BOARD CERTIFICATION EXAM STUDY GUIDES Lower Extremity Trauma
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Posted on May 11, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
DOCTOR OF OSTEOPATHIC MEDICINE
By Dr. David Edward Marcinko MBA CMP®
[Editor-in-Chief]
OK; I admit it. I have a formal educational background in allopathic, podiatric and osteopathic medicine. I also have both earned and conferred medical degrees from the States as well as Europe. I even dropped out of dental and law school back in the day … Such the protean dilettante!
Now, today there are about 950,000 allopathic physicians, 20,000 podiatrists, 150,000 dentists and 50,000 osteopaths. And, from this cohort of medical professionals, the Doctor of Osteopathic Medicine [DO] seems to be the least well understood practitioner.
And so, I thought this essay from Very Well Health might be helpful to all our Medical Executive-Post readers and subscribers [Differences Between a DO Physician and an MD – Comparing Osteopathic and Allopathic Medical Training].
Posted on May 10, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Essentia Health, Ochsner Accountable Care Network, and Primaria Health win NAACOS Leaders in Quality Excellence Awards
[By David Raths]
At its Spring 2021 Conference, the National Association of Accountable Care Organizations (NAACOS) recognized three ACOs for their outstanding work to improve patient care in their communities.
NAACOS said the three inaugural winners exemplify how ACOs across the country are improving care by addressing food insecurity, making house calls to reduce preventable emergency department visits, and engaging patients in preventive services.
Posted on May 8, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
See You Soon!
Colleagues know that I enjoy personal coaching and public speaking and give as many talks each year as possible, at a variety of medical society and financial services conferences around the country and world. All in a Corona safe environment.
These include lectures and visiting professorships at major academic centers, keynote lectures for hospitals, economic seminars and health systems, end-note lectures at city and statewide financial coalitions, and annual lectures for a variety of internal yearly meetings.
Posted on May 7, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
David Swensen, the chief of Yale’s endowment fund, died Wednesday evening at 67 after a nine-year battle with cancer.
Known for laying the groundwork for the modern venture capital- and private equity industries, Swensen made Yale’s endowment office the hottest place on campus. He diverted Yale’s money from just stocks and bonds into more alternative assets like hedge funds, real estate, and even timber (he knew).
Swensen’s strategies grew Yale’s endowment from $1.3 billion in 1985 → $31.2 billion in 2020. It’s currently the second largest university endowment, trailing only Harvard’s.
In 2019, Yale’s endowment accounted for about a third of its entire operating budget.
The “Yale model.” Boasting returns better than some top hedge fund managers, Swensen could have traded it all in for a glamorous Wall Street high rise and a cartoonishly eye-popping salary, but he remained dedicated to the university. Swensen instilled the same principles in his mentees, who were scouted by private sector firms before ultimately following in his higher-ed footsteps.
The Federal Trade Commission (FTC) recently announced plans to examine the consequences of physician group consolidation with healthcare facilities.
The agency said it had sent orders for 6 years’ worth of patient claims data to six insurers to inform this review: Cigna, United Healthcare, Anthem, Florida Blue, Aetna, and Health Care Service Corporation.
One thing for certain about 2020 is that uncertainty was everywhere.
So, we now ask:
What will 2021 look like for the free market medical movement?
Will the political landscape move toward more centralized control of healthcare under a Biden presidency?
Will a more conservative-leaning Supreme Court strike down the Affordable Care Act?
There are so many unknowns. Entrepreneurs are always navigating through a world of uncertainty and the government always has a tendency to make things more uncertain.
I fully agree with the title of Jeremy Horpedahl’s latest reply on the value of life. To say that the life of an 80-year-old is worth 1% or .1% as much as the life of a 10-year-old is not deny the high value of elderly lives, because 10-year-old lives are immensely valuable.
However, I disagree with almost all of Jeremy’s arguments. To wit:
Posted on April 29, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
PresidentBiden Talks Up Benefits of Vaccines After New Mask Guidance
By Dr. David E. Marcinko MBACMP®
It is time to practice smiling with your teeth again, because the CDC just updated its mask-wearing guidance yesterday from “mostly always” to “mostly just inside.” The agency said that fully vaccinated folks can do the following activities sans masks:
Dine outside with non-roommates
Go on walks, hikes, or bike rides alone or with household members
Attend small, outdoor events, even if some attendees haven’t been vaccinated.
Why now?
29% of Americans are fully vaccinated, and almost 43% have received 1+ dose. Plus, researchers’ understanding of Covid-19 has come a long way since every Amazon package was treated like an Area 51 special delivery, and public health experts say it’s rare for the virus to spread outdoors.
