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Personalized Care: Study highlights which patients would benefit from a second round of chemoradiation

September 2, 2011

Balancing the risks and benefits of concurrent reirradiation and chemotherapy for recurrent head and neck cancers is difficult for physicians at even the most experienced centers. Research recently published in Cancer, however, suggests that selection of patients who may benefit from this therapy should be based on the patient’s previous treatment and the amount of time that has elapsed since initial treatment…

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Filed Under: Career Development, Everyday Ethics, Head and Neck Tagged With: head and neck cancer, personalized medicine, pharmaceuticals

Update Your Practice: Follow these tips to select the right EMR for your group

August 2, 2011

I have been working with electronic medical records (EMR) for many years, having first become interested in 1996, when I was looking for a tool to collect data for pediatric sinusitis. As we designed a product to collect this data, our scope expanded into developing a subspecialty-specific EMR. I have since learned a great deal about developing and codifying information and am currently participating in my third and largest implementation of an EMR at Boys Town National Research Hospital in Omaha, Neb. In this column, I would like to discuss what to look for in an EMR and give some initial thoughts on implementation.

Pages: 1 2 3 | Single Page

Filed Under: Practice Management, Tech Talk Tagged With: electronic medical records (EMRs), health technology, practice management

A New Way to Learn: Residency programs use medical simulation to fill training gaps

August 2, 2011

In May, Marcelo Antunes, MD, chief resident of otorhinolaryngology-head and neck surgery at the University of Pennsylvania, was able to practice bilobed flaps on pig’s feet at an ORL Rising Chief Boot Camp held at Penn Medicine Clinical Simulation Center in Philadelphia. While he had previously experienced medical simulation during his otolaryngology residency, the boot camp put the methodology in proper context for Dr. Antunes, who is particularly interested in facial plastics.

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Filed Under: Career Development, Medical Education, Resident Focus Tagged With: ACGME, residents, technology

Help or Hoopla?: Surgical robots can benefit otolaryngology

July 4, 2011

The large, roadside billboards advertised robotic surgery in bright, bold colors, something that struck David Eibling, MD, professor of otolaryngology at the University of Pittsburgh, as “fundamentally wrong.” Hospitals and physicians “should not be offering robotic surgery as a draw for patients,” said Dr. Eibling, who noticed the billboards while traveling through Florida earlier this year, “but rather as a potential tool to benefit the care of the patient.”

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Filed Under: Head and Neck, Practice Management, Tech Talk Tagged With: head and neck surgery, robotic surgery, technology

An Unofficial First-Line Treatment: Propranolol gains widespread use for infantile hemangiomas

July 4, 2011

Since the first report in 2008 of the effectiveness of propranolol to treat infantile hemangiomas, its use has grown among physicians who treat these tumors, which arise in 5 to 10 percent of infants. Among these infants, approximately 10 percent will require treatment to correct functional impairment or prevent lasting cosmetic deformity caused by the hemangioma.

Pages: 1 2 3 4 5 | Single Page

Filed Under: Everyday Ethics, Head and Neck, Pediatric, Practice Management, Special Reports Tagged With: hemangiomas, pediatric otolaryngology, protocols

Middle Ear Implants Offer Potential: New breed of devices may stimulate compliance, experts say

April 27, 2011

For decades, otolaryngologists have been frustrated by the refusal of some patients with hearing loss to use hearing aids. Statistics on noncompliance vary, but there is general agreement that only about 20 percent to 25 percent of Americans with treatable hearing loss use hearing aids. The problem seems to be more acute for people with mild hearing loss: A consumer survey conducted by the nonprofit Better Hearing Institute in 2009 found that fewer than 10 percent of people with mild hearing loss use amplification and that even among people with moderate-to-severe hearing loss, only four in 10 use amplification.

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Filed Under: Everyday Ethics, Otology/Neurotology, Special Reports, Tech Talk Tagged With: insurance, Otology, patient compliance

Get Out There: Optimize your web identity to sell your otolaryngology services

April 5, 2011

If you think your patients are finding your otolaryngology practice by looking in the Yellow Pages, think again. Increasingly, patients are deciding which physician to call by visiting the web and reading feedback on sites like vitals.com, healthgrades.com, lifescript.com and drscore.com.

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Filed Under: Career Development, Practice Management, Tech Talk Tagged With: marketing, practice management, technology

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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Filed Under: Career Development, Everyday Ethics, Health Policy Tagged With: Public policy, society news, workforce

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.

Pages: 1 2 3 4 | Single Page

Filed Under: Career Development, Everyday Ethics, Practice Management Tagged With: patient communication, patient satisfaction, practice management

Closing the Knowledge Gap: New food allergy guidelines provide clarity to some otolaryngologists

February 28, 2011

Ronald A. Simon, MD, often illustrates a major food allergy misconception by showing a “Peanuts” cartoon of a bleary-eyed Snoopy lying atop his doghouse. “I think I’m allergic to morning,” Snoopy says.

Pages: 1 2 3 4 5 6 | Single Page

Filed Under: Allergy, Everyday Ethics, Medical Education, Pediatric, Special Reports Tagged With: best practices, guidelines, pediatric otolaryngology

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