Practice-based Learning & Improvement

When is a Patient Not a Patient? The Legal Physician-Patient Relationship

How is the legal relationship between health care practitioners and patients defined? The relationship is primarily based in contract law and highly dependent on an analysis of specific facts and state law. In some cases, the law may define a…

Hepatitis C Screening, Testing, and Referral: What the PCP Needs to Know

It is estimated that only half of those infected with Hepatitis C Virus in the US are diagnosed and perhaps a third receive treatment. The arrival of new direct-acting antiviral medications with high cure rates has spurred the creation of…

Psychotropic Medication Management in Primary Care

Four out of five prescriptions for psychotropic medications in the US are prescribed by primary care providers. Psychotropic medications have a relatively high rate of adverse side effects, and are an increasing source of claims for medical malpractice. Clinical practice…

Patient Satisfaction Ratings: Is There a Punchline for Physicians

H-CAHPS and CG-CAHPS are patient satisfaction surveys in the hospital and office settings. They are being collected, published and used by payers in determining hospital and physician reimbursement. Criticisms have been raised about the validity of the surveys and their…

Jousting Mistake: Blaming Other Providers

Every physician in medical practice has at some time seen situations of patient past medical care that seemed inappropriate. In such situations physicians are immediately placed in the position of determining the immediate requirement for continuing medical care and the…

UpToDate

UpToDate is an electronic learning tool that provides current, authoritative, and clinically focused information available on 10,000+ topics covering 22+ medical specialties. We integrate the best evidence with clinical experience to produce practical and detailed topics to answer physicians’ questions…

Physician in Management: Resolving Conflict

Experts say some conflict is healthy, and they’re right. When not managed well, however, conflict can become disruptive and lead to medical errors, poor patient satisfaction, increased cost and higher turnover. Learn the skills you need to make conflict productive….

DocCom Module 3: Therapeutic Aspects of Medical Encounters

Clinician patient encounters are therapeutic in and of themselves, independently of diagnostic and therapeutic activities of proven effectiveness. This module identifies the therapeutic elements of clinical encounters, so the learner can be intentional about maximizing these elements with patients. These…

Managing Physician Stress, Preventing Burnout

Physicians are under more stress than ever before, much of it due to factors beyond their control. Laurie Drill-Mellum, an emergency medicine physician describes the forces bearing down on physicians, including litigation stress, and presents techniques for actively managing the…

APRNs and the Collaborative Practice Agreement: What Physicians Need to Know

Physicians considering working with a Nurse Practitioner often ask, “What is a Collaborative Practice Agreement?”, “Will this increase my liability?” and “I’ve been asked to just sign off on the NP’s records; what do I do?” This monograph will answer…