The pace of vaccinations has slowed down in the US, and the Biden administration hopes that FOMO from seeing vaccinated friends tandem-biking (as friends do) will spur the un-jabbed to act.
Assessment: In the words of President Biden, “For those who haven’t gotten their vaccine yet…this is another great reason to go get vaccinated now.”
Posted on April 25, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Proceed with Caution
By J. Wesley Boyd MD PhDMA
I was lucky to meet Dani Shapiro through HMS Bioethics when she came to speak in a class I taught there about her book Inheritance. That meeting ultimately resulted in Josh North, Rennie Burke, Yvette Ollada, Gali Katznelson and I surveying individuals who were donor conceived about their thoughts, feelings, and reactions to finding out about the nature of their conception. We wrote up our findings here in the HMS Journal of Bioethics.
Gali and I then wrote a blog on Psychology Today highlighting our findings.
EDITOR’S NOTE: Colleague J. Wesley Boyd, M.D., Ph.D., is a professor of psychiatry and medical ethics at Baylor College of Medicine. He is also a lecturer on global health and social medicine at Harvard Medical School. He writes on issues of social justice, human rights, immigration and asylum, access to care, and substance use disorders. He is the author of the book, Almost Addicted, which won the Will Solemine Award for Excellence in Medical Writing from the New England American Medical Writer’s Association.
Posted on April 25, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Effective forms management improves healthcare data quality
By Shahid N. Shah
NOTE: Colleague Shahid Shah is an internationally recognized enterprise software guru that specializes in digital health with an emphasis on e-health, EHR/EMR, big data, iOT, data interoperability, med device connectivity, and bioinformatics.
Posted on April 23, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
A Proposal for Now
By Joel Lee
President Biden will soon propose nearly doubling the capital gains tax for wealthy people to 39.6%, according to Bloomberg.
PS: Wealthy people = individuals earning $1 million or more.
Biden is expected to announce the tax hike next week as part of the pitch for his “American Families Plan,” the highly anticipated sequel to the $2.3 trillion infrastructure proposal he released a few weeks ago.
To pay for the first plan, which includes spending on bridges and broadband, Biden wants to hike taxes on corporations.
To pay for his second proposal, which includes spending on childcare and paid leave for workers, he wants to hike taxes on wealthy investors.
NOTE: Physicians and all investors knew this dramatic hike was coming (the proposal was in candidate Biden’s tax plan), but the report jarred Wall Street nonetheless. It could lead to a lot of asset sales before 2021’s out.
Telephonic or electronic advice for medical professionals that is:
Objective, affordable, medically focused and personalized
Rendered by a pre-screened financial consultant or medical management advisor
Offered on a pay-as-you-go basis, by phone or secure e-mail transmission.
The iMBA Discussion Forum™ is a physician-to-advisor telephone or e-mail portal that connects independent financial professionals and medical management consultants, with doctors or healthcare executives desiring affordable and unbiased financial or business advice on an as-needed, pay-per-use basis.
Posted on April 22, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
ON ACCOUNTABLE CARE ORGANIZATIONS
[By Staff Reporters]
What happens when you’re a healthcare policy wonk and the pilot study for your pet program has failed miserably? You declare “Success!” in the editorial pages of the New England Journal of Medicine and demand that the program become nationwide and mandatory.
I kid you not. This is exactly what happens.
Thankfully, colleague Mike Accad MD and Anish Koka are vigilant and explain the blatant obfuscations and manipulations that the central planners engage in to have their way.
Posted on April 21, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Dear Dr. David Edward Marcinko,
We are pleased to present the May 2021 issue of AJPH. It features a special dossier on “COVID-19/Public Health Preparedness and Response” with research and perspectives on the importance of strengthening public health systems before disasters strike.
The issue also includes research on anti-Asian bias, use of cannabis for harm reduction among people at high risk for overdose, the changing epidemiology of hepatitis C infections in the U.S. and much more.
Here are a few of the many articles in the May 2021 issue.
Posted on April 20, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
By HANS DUVEFELT
For a couple of decades now, healthcare has professed to be patient centered.
But the prevailing culture of “quality” (and the reality of getting paid for what you do) has us spending at least half our time documenting for outsiders, who are non-clinicians, the substance and value of our patient interactions. That means our patients get half of our attention and others get half.
Posted on April 15, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
HOLISTIC DIGITAL HEALTH PLATFORMS
Providers and payers alike recognize the impact chronic conditions have on member and patient health and healthcare expenditure. An easy-to-use digital health platform that successfully marries IoT sensors, data visualization, and AI can be a powerful tool in the management and prevention of chronic conditions.
