Author: Dr Clemens

Uncategorized Published - 22 June, 2023    By - Dr Clemens
My Top 5 List of Impactful Health Care Trends

Author: Paul Pomerantz, FACHE ASA Monitor July 2023, Vol. 87, 1–7. It is daunting to reflect on the fact that I have just a few quarterly columns left. In this one, I will share my observations on the major trends impacting the specialty and the society. In October, I will reflect on the major milestones of […]

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Uncategorized Published - 22 June, 2023    By - Dr Clemens
PACU Delirium in Older Adults: Is Aldrete Enough?

Authors: Julia Klein, MD et al  ASA Monitor July 2023, Vol. 87, 27–28. The PACU functions as a triage center where decisions are made as to whether the patient is ready for discharge, transfer to the floor, or whether continued ICU-level of care is needed. Although the 2013 ASA Practice Guidelines for Postanesthetic Care include mental […]

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Uncategorized Published - 22 June, 2023    By - Dr Clemens
Increasing Physician Engagement: How to Be Compensated for Nonclinical Time

Authors: Jennifer J. Yuan, MD, MBA et al  ASA Monitor July 2023, Vol. 87, 21. Traditionally, a doctor’s role has been as a patient’s advocate, with a focus on medical care and clinical decision-making. To be an effective clinician, some believe that a physician should be separated from conflicting financial interests, and administrative management should be […]

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Uncategorized Published - 22 June, 2023    By - Dr Clemens
Changing OR Culture: Where Fact Meets Fiction

Keya A. Locke, MD, MBA et al  ASA Monitor July 2023, Vol. 87, 14–15. “The operating room should be at the disposal of the surgeons 24/7, no questions asked.” “Every day at 3 p.m. it’s like rats scurrying off the deck of the Titanic, and we can’t get any work done.” “1:30 p.m. is the bewitching […]

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Uncategorized Published - 22 June, 2023    By - Dr Clemens
ACE Question

ASA Monitor July 2023, Vol. 87, 7. Which of the following immunosuppressive drugs is MOST likely to cause renal dysfunction? □ (A) Tacrolimus □ (B) Mycophenolate mofetil □ (C) Basiliximab Immunosuppressant drugs are used to prevent or treat allograft rejection. Most of these drugs act during the induction phase of the immunological response, reducing lymphocyte proliferation. Some of them […]

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Uncategorized Published - 21 June, 2023    By - Dr Clemens
FTC Proposed Ban on Noncompetes: Implications for Your Practice

Authors: Judith Jurin Semo, JD et al  ASA Monitor July 2023, Vol. 87, 17–18. Restrictive covenants or noncompetes in employment are a contentious topic (ASA Monitor 2020;84:1-18). If a proposed rule issued in January 2023 by the Federal Trade Commission (FTC) is adopted, most employers in the United States will be foreclosed from requiring employees to […]

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Uncategorized Published - 21 June, 2023    By - Dr Clemens
Professional Development: Where Do I Start?

Authors: James L. Hill, Jr., MD, MBA, CPE, FASA, FACHE et al ASA Monitor July 2023, Vol. 87, 16–18. Physicians know the sacrifice and devotion needed to excel during college, medical school, and residency. While the path to becoming a physician is defined, the career journey after completing graduate medical education can become unclear. Professional development […]

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Uncategorized Published - 21 June, 2023    By - Dr Clemens
Definition of Monitored Anesthesia Care 2023

AUTHORS: Dinesh Ramaiah MBBS et al Anesthesia Patient Safety Foundation Volume 38, No. 2 • June 2023  TO THE EDITOR We appreciate the reprinting in the APSF Newsletter of the article from Anesthesia & Analgesia, (June 2022 • Volume 134 • Number 6, pages 1192–1200), entitled “Pro-Con Debate: Monitored Anesthesia Care Versus General Endotracheal Anesthesia for Endoscopic Retrograde Cholangiopancreatography” […]

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Uncategorized Published - 21 June, 2023    By - Dr Clemens
Be Well, Practice Well – A Clinician Wellbeing Podcast

Michael McGee, MD, offers overwhelmed clinicians practical strategies for achieving clinical excellence. Practical Pain Management Nov 22 In our growing award-winning podcast series, Be Well, Practice Well, Michael McGee, MD, a Stanford- and Harvard-trained psychiatrist and author, shares how clinicians can provide better care for their patients by prioritizing their own mental health and offers practical strategies […]

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Uncategorized Published - 21 June, 2023    By - Dr Clemens
Trends

ASA Monitor July 2023, Vol. 87, 12–34. Doxycycline reduces sexually transmitted infections by two-thirds A study funded by the National Institute of Allergy and Infectious Diseases (NIAID) of men who have sex with men and transgender women found the oral antibiotic doxycycline prevented the acquisition of sexually transmitted infections (STIs) when taken within 72 hours of […]

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