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The EHR: Uniting physicians and patients in common frustration

"The third person in the exam room," is how one former practicing physician describes the electronic health record (EHR)--one that gets in the middle of the doctor-patient relationship....

Why docs must ask their young patients about bullying

Jessica W. Tsai, M.D., was getting nowhere with her young patient who came to her office because of behavioral problems in school. But then, Tsai asked her patient whether anyone at school was...

Opioid crisis: It isn't hard for most Americans to put a face on this epidemic

I got a call from my oldest brother early Monday morning with sad news. He learned that on Easter Sunday a lifelong friend--we had all grown up in the same tight-knit suburban neighborhood--had...

The Quadruple Aim: Why providers must put the fourth target first

Several years ago, I was living in one of the so-called better parts of a city somewhat notorious for its miscreants. It didn't take long for the effects of crime and desperation to seep into...

A direct primary care physician's answers to top concerns about model [Q&A]

Despite physicians' growing interest in contracting directly with patients, such alternative practice models continue to face some harsh criticism. For a direct primary care physician's take on some key points of controversy, FiercePracticeManagement spoke with Jeffrey S. Gold, M.D., founder of one of the first DPC practices in Massachusetts.

Don't wait to ask patients what matters

The notion of distilling what matters and arriving at goals to preserve it has come up frequently in discussions about end-of-life care. And when patients perceive their lives as being appreciably shorter, they become much more interested in their state of being than what they could be doing. But what about patients who don't have a foreseeable finality to their conditions? What about people living with chronic or degenerative illnesses that even the best of modern medicine can't substantially alleviate? How are doctors to help people with many years ahead full of things they could be doing, despite the physical and emotional barriers in the way?

What it takes to develop rapport in a hurry

It's of little surprise that a recent spotlight story we ran about the trouble with 15-minute office visits hit a big nerve with readers. And a separate post about one of the many offshoots of...

Happy Thanksgiving!

In observance of the Thanksgiving holiday, FiercePracticeManagement will not publish tomorrow. We will resume publication on Friday....

Why 2016 will be pivotal in practices' transition to value-based care [Interview]

The past year has been full of changes that will affect physician practices for years to come. For insights into what will matter most to practices in 2016, we turned to Reid Blackwelder, M.D., immediate past president of the American Academy of Family Physicians. In an exclusive interview with FiercePracticeManagement, Blackwelder shared his thoughts on the impact of the shift to value-based care in general and the Medicare Access and CHIP Reauthorization Act in particular.

3 reasons doctors struggle with change--and why we should be patient

Now that FiercePracticeManagement is a daily publication, we're offering you five times the advice to make your jobs easier and do them better. Along with that comes quintuple the volume of...