And, when “high tech” tools are combined with the “high touch” elements such as digital health coaching, members and patients are truly empowered and supported.
Are you providing a holistic digital health platform to your members and patients?
Posted on April 13, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
62% of health care workers say COVID-19 is impacting mental health
The coronavirus pandemic has had a major impact on the mental health of frontline health care workers. Highlights from the new KFF/Washington Post Frontline Health Care Workers Survey, finds that among frontline healthcare workers:
• A majority (62%) say worry or stress related to COVID-19 has a negative impact on their mental health. • More than half (56%) say that worry or stress related to COVID-19 has caused them to experience trouble with sleeping or sleeping too much (47%), frequent headaches or stomachaches (31%), or increased alcohol or drug use (16%). • 13% say they have received mental health services or medication specifically due to worry or stress related to COVID-19 and an additional one in five (18%) say they thought they might need such services, but did not get them.
Posted on April 13, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
CREATING A MEDICAL PRACTICE COMPLIANCE PROGRAM
[Accountability, Processes and Implementation]
Carol S. Miller RN MBA
Dr. David Edward Marcinko MBA
In general terms, healthcare entity or medical practice compliance is the organization’s adherence to rules, regulations, guidelines, and specifications relevant to performing its day-to-day operations.
This includes the observance of all applicable Medicare billing guidelines; state, local, and Federal regulations impacting the practice; ethical, privacy and security requirements; and the steps and processes to avoid potential fraud and abuse.
Due to the increasing number of regulations placed on medical practices and the need for operational transparency, provider offices are adopting the use of consolidated and harmonized sets of compliance controls to ensure that all necessary governance requirements can be met without unnecessary duplication of effort or too extensive processes that could take away from patient care.
As we complete our first quarter-century of service to the podiatric community, it is only fitting to update our colleagues of the extreme changes taking place in the individual board exam testing space.
Some of these changes are perfunctory with little practical impact; while others are so profound as to cause extreme consternation in the practitioner community writ-large.
For example:
Nomenclature:
FROM: American Board of Podiatric Surgery -TO- American Board of Foot and Ankle Surgery.
FROM: American Board of Primary Podiatric Medicine and Orthopedics -TO- American Board of Foot and Ankle Medicine and Orthopedics.
The Surgery Certification and Qualification tests now rely less on rote memorization and more on applied cognitive content, and may be very different from any other test you have ever taken, to date [ie., multiple choice or fill-in-the-blank].
The Primary Medicine and Orthopedics Certification and Qualification tests now rely less on rote memorization and more on applied cognitive content, and may be very different from any test you have ever taken, to date [ie., multiple choice or fill-in-the-blank].
Traditional human ORAL questions have been usurped by [non-human] computerized Clinical Pathology Conference [CPC] queries; AKA: Computer Based Testing [CBT] or Clinical Scenario Questions [CSQs].
American Board of Medical Specialities now includes over a dozen general categories; including podiatry.
The Re-Certification tests for Maintenance of Certification [MOC] now rely much less on rote memory, as in the past; and more on deeply experiential content. It is also becoming more competitive, to-date.
So-called “wrong” questions by-design are called psychological “stressor questions” and are used to evoke emotional volatility and waste precious time. So, BEWARE!. Moreover; the so-called “points-to-pass” AND “points-to-fail” philosophy may be re-emerging.
This is the dynamic PODIATRY PREP difference [Unique Competitive Advantage] between our customized Study Guide File Programs with customized board exam preparation content, and the static general “off-shelf” books or Web guides of the past; and/or traditional CEU educational seminars.
SAMPLE QUESTIONS: Traditional Rote ISTITUTIONAL RESIDENCY Questions versus Experiential and Cognitive Styled INDIVIDUAL PRACTITIONER [CBT/CBS] Formats
Posted on April 10, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Electronic dental records – why bother?
[By Darrell Pruitt DDS]
“Clinician EHR Workload, Cognitive Efforts Double After EHR Adoption – Providers reported significant cognitive workload increases, such as higher levels of frustration and mental demands following EHR adoption”
Jason: “Clinician workload and cognitive efforts doubled after the first six months of EHR adoption, according to a study published in Applied Ergonomics. Clinicians also experienced increased EHR workload over 2.5 years following EHR implementation. This adds to the evidence showing a connection between EHR usability and clinician burnout. EHR usability issues typically increase cognitive load and errors, leading to patient safety issues. An increase in cognitive load adds to EHR use, which then leads to clinician burnout.”
Compared to physicians, the business of dentistry is like a lemonade stand. Electronic dental records offer only convenience – expensive, complicated and dangerous convenience.
On March 11, 2021, President Joe Biden signed into law the American Rescue Plan Act of 2021 (ARPA). The law looks to alleviate the burden felt by the millions of people who lost their employer-sponsored health insurance over the first six months of the pandemic and assist the hardest-hit communities through the extension of the Patient Protection & Affordable Care Act (ACA) and Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidies, expanding Medicaid coverage, increasing funding for behavioral health, ramping up COVID-19 vaccines and testing, providing financial relief for rural providers, and enacting other individual and healthcare system protections. (Read more…)
Posted on March 31, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Right Side VERSUS Left Side Cerebral Vascular Accidents
[By staff reporters]
***
A stroke occurs when the blood supply to part of your brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients [occlusive and hemorrhagic]. Within minutes, brain cells begin to die.A stroke is a medical emergency. Prompt treatment is crucial. Early action can minimize brain damage and potential complications.The good news is that strokes can be treated and prevented, and many fewer Americans die of stroke now than in the past.
Posted on March 29, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
By staff reporters
Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression).
When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (less extreme than mania), you may feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly.
Episodes of mood swings may occur rarely or multiple times a year. While most people will experience some emotional symptoms between episodes, some may not experience any.
Although bipolar disorder is a lifelong condition, you can manage your mood swings and other symptoms by following a treatment plan. In most cases, bipolar disorder is treated with medications and psychological counseling (psychotherapy).
Posted on March 27, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
MSL Day 2021
[By staff reporters]
A medical science liaison is a healthcare consulting professional who is employed by pharmaceutical, biotechnology, medical device, and managed care companies. Other job titles for medical science liaisons may include medical liaisons, clinical science liaisons, medical science managers, regional medical scientists, and regional medical directors.
Posted on March 7, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
LAUGHTER
By staff reporters
Laughter is a physical reaction in humans consisting usually of rhythmical, often audible contractions of the diaphragm and other parts of the respiratory system resulting most commonly in forms of “hee-hee” or “ha-ha”.
Posted on March 3, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
WHAT IS PHYSICIAN BOARD CERTIFICATION AND BOARD ELIGIBILITY?
Courtesy: https://lnkd.in/drrYKeT
BOARD CERTIFICATION (Boarded, Diplomate): A doctor who is board certified has pursued advanced training in his or her specialty and has passed a qualifying examination; a doctor who is board eligible has received the training but has not taken or passed the exam. DHIMC: https://lnkd.in/e9AmEhd
BOARD ELIGIBLE: Describes a physician who is eligible to take the specialty board examination by virtue of being graduated from an approved medical school, completing a specific type and length of training, and practicing for a specified amount of time. Some HMOs and other health facilities accept board eligibility as equivalent to board certification, significant in that many managed care companies restrict referrals to physicians without certification. FOREWORD:https://lnkd.in/gywd_Ad
Posted on March 1, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
Rare Disease Day 2021
[By staff reporters]
February 28th 2021 was the fourteenth international Rare Disease Day coordinated by EURORDIS. On and around this day hundreds of patient organizations from countries and regions all over the world held awareness-raising activities.
Posted on February 27, 2021 by Dr. David Edward Marcinko MBA MEd CMP™
FINANCIAL OPINIONS OF MEDICAL PRACTICE FAIR MARKET VALUE [FMV]
Courtesy: https://lnkd.in/eBf-4vY Plastic Surgery-Medical Practice Worth, Valuation, Sales & Succession Planning
For doctor-colleagues, buying or selling a practice may be the biggest financial transaction of their lives. Reasons for appraising practice worth include: sales, merger, succession, retirement and estate planning; partnership disputes and divorce; or as an important tool for organic growth and strategic planning.
However, the transaction is fraught with many pitfalls to avoid and no medical specialty seems immune; especially when it comes to contentious fair market value [FMV] appraisals.
DEFINITION: A member of a securities exchange with the essential function of maintaining a fair and orderly market, insofar as reasonably practicable, in the stocks in which he is registered as a specialist. To do this, s/he must buy and sell for his own account and risk, to a reasonable degree, when there is a temporary disparity between supply and demand. In order to equalize trends, he must buy or sell counter to the direction of the market. DHEF:https://lnkd.in/dqdbWM9 FOREWORD: https://lnkd.in/ecwZWxu
At all times the specialist must put his customer’s interest before his own. All specialists are registered with the exchange, but are not employees of that exchange. Your thoughts are appreciated.
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