Most medical practices have policies about no-show patients, but does your practice have a clear protocol for patients who show up late to appointments? How about the chronically late patients for whom tardiness has come to be expected?
A tardy patient can easily derail a practice’s whole schedule. Especially in small practices where there is less coverage, one late patient can affect the amount of time all patients receive that day. Do you accommodate the patient? Turn him away? What are the effects of either option?
There can be major liability issues with refusing to see a late patient outright. “It can be downright unethical,” states Torrieri. It is recommended to discuss this with your malpractice carrier. Unfortunately, if a medical emergency were to occur as your late patient is asked to leave your office, you can be held responsible.
The right thing to do is try to accommodate the patient. First, be sure that your practice is running on time before penalizing a patient for being late. "If you're five minutes late, everyone is five minutes late," cites the article. If another clinician is available, fit the patient into her schedule instead. If there is no available coverage, let the patient know the approximate length of time until he can be seen.
For chronic lateness, you may decide to dismiss the patient from your care if the behavior is addressed and does not change. Here is an example from the article on an escalating tardiness policy:
At Performance Pediatrics in Plymouth, Mass., late patients — those who are more than five minutes late — are treated the same as no-show patients. On the first and second offenses, they're sent a warning letter. On the third offense, they're told they will be dismissed if the problem continues. And on the fourth offense, they are asked to find another provider.
A shortage hit the United States between the fall of 2011 and the spring of 2012 that brought attention to the condition of the country’s mental health. A.D.H.D. medications, especially low dose generic brands were hit by the growing pool of patients being diagnosed with the disorder. According to the MDLinx article entitled, The Not-So-Hidden Cause Behind the A.D.H.D. Epidemic “Before the early 1990’s, fewer than 5 % of school aged kids were thought to have A.D.H.D. Earlier this year, data from the Centers For Disease Control and Prevention showed that 11 % of children ages 4 to 17 had at some point received the diagnosis – and that doesn’t even include first time diagnosis in adults.”This story examines the surge in demand and the expert’s theories as to the increase.
Although there is no clear cut answer to the uptick in A.D.H.D. diagnoses; experts in the field have offered a series of correlating theories. One of these experts, Adam Rafalovich, a sociologist at Pacific University in Oregon provided two explanations. The first being the inclusion of A.D.H.D. into the Individuals With Disabilities Education Act in 1991. This Act allowed access to tutors as well as time allowances on standardized tests. Secondly, the overhaul of the Food and Drug Administration in 1997 which allowed drug companies to more freely market directly to the public.
Stephen Hinshaw, a professor of psychology at University of California, Berkeley put forth a different explanation. While examining the origin of the increase he noticed a disparity in the disorder diagnosis frequencies between two states; North Carolina and California. North Carolina reported a staggering 15.6% of their children diagnosed versus California’s modest 6.2%. Upon further analysis, demographics such as race and income yielded no strong outliers. Struggling to pinpoint the main culprit, Hinshaw finally indentified educational policy as a possibility. Continued investigation into the role of educational policy found correlative evidence. In particular, evidence pointed to the institution of the No Child Left Behind Act as the catalyst behind the inflation of A.D.H.D. cases. The groundbreaking Act was enacted to reward schools who achieved academic benchmarks. North Carolina among other states were quick to adopt the program while California followed suit later. As states started to impose positive and negative sanctions Hinshaw noted an A.D.H.D. increase in those states not long after. Subsequently, four years later the Act’s implementation the U.S. saw a 22% increase of A.D.H.D. diagnoses.
The A.D.H.D. upswing in not strictly a U.S. phenomenon. Historically, Europe has employed the use of a much stricter set of guidelines than their U.S. counterpart. In return their A.D.H.D. case frequencies were humble in comparison. However, recently the U.S. has been exporting their disorder definitions and the medical responses worldwide. Consequently Europe’s numbers have risen; although not quite to the extent of the United States.
Keep up daily with the latest Psychiatry news articles at www.mdlinx.com/psychiatry
Expanded clinical information website offering now available to PDR members creates new opportunities for M3’s customers in healthcare professional promotion, market research and physician employment.
(Washington, DC, November 18th, 2013) The award winning MDLinx content, (www.mdlinx.com), is now offered as membership benefit to all PDR’s members. Through this tightly integrated partnership with PDR, (www.pdrnetwork.com), M3 is now capable of reaching nearly 600,000 US physicians on behalf of its customers in brand marketing, market research, and physician recruiting.
“PDR is a one-of-a-kind brand, trusted by physicians to deliver highly relevant drug information,” remarked Aki Tomaru, CEO of M3 USA. “MDLinx has been the leading website for U.S. specialty physicians. With the launching of PDR Powered by MDLinx, (mdlinx.pdr.net), M3 adds 330,000 US physicians, significantly extending our reach in key specialties such as primary care, psychiatry, urology and pediatrics. Combined with our existing industry leading coverage in oncology, rheumatology and endocrinology, our HCP reach may be the best to the specialties that matter most to both Pharmaceutical and Life Science companies. This represents a tremendous opportunity for our customers.”
