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• Today’s New England Journal Hospitalist Study

  Today my pals Peter Lindenauer and Andy Auerbach (and colleagues) published the largest hospitalist outcomes study to date, in the New England Journal of Medicine. It is a rigorous, important piece of work. Let me try to add a bit of context. First, the Read More... Posted Thu, Dec 20 2007 9:05 AM by Bob Wachter | 2 Comments Filed under: Hospital Care, Quality Measurement, Efficiency, Medical Education/Academia, Hospitalists/Hospital Medicine, Ambulatory/Primary Care, Health Policy

• The Weekly Roundup…

  Stuff this week that caught my eye: Does medical tourism harm the natives? Are all those CT scans destroying more than our budgets? Are nocturnalists at risk for more than decubs? Will Medicare need to cut hospital payments to fuel P4P? Answers: yes, Read More... Posted Fri, Nov 30 2007 9:45 PM by Bob Wachter | 0 Comments Filed under: Hospital Care, Pay-for-performance, Transparency and Reporting, Quality Measurement, Hospitalists/Hospital Medicine, Diagnosis/Clinical Reasoning, Information Technology, Ambulatory/Primary Care, Nurses/Nursing, Health Policy, Outsourcing/Medical Tourism

• The Shameless Commerce Division

  Sorry, but today is the day for a tiny bit of Shameless Commerce – a quick plug for my new book, Understanding Patient Safety. I wouldn’t normally do this – I’m as brazenly promotional as anybody, mind you, but it does seem a bit cheesy – but then I saw Read More... Posted Thu, Nov 01 2007 11:42 PM by Bob Wachter | 0 Comments Filed under: Hospital Care, Medical Education/Academia, Hospitalists/Hospital Medicine, Diagnosis/Clinical Reasoning, Information Technology, Ambulatory/Primary Care, Patient Safety/Medical Errors, Nurses/Nursing

• Rating Doctors Like Restaurants

  So Zagat will now be rating doctors, using the methods it perfected helping you find the best sushi in Brooklyn Heights. What’s next, Consumer Reports rating grad schools? Fodor rating auto mechanics? Whatever you think of Zagat’s cross-dressing, it again Read More... Posted Sun, Oct 28 2007 5:57 AM by Bob Wachter | 4 Comments Filed under: Hospital Care, Transparency and Reporting, Quality Measurement, Medical Education/Academia, Hospitalists/Hospital Medicine, Information Technology, Ambulatory/Primary Care

• Are Hospitalists Killing Primary Care, Redux

  The comments to my original post on this topic are so striking and passionate that I wanted to answer them in a new post rather than as another comment. First, "LPrieto" wrote, "I think the death of outpatient general Internal Medicine is inevitable." Read More... Posted Thu, Oct 25 2007 11:12 PM by Bob Wachter | 9 Comments Filed under: Hospital Care, Transparency and Reporting, Quality Measurement, Medical Education/Academia, Hospitalists/Hospital Medicine, Ambulatory/Primary Care

• Canadian Hospitalists: A North-of-the-Border Lesson in Negotiation

  In late September, I had the honor (or honour, I guess) of speaking at the 5th Annual Canadian Hospitalist Conference, held in beautiful Vancouver. It was an eye-opener. About 150 hospitalists from all over Canada were there, and they really are delightful Read More... Posted Tue, Oct 23 2007 12:39 AM by Bob Wachter | 6 Comments Filed under: Hospital Care, Medical Education/Academia, Hospitalists/Hospital Medicine, Ambulatory/Primary Care

• Are Hospitalists Killing Primary Care?

  Primary care is tanking. Job dissatisfaction is high, burnout is rampant, residents are voting with their feet in droves, and most primary care confabs have become sky-is-falling angst-a-thons. Since many people identify me as “the guy who invented hospitalists” Read More... Posted Sat, Oct 20 2007 6:21 PM by Bob Wachter | 5 Comments Filed under: Medical Education/Academia, Hospitalists/Hospital Medicine, Ambulatory/Primary Care, Nurses/Nursing