Dr. Wes

Standing up for the practicing physician

Sunday, November 29, 2015

Edging Toward the Tipping Point

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We've seen the " We got it wrong " messages." We've seen the " We're listening to our members " messa...
24 comments:
Monday, November 23, 2015

ABIM Legal Fees: Pre-MOC vs Post-MOC

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Pre-MOC Average: $146,073/year Post-MOC Average: $1,090,184/year This graph sums up another reason the American Board of Medical Specia...
24 comments:
Sunday, November 22, 2015

Labels

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Two days ago after a typical day performing procedures in the EP lab, doing inpatient consults, fielding patient messages, attending admini...
30 comments:
Wednesday, November 11, 2015

Concerning Conflicts of Interest at the ABIM, ABMS and NQF

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By now various medical societies are telling the American Board of Internal Medicine (ABIM) their ship has sailed. The ABIM's worn mant...
37 comments:
Monday, November 02, 2015

Part III: Why Washington?

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I woke early to review my notes; who was attending the gathering that day, the itinerary, the location.  Suit, tie, briefcase, cell phone, c...
19 comments:
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:
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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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