“We are thrilled to partner with MDLinx, as PDR continues to expand our HCP offerings,” comments Rich Altus, President of PDR. “Their practical medical information can now be found right on our site, PDR Powered by MDLinx. This powerful offering will provide even more reasons for prescribers to rely on PDR for the most relevant drug and clinical information inside and outside of workflow.” PDR continues to lead the industry by providing drug information and patient support inside the physician’s Electronic Health Record (EHR).
MDLinx is the most actively used website among HCPs today. Now with the PDR partnership in place, M3 offers the greatest reach in the industry to its customers. This is M3 Group’s second industry leading partnership inked in just over two months, the last being an integration with MMIT, to deliver market access information directly to Healthcare Providers.
“We are committed to helping HCPs get the latest medical information available to help them make the most informed prescribing decisions for their patients,” remarks Tomaru. “The PDR partnership is the next great step in our continued growth strategy in the United States.”
About M3 Group
The M3 Group operates in the US, Asia, and Europe with over 5 million physician members globally via its physician websites such as www.m3.com, www.mdlinx.com, and www.medigate.net. M3 Inc. is a publicly traded company on the Tokyo Stock Exchange (jp:2413) with subsidiaries in major markets including USA, UK, Japan, S. Korea, and China. M3 Group provides services to healthcare and the life science industry. In addition to market research, these services include medical education, ethical drug promotion, clinical development, job recruitment, and clinic appointment services. M3 has offices in Tokyo, Washington D.C., Fort Washington, PA, Oxford, London, and Seoul.
M3 Group Links
mdlinx.pdr.net www.mdlinx.com www.doctors.net.uk www.networksinhealth.com www.thesmartestdoc.com research.m3.com
About PDR Network
PDR Network is the nation’s leading aggregator and distributor of FDA-approved drug safety information and patient support services, reaching healthcare providers directly through the Physicians’ Desk Reference® suite of digital and print services. PDR® Communications provides direct access to more than one million healthcare professionals with both promotional and clinical vehicles. Healthcare professionals access trusted PDR content across channels, including via the Physicians’ Desk Reference (PDR), the most recognized drug information reference available in the U.S., now available in multiple formats; PDR interactive drug services for Electronic Health Record (EHR) systems; PDR.net®, the online home of the PDR; and mobilePDR® for handheld devices. The PDR Pharmacy Discount Card helps patients afford their medications – is a free service to physicians and their patients. For more information on our products and services, please visit www.pdrnetwork.com.
PDR Network Links
www.pdr.net www.pdrnetwork.com http://www.pdr.net/DiscountCard/
A broad cadaver study has led to the anatomical description of what doctors call the anterolateral ligament (ALL). This study could prove to be a tremendous revelation for orthopaedic doctors hoping to make advances in ACL repair surgery. While the vast majority of ACL repair surgery procedures are successful, some patients have complained of reoccurring complications. According to the article in MDLinx entitled, Surgeons Describe New Ligament in the Human Knee “some patients with ACL-repaired knees continue to experience so-called 'pivot shift', or episodes where the knee 'gives way' during activity.”
For the past few years Belgian orthopaedic surgeons Dr. Steven Claes and Professor Dr. Johan Bellemans have conducted research into the source of the pivot shift. Their initial research introduced the duo to an article written by a French surgeon in 1879 that claimed the existence of the ALL near the anterior of the knee. Intrigued by this claim, the doctors’ subsequent research of 41 human cadavers noted the presence of the ALL in all cadavers except one. Their conclusion was that the troublesome pivot shift episodes are correlated to an injury in the ALL ligament. The doctors hope this scientific discovery will be a significant breakthrough in the treatment of serious ACL repair procedures and creation of surgical technique to correct ALL injuries.
You can read more surgery articles at mdlinx.com/surgery
Staffing your practice for excellence
The author of this article, published by Physicians Practice and recently summarized on MDLinx.com, suggests that to staff your practice for excellence you should consider “flipping the script” by paying more for a highly qualified candidate in an admin position. Your administrative staff, including receptionists, transcriptionists and billers, is usually filling a role that is high stress / low pay. Nelson posits that keeping the morale of your front office employees high will benefit your entire staff, so budgeting more for salary in key admin positions will pay you back in the long run. “If you pay someone more than they think they're worth, they'll work up to that level. If you pay people less, they'll work down to that level.”
Here are some suggestions for empowering your staff:
Promote professionalism by treating all employees with kindness and respect. Keep equipment working and up to date, and make it convenient and efficient to use.
Hold all staff to the same standards by following “the mini-max performance rule: ‘The minimum you get from one employee is the maximum you can expect from another in that position, in terms of performance.’"
Track phone calls and adjust your staffing levels accordingly. Nelson recommends charting all calls for one week every quarter. Knowing the types of calls your practice typically receives, and the times of day they’re received, can help you take a more proactive approach to phone coverage. This not only lowers stress and improves morale, it also provides a more pleasant patient experience.
Are you staffing your practice for excellence?
>>List jobs in MDLinx Career Center, and let us do the work for you. Contact us for listing packages and competitive pricing. We’ll help you find the best candidates.
How about your own job search?
