The science of medicine continues to expand rapidly, and this is obviously good for humanity. The art of medicine, on the other hand, has been largely forgotten. This skill is the basis of the time-honored physician-patient relationship and is an important aspect of good patient care. So why have so many physicians forgotten this basic skill? Why would a caring physician disregard any expertise that would benefit his patient?
The health care reform law passed in March created a $50 million demonstration program to test alternatives to the current medical liability system. But reaction is mixed as to whether the new project will help fix what the physician and medical liability insurance communities view as a flawed and inefficient system.
When describing to the curious the benefits of opting out of both Medicare and private insurance, Gerard J. Gianoli, MD, president of The Ear and Balance Institute in Baton Rouge, La., often recalls one particular example: During one 90-day global period about five years ago, after an eight-hour resection of a skull-based glomus tumor, post-operative ICU care and several days of inpatient care and the usual post-operative office visits, he received a total reimbursement of $500.
When Rahul Shah, MD, then a pediatric otolaryngologist at Children’s Hospital in Boston, and several colleagues first undertook a survey of otolaryngologists’ reactions to adverse events in 2004, they provided a blank form for respondents to write about what had happened. In the more than 200 responses they received, Dr. Shah and his colleagues read an outpouring of emotion.
Donald Palmisano, Esq., MD, believes the key to curing the health care crisis in the U.S. involves respecting the sacredness of the doctor-patient relationship and capping the size of malpractice awards.
When the team of otolaryngologists from Children’s Hospital in Boston, including Drs. David Roberson and Rahul Shah, among others, investigated the classification of errors and physician responses to errors as it is germane to otolaryngology, they provided a great service to their fellow specialists.
As medical malpractice lawsuits have become increasingly standard fare in the United States judicial system, providing expert witness testimony has become something of a cottage industry in the medical and scientific communities.
