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Business of Medicine

Trio Transitions: The outgoing and incoming presidents share their goals for the society

April 4, 2011

At the Triological Society’s Annual Meeting in April, Robert H. Ossoff, DMD, MD, Maness Professor of Laryngology and Voice and assistant vice-chancellor for compliance and corporate integrity at Vanderbilt University Medical Center in Nashville, will assume the presidency of the society. Dr. Ossoff will be filling the role currently held by Gerald Berke, MD, chief of head and neck surgery at the University of California, Los Angeles.

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Change of Course?: Studies point to antibiotics as optimal treatment for otitis media

April 4, 2011

The question of how soon to give antibiotics to children with acute otitis media (AOM) is receiving renewed attention with the publication of two studies that show the benefit of immediate treatment over the “wait-and-see” approach recommended in the 2004 guidelines of the American Academy of Pediatrics and the American Academy of Family Physicians (AAP/AAFP).

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Letters: Taking the Lead on Safety

February 28, 2011

I read with great interest the article published in the December 2010 issue of ENT Today, “Safety Net: With violence on the rise, otolaryngologists implement prevention strategies”. Physician safety in the workplace is still largely ignored and your article serves to further awareness of the problem. I thank you for providing this forum.

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Happy Patients, Happy Doctors: Patient satisfaction surveys will become an important part of your practice

February 28, 2011

When Kevin Watson joined Colorado Otolaryngology Associates, PC, as administrator nearly two years ago, the Colorado Springs practice wasn’t asking patients about their care experience in a systematic fashion. “They had done some patient surveys, but it was all hard copy and they hadn’t received a great response,” he said.

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New Ways to Deliver Care: The Center for Medicare and Medicaid Innovation promises cost-cutting ideas

February 28, 2011

One of the most common criticisms of the 2010 health care reform law is that it doesn’t do enough to reduce health care costs. Richard Gilfillan, MD, however, begs to differ.

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Purchase Options: Review these ownership provisions before signing your employment agreement

February 28, 2011

Physicians who join a medical practice often have the opportunity to purchase an equity interest in the practice after some period of employment with the group, an issue that is usually addressed in the physician’s employment agreement. If you think you may be interested in such a partnership, you should carefully review your employment agreement before signing it. The amount of detail in the employment agreement regarding potential ownership will vary depending on the practice and the negotiating power of the individual physician. Clearly, the more specificity found in the contract, the better you will be served.

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Imaging at a Crossroads: CT scan providers urged to initiate accreditation

February 28, 2011

Otolaryngologists who provide computed tomography (CT) imaging are being urged to apply before summer to ensure their compliance with the 2008 Medicare Improvements for Patients and Providers Act (MIPPA) accreditation requirement.

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Otolaryngologist Pioneers New Practice Model: Dr. Russell heralds hospitalist role as others ponder the concept’s staying power

February 28, 2011

On July 1, after five years in the department of otolaryngology-head and neck surgery at the University of California, San Francisco (UCSF) Medical Center, most recently as chief resident, Matthew Russell, MD, is joining the faculty there as an assistant professor. Normally, that career arc is not nationally noteworthy.

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Treatment Options: Study reports neck dissection effective in patients with residual disease

February 7, 2011

Patients who had residual neck disease after treatment for a primary head and neck squamous carcinoma and then underwent neck dissection had comparable survival rates to those who had their disease resolved after their initial chemotherapy and radiation treatment, according to a retrospective analysis from researchers at the University of Louisville in Kentucky presented here Jan. 27.

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Lessons Learned: How to overcome the cultural barriers to EMR implementation

February 7, 2011

Health care reform and government incentives have intensified the dialogue on electronic medical records (EMR). Despite the financial incentives for EMR adoption included in the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, physician response remains lukewarm. The HITECH incentives program fails to recognize that the greatest barrier to EMR adoption is not financial, but cultural.

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