>>Update your MDLinx Career Center Profile with your CV and job preferences.
Login to your MDLinx account and be sure to fill out your profile as completely as possible – or send us a copy of your CV and we’ll do all the data entry – then mark it as searchable and viewable to employers and recruiters. As new jobs become available, you’ll be contacted if they meet your criteria.
>>Keep your options open. Browse open jobs in your specialty.
There are thousands of new positions added or updated daily, so check back frequently. Or, choose to receive a weekly reminder newsletter or Job Alert based on your specific search criteria.
>>Sign up to receive the free MDLinx Career Center newsletter.
You’ll receive a weekly summary of job recommendations right in your email inbox. You must be registered on MDLinx to take advantage of this member perk, too. Once you’re logged in, simply find the Edit Newsletter Subscriptions tab under My Account and check the box for Career Center Newsletter.
*To read the original full text article published in Physicians Practice, click here, and choose Go To Abstract.
What a new proof-of concept might mean for clinical trials of the future
Gossen R* – As clinical researchers, it’s natural for us to think of patients first and foremost as research participants (potential or current). But that’s not how patients think of themselves. For most patients, clinical trials seem rather disconnected from their broader health (or human) interests. And until the authors meaningfully connect clinical trials to these larger interests, clinical trial recruitment will likely remain a bottleneck. Drawing this connection is a challenge not just because of their natural tendency to classify patients as research participants. It’s also an issue of access.
>> Use our ultra-fast search tool to locate the US clinical trials in your location. Find the sponsor, stage, rating and (NEW!) related articles.
>> Sign up for the Clinical Trials Newsletter to stay current on the trials taking place in your area. Choose the Edit Newsletter Subscriptions tab and check the box under Clinical Trials Newsletter
*To read the original full text article published in Applied Clinical Trials, click here, and choose Go To Abstract.
MDLinx.com is an award winning clinical tool created in 1999 by physicians for physicians to stay current with the medical literature. According to comScore's 2012 Physician Benchmarker, MDLinx is used as much as PubMed and has the highest physician loyalty of any healthcare professional website bar none. MDLinx verified physicians are the source of M3's US physician panel.
Creating a more efficient physician recruiting process
You may have heard the terms “Lean” and “Six Sigma” thrown around in a business context, but do you know what “lean” is, or how it can improve your medical practice?
The production practice Lean came to popularity in the early 90s. It was implemented by a major automaker to reduce all production waste to improve customer value. The end goal is to preserve value while reducing work. Melissa Byington wrote an article published in Physicians Practice and recently summarized* on MDLinx.com, detailing how she has applied Lean to her physician staffing firm. Utilizing kaizens, or rapid improvement events, she can identify several “wasteful” steps in the hiring process. Once eliminating the waste identified in one kaizen, she was able to make her hiring process 42% faster, saving $20,000 in annual costs.
Do you need to make your recruitment process more efficient?
>> List jobs on MDLinx Career Center, and let us do the work for you. Contact us for listing packages and competitive pricing. We’ll help you find the best candidates.
How about your own job hunting process?
>> Update your MDLinx Career Center Profile with your CV and job search criteria. The top medical employers and recruiters will contact you when opportunities meet your criteria.
>> Send us your CV if you’re short on time. Save time on data entry by submitting a PDF or Word doc and we’ll enter your CV details into your profile for you.
>> Sign up for the Career Newsletter. Adjust your newsletter subscriptions to get a weekly update on the open listings in your specialty.
To read the original full text article published in Physicians Practice, click here, and choose Go To Abstract.
MDLinx Clinical Trials Navigator
New from MDLinx: Clinical Trials Navigator
Easier and Faster for you to locate US Clinical Trials for your patients
Use Clinical Trials Navigator to quickly and easily search for clinical trials in the United States based on what’s best for your patients.
| Know at a glance the name of the study and its location and sponsor.
|| Use the easy to read grid to see the size, phase and rating of each trial.
| Save time by searching for clinical trials by keyword or specialty.
|| Refine your search by the location (state or zip), phase and rating.
Based on your search criteria, the simple, easy to read grid shows you an at a glance view of the most important details:
- study name and sponsor
- trial phase, size and rating
- distance from your search point
Select a clinical trial to view its pertinent details in a clear and simple format.
Choose to read more by clicking on the direct link to ClinicalTrials.gov.
>> Use Clinical Trials Navigator now
Smartest Doc Challenge
100-Question Board Exam Prep Courses
Smartest Doc Board Exam Prep courses now available in multiple specialties
|Prepare for your upcoming Board Exams with multiple-choice, board-style questions available for free as another MDLinx Member Perk!
|Board Exam Prep courses:
- Test your knowledge with 100 board-style questions per specialty! You get free access with your membership to all of them – HUGE VALUE!!
- Challenge yourself in timed or untimed modes. Adjust the pressure for a “review” or a “test” environment as you prepare yourself for Boards, MOC and other exams
- View correct and incorrect answer explanations. Learn your strengths and weaknesses to help direct further study.
- Strive for your perfect score. Repeat the course until you achieve your personal best.
It’s never too early to get yourself prepared for certification, maintenance of certification and other exams!