Intravascular Catheters Harbor Complex Microbial Communities

Authors: Zhang L et al., Eur J Clin Microbiol Infect Dis 2014 Jul 33:1189 A sensitive molecular method identified numerous bacterial species on intravascular catheters; most do not grow under standard culture conditions. Central venous catheters (CVCs) and arterial catheters (ACs) carry substantial risk for life-threatening infection. Early detection and appropriate treatment are important to […]

Naloxegol Alleviates Opioid-Induced Constipation

Authors: Chey WD et al., N Engl J Med 2014 Jun 19; 370:2387 About eight patients had to be treated to benefit one. Binding of opioid drugs to intestinal μ-opioid receptors causes the troublesome side effect of constipation. In two identical randomized trials, industry-sponsored researchers have examined the efficacy of naloxegol (Movantik) — a μ-opioid–receptor […]

Using the Post-Resuscitation ECG to Determine Need for Urgent PCI

Authors: Garcia-Tejada J et al., Resuscitation 2014 Jun 11; Patients with ST-segment elevation on post-arrest electrocardiogram were more likely to have acute coronary occlusion than those without it in a small study. Determining which patients will benefit from urgent percutaneous coronary intervention (PCI) after out-of-hospital cardiac arrest is not always straightforward. These researchers assessed whether […]

Another Look at Noninvasive Continuous Arterial Pressure Monitoring

Authors: Weiss E et al., Br J Anaeth 2014 Jul 113:52 A new finger-cuff device might be useful as an early warning system for hemodynamic variability, but it is not a replacement for invasive monitoring. The Nexfin is a noninvasive finger-cuff device that uses photoplethysmographic technology to continuously measure arterial pressure. To compare Nexfin measurements […]

Beware the Reimbursement Gap

If a patient doesn’t pay his health insurance premiums, the insurer doesn’t have to pay the provider for care rendered during the grace period. That means that up to two months of provider services may not be reimbursed. A little-known provision in the Patient Protection and Affordable Care Act could leave physicians holding the bag […]

Docs Air Reasons for Job Dissatisfaction

A medical staffing firm survey shows what’s really behind job dissatisfaction among physicians: stress, declining reimbursements, and loss of autonomy. Six out of tenphysicians said they would quit if they could, a survey commissioned by the Physicians Foundation in 2012 revealed. Recently, healthcare staffing firm Jackson Healthcare, released the results of its third national survey […]

9 in 10 New Physician Jobs Follow Employment

This is not just about our specialty however I thought it was something our followers would want to read. The growing importance of population health management and value-based care as well as market share and leverage with payers is spurring much of the trend toward physician hiring. The shift toward the employed physician model has […]

8 Steps to Interview Anyone for Any Job

Here’s how to conduct a job interview that allows you to hire the best people–versus just the best people you know. Ever know top performers who still had hiring managers judge them as complete failures and misfits within minutes during a job interview? The sad irony is that you’re incompetent until proven job-worthy when interviewing […]