Dr. Wes

Standing up for the practicing physician

Monday, February 24, 2014

Maintenance of Certification: The Noose Tightens

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Center for Medicare and Medicaid Services (CMS) displayed it's enmeshed ties with the American Board of Medical Specialties (ABMS), a p...
3 comments:
Saturday, February 22, 2014

The Unintended Consequence of Free Preventative Care

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Be careful when hoping for "free" preventative care. From the Charlotte Observer : I have learned since that it’s not unusual to...
2 comments:
Friday, February 21, 2014

What Is "Non-Valvular" Atrial Fibrillation?

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With the recent heavy marketing of the relatively new novel oral anticoagulants dabigatran, rivaroxaban, and apixaban, a new marketing phras...
7 comments:
Thursday, February 20, 2014

St. Jude Issues "Dear Colleague" Letter Regarding Older Pacemakers During Surgery

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On 29 January 2014, St. Jude Medical issued a "Dear Colleague" letter regarding their review of incident reports on older-model p...
1 comment:
Wednesday, February 19, 2014

Are Drug Letters Harming Our Patients?

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One week's worth of drug letters Now that a new year has come and gone, I have been swamped with letters from pharmacy benefit manag...
2 comments:
Sunday, February 16, 2014

Patient Safety and Medical Professionalism: How Far Do the Conflicts Go?

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Recently, the US Department of Justice  levied  a 40 million dollar fine against CareFusion, makers of ChloraPrep® surgical skin antiseptic ...
3 comments:
Saturday, February 15, 2014

What the Collapse of Big Law Can Teach Big Medicine

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An important read from The Atlantic : With each passing year, Big Med is following Big Law. Physicians, medical schools, and hospitals ...
Monday, February 10, 2014

CABANA Trial Morphs from Mortality Trial to Composite Endpoint Trial

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Major changes are underway for one of the signature comparative effectiveness research trials promoted by government interests on Capitol Hi...
Saturday, February 08, 2014

What One Cardiologist Thinks About the CVS Caremark Decision to Ban Cigarette Sales

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By now the world has heard the remarkable news: that CVS Caremark will no longer be selling its tobacco products in any of its stores.  Lock...
15 comments:
Thursday, February 06, 2014

When Academic Medical Centers Allow Double-Dipping

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When leaders of public universities that receive their income from both tax payers and private industry interests, ethical lines become blur...
2 comments:
Sunday, February 02, 2014

Talking Heads

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February, in case you haven't noticed, is "Heart Month" full of associations with Valentine's Day, love, peace and tranqui...
3 comments:
Thursday, January 30, 2014

ACGME Turns Blind Eye Toward Issue of Physician Debt

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" A new roadmap for improving residents’ professional skills was released Tuesday by the Accreditation Council for Graduate Medical Edu...
2 comments:
Wednesday, January 29, 2014

For Medical Students, It Seems Nothing's Changed

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It was a very brief 15 minutes but I had arrived early.  There they were, sitting in our conference room, waiting to be interviewed for a re...
13 comments:
Tuesday, January 28, 2014

If Only For a Second

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Sometimes, the best ideas aren't so straightforward: -Wes
3 comments:
Friday, January 24, 2014

Insurance Marketing Burn to be Passed to Patients

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According to this morning's Wall Street Journal, Aetna, Inc. has noticed that "the evolution of the U.S. health-insurance market w...
7 comments:
Tuesday, January 21, 2014

MOC Goes Mainstream - But Should It?

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How should patients determine the quality of their doctor?  This is an interesting question that has now reached main stream media status ...
5 comments:
Sunday, January 19, 2014

The Importance of Demonizing Specialists

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Most of us would agree that health care costs are too high in America.  They must be controlled or else we won’t have a sustainable health ...
9 comments:
Friday, January 17, 2014

Electronic Triage

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Type a note. Use a shortcut. Cut and paste. Order a test. Review your tests. Every result gets a note. Release the result. ...
3 comments:
Wednesday, January 15, 2014

Fixing the Wholesale Destruction of the "MD" Designator

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Thanks to the unrelenting march of regulatory affairs in medicine, the MD designator (Latin: Medicinae Doctor) has been completely devalued ...
6 comments:
Monday, January 13, 2014

The AMA's Role in Maintenance of Certification

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Andrew Schlafly, attorney for the Association of American Physicians and Surgeons and the group who sued the American Board of Medical Spe...
3 comments:
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About Me

DrWes
Westby G. Fisher, MD, FACC is a board certified internist, cardiologist, and cardiac electrophysiologist (doctor specializing in heart rhythm disorders) practicing at NorthShore University HealthSystem in Evanston, IL, USA and is a Clinical Associate Professor of Medicine at University of Chicago's Pritzker School of Medicine. He is an unpaid co-founder of Practicing Physicians of America, a 501c6 non-profit business league for working physicians. He entered the blog-o-sphere in November, 2005. DISCLAIMER: The opinions expressed in this blog are strictly the those of the author(s) and should not be construed as the opinion(s) or policy(ies) of NorthShore University HealthSystem, nor recommendations for your care or anyone else's. Please seek professional guidance instead.
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