
Saturday, Oct. 1
9 a.m. – 12 p.m.
The Virden Retreat at the University of Delaware
700 Pilottown Road
Lewes, Delaware 19958
Delaware is already home to 26,000 people with dementia and the aging of our population makes dementia care an increasingly important objective for health care providers. Optimal care begins with accurate detection, evaluation, and differential diagnosis. Patients, caregivers, and providers must then consider whether to use the medications approved for treating dementia’s cognitive symptoms. The non-cognitive behavioral symptoms such as agitation, aggression, anxiety, apathy, depression, and psychosis appear early in the course of dementia and their effective treatment can delay or prevent the need for more intensive and expensive care. Much of the emotional and financial burden of dementia care is shouldered by unpaid family caregivers, and their support is a key feature of effective dementia care. Before reaching the terminal phase of illness, many important decisions need to be made including plans for end of life care. Advance directive documentation and use of the new DMOST form assist health care providers in discussing end of life care with patients and caregivers.
This course is intended for primary care and behavioral health clinicians including nurses, nurse practitioners, psychologists and social workers.
The wait for the proposed 2017 Medicare physician fee schedule is over. On July 7, CMS released its annual document that provides insight into how Medicare plans to pay physicians in the coming year.
Family physicians, in particular, will appreciate the agency's visible efforts to more accurately value primary care services in general and, specifically, the care management and patient-centered services that are hallmarks of family medicine.
Cancer screening and early detection have contributed to a continuing decline in Delaware's all-site cancer mortality rate over the past decade say Delaware Public Health officials. From 1998-2002 to 2008-2012, Delaware's cancer death rate decreased 14 percent, an improvement that was identical to the decline seen nationally (14 percent), according to the latest cancer data announced by the Division of Public Health.
Nearly half of U.S. physicians are unfamiliar with the Medicare Access and CHIP Reauthorization Act of 2015, also known as MACRA, according to a new survey of 600 doctors by research and consulting giant Deloitte. But those willing to participate in alternative payment models are more prone to see them as advantageous.
MACRA is expected to drive care delivery and payment reform across the U.S. healthcare system for the foreseeable future, Deloitte said. Congress intended MACRA to be a transformative law that constructs a new, fast-speed highway to transport the healthcare system from its traditional fee-for-service payment model to new risk-bearing, coordinated care models, Deloitte added.
Physician burnout is a persistent problem, particularly among residents. "Somewhere upwards of 50 percent of them can have substantial symptoms of burnout," says Lotte Dyrbye, Associate Director of the Departmnt of Medicine Program on Physician Well-Being at Mayo Clinic. She sat down with Stephen Swensen, Lead Advisor for the NEJM Catalyst Leadership theme to discuss just how widespread the problem is, what causes it, and what we can do about it. In other words, as Swensen says, "how we can get back to the core of the joy of helping people and families?"
Following two years of debate, the American Medical Association has adopted ethical guidance on how doctors should interact with patients when they do so through telemedicine, rather than in a medical office or hospital.
The AMA's House of Delegates guidelines approved the addition of the ethical guidelines on the practice of medicine to the group's constitution and bylaws on June 13. The document has not been published, pending a reference number assignment in the Code of Medical Ethics.
By Keith Carlson
The healthcare workplace environment has a deep impact on staff experience, including satisfaction, productivity and institutional loyalty. Workplace culture is a crucial aspect of the workplace environment, although it is less obvious than physical aspects such as cleanliness, air quality, safety concerns, ergonomics and layout. Savvy, forward thinking healthcare leaders understand that creating a positive, supportive culture is paramount, but it can be an uphill battle.
Payal Kohi, MD, writes: "With the ever-growing armamentarium of new therapies available today, a conversation about prescription drug costs with patients is rapidly becoming a reality for every physician.
I usually wait until the end of the office visit to bring up cost since patients tend to tune out everything else once they start thinking about money. Then, I pull out the most benign analogy I can think of — cars — to break the ice in the most gentle fashion."
Becker's Hospital Review
The number of patients a primary care physician treats — also known as their panel size — determines patient access, physician workload and ultimately, quality of care. While the industry standard primary care panel size is considered to be 2,500 patients, a group of researchers found this number neither accurate nor reasonable.
Data shows that women physicians make about $20,000 a year less than their male counterparts. But there's no data — yet — that shows how much of wage discrimination is intentional.
Women graduate from colleges and universities at higher rates than men. Three current supreme court judges are women. The presumptive Democratic presidential nominee is a woman.
But despite these chipper talking points, the evidence is clear: We still have a long journey ahead of us before we reach gender equality and income disparities are still very real.
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