Dr. Wes

Standing up for the practicing physician

Saturday, October 31, 2015

Part II: Why Washington?

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I looked out the airplane window and saw we were approaching Reagan National Airport from the south. The crisp morning sun pierced the fluff...
19 comments:
Friday, October 30, 2015

Justice Department Fines 457 Hospitals for Inappropriate ICD Implantations

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From the Heart Rhythm Society via email today: Today, the Department of Justice announced that it has reached settlements in its investiga...
4 comments:

Part I: Why Washington?

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When I lived in Washington DC years ago, there was a saying my wife and I heard on occasion from our friends who worked on the Hill: ...
3 comments:
Thursday, October 22, 2015

Sunshine

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From Jonathan Edwards  (video): "Sunshine go away today I don't feel much like dancing Some man's gone, he's tried to r...
42 comments:
Thursday, October 15, 2015

Can Medical Knowledge Be Copyrighted?

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A patient with a history of syncope, first degree AV block with evidence of a bundle branch block and 2:1 block on telemetry is examined and...
62 comments:
Thursday, October 08, 2015

Every 10-year ABIM MOC Exam On It's Way Out? Careful What You Wish For

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According to MedScape : The American Board of Internal Medicine (ABIM) has announced that it will consider replacing its 10-year maintena...
32 comments:
Monday, October 05, 2015

Heart Rhythm Society and ABMS: Friends for Life

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Patients are dropping like flies in Electrophysiology Laboratories across the country. Death and destruction everywhere. Poor quality. Unsaf...
18 comments:
Sunday, September 27, 2015

ABIM Maintenance of Certification: The Gift That Keeps on Giving

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The incredible growth in American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) fees from 2000 to 2014 in one graph: ...
24 comments:
Friday, September 25, 2015

ABIM First-Time MOC Pass Rates 2000-2014

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I reviewed the past 15 years of first-time pass (and therefore failure) rates of the American Board of Internal Medicine (ABIM) MOC secure e...
25 comments:
Tuesday, September 15, 2015

Pulling the Plug on ABIM; Pulling the Plug on MOC

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Kurt Eichenwald in Newsweek  strikes again : Dr. Jones has been a physician for decades. His hundreds of online patient reviews are consis...
35 comments:
Sunday, September 13, 2015

Maintenance of Certification's Real Problem: The Four Deceptions

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By now, most specialty boards in medicine appear to have "heard" practicing doctors over their displeasure over the American Board...
13 comments:
Wednesday, September 09, 2015

The ABIM and Big Tobacco - A Love Story

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Some of us were shooting spitballs in class in 1963, more interested in the political machinations of the playground than we were with those...
11 comments:
Tuesday, September 08, 2015

Why the History of the Specialty Boards Is Important

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According the American Board of Medical Specialties' website, the creation of the first medical specialty board was widely attributed t...
7 comments:
Friday, September 04, 2015

The Unintended Consequences of Performance Measurement

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When it rains, it pours. So it is with the unintended consequences of performance measurement. Performance measurement is an important p...
9 comments:
Sunday, August 30, 2015

The Level 2 Inpatient Encounter

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Ever what a doctor needs to type for a 20-minute inpatient visit? Here's what it took me: (Note: my poor typical skills are evident...
11 comments:
Sunday, August 23, 2015

American Gastroenterological Association Takes Important First Step to Oppose ABMS MOC® Program

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One by one, Internal Medicine subspecialties are fleeing the sinking American Board of Internal Medicine (ABIM) Maintenance of Certificatio...
16 comments:
Saturday, August 15, 2015

The ABIM Foundation: Increasing Transparency or More Cover-up?

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It is one thing to have a financial scandal. It's a whole new thing when you try to cover it up. But it appears this is what we ...
25 comments:
Wednesday, August 12, 2015

On the Origins of Note Bloat

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"If all clinicians needed to do with our documentation was practice medicine, our notes would be more logical and much less bloated. L...
6 comments:
Monday, August 10, 2015

Sometimes a Picture Speaks Louder Than Words

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From a Medscape email blast this AM: (Click image to be taken to the story) -Wes Addendum 08:30 AM CST: Link fixed.
21 comments:
Tuesday, July 28, 2015

An Independent Cost Analysis of the ABIM Maintenance of Certification Program

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Today, the first independent cost analysis of the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program was ...
40 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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