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DAILY UPDATE: Sleep, Starbucks and Cell Phone Education

Posted on May 5, 2024 by Dr. David Edward Marcinko MBA

MEDICAL EXECUTIVE-POST – TODAY’S NEWSLETTER BRIEFING

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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants

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Happy Cinco de Mayo 2024

Starbucks – The coffee company known for consistently outperforming itself reported less-than-spectacular earnings this week, sending its stock plunging 12% on Tuesday evening last week on the news—nearly as much as when the company shut all its doors during Covid 19. For the first time since 2020, US same-store sales declined, falling 3% alongside a 7% decrease in foot traffic. Meanwhile, revenue fell 1.8% to $8.56 billion as sales in China—the chain’s second-biggest market—declined 11%, and Starbucks lowered its sales outlook for the year.

CITE: https://www.r2library.com/Resource

Educators have long pushed back against distraction machines (aka phones), with 77% of schools banning them in the classroom as of 2020, according to a National Center for Education Statistics survey. School time still overlaps with screen time: 97% of students are on their phones during school hours, according to a study by Common Sense Media, a nonprofit that informs parents about technology. While much of students’ phone use might be at lunch or recess, teachers complain that kids aren’t waiting for the bell to take a discreet peek at their screens.

CITE: https://tinyurl.com/2h47urt5

Creatine may counteract sleep deprivation. The dietary supplement all over your Instagram feed might one day help workers who have to do a lot on small amounts of sleep, like ER staff, first responders, and anyone sharing a house with a baby.

CITE: https://tinyurl.com/tj8smmes

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A Brief Historical Review of Behavioral Finance and Economics

Posted on March 28, 2024 by Dr. David Edward Marcinko MBA

By Related Influential Thought-Leaders

Dr. Brad Klontz CSAC CFP®
Dr. Ted Klontz PsyD
Dr. Eugene Schmuckler MBA MEd CTS
Dr. Kenneth Shubin-Stein FACP CFA
Dr. David Edward Marcinko MEd MBA CMP™

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James O. Prochaska PhD, Professor of Psychology and Director of the Cancer Prevention Research Center at the University of Rhode Island, developed the Trans-Theoretic Model of Behavior Change [TTM] which has been evolving since in 1977. Nominated as one of the five most influential authors in Psychology, by the Institute for Scientific Information and the American Psychological Society, Dr. Prochaska is author of more than 300 papers on behavior change for health promotion and disease prevention.

TTM Stages of Change

In his Trans-Theoretical Model, behavior change is a “process involving progress through a series of these stages:

Pre-Contemplation (Not Ready) – “People are not intending to take action in the foreseeable future, and can be unaware that their behavior is problematic”
Contemplation (Getting Ready) – “People are beginning to recognize that their behavior is problematic, and start to look at the pros and cons of their continued actions”
Preparation (Ready) – “People are intending to take action in the immediate future, and may begin taking small steps toward behavior change”
Action – “People have made specific overt modifications in changing their problem behavior or in acquiring new healthy behaviors”
Maintenance – “People have been able to sustain action for a while and are working to prevent relapse”
Termination – “Individuals have zero temptation and they are sure they will not return to their old unhealthy habit as a way of coping”

Relapse

In addition, researchers conceptualized “relapse” (recycling) which is not a stage in itself but rather the “return from Action or Maintenance to an earlier stage.” In medical care, these stages of behavior change have applicability to anti-hypertension and lipid lowering medication use, as well as depression prevention, weight control and smoking cessation.

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Uniting Psychology and Financial Behavior

More recently, validating the emerging alliance between psychology (human behavior) and finance (economics) are two Americans who won the Royal Swedish Academy of Science’s 2002 Nobel Memorial Prize in Economic Science. Their research was nothing short of an explanation for the idiosyncrasies incumbent in human financial decision-making outcomes.

Enter Kahneman and Smith

Daniel Kahneman, PhD, professor of psychology at Princeton University, and Vernon L. Smith, PhD, professor of economics at George Mason University in Fairfax, Va., shared the prize for work that provided insight on everything from stock market bubbles, to regulating utilities, and countless other economic activities. In several cases, the winners tried to explain apparent financial paradoxes.

For example, Professor Kahneman made the economically puzzling discovery that most of his subjects would make a 20-minute trip to buy a calculator for $10 instead of $15, but would not make the same trip to buy a jacket for $120 instead of $125, saving the same $5.

1608708312704

in vitro and in-vivo Economics

Initially, in the 1960’s, Smith set out to demonstrate how economic theory worked in the laboratory (in vitro), while Kahneman was more interested in the ways economic theory mis-predicted people in real-life (in-vivo). He tested the limits of standard economic choice theory in predicting the actions of real people, and his work formalized laboratory techniques for studying economic decision making, with a focus on trading and bargaining.

Later, Smith and Kahneman together were among the first economists to make experimental data a cornerstone of academic output. Their studies included people playing games of cooperation and trust, and simulating different types of markets in a laboratory setting. Their theories assumed that individuals make decisions systematically, based on preferences and available information, in a way that changes little over time, or in different contexts.

University of Chicago

By the late 1970’s, Richard H. Thaler, PhD, an economist at the University of Chicago also began to perform behavioral experiments further suggesting irrational wrinkles in standard financial theory and behavior, enhancing the still embryonic but increasingly popular theories of Kahneman and Smith.

Other economists’ laboratory experiments used ideas about competitive interactions pioneered by game theorists like John Forbes Nash Jr., PhD, who shared the Nobel in 1994, as points of reference.

Assessment

But, Kahneman and Smith often concentrated on cases where people’s actions departed from the systematic, rational strategies that Nash envisioned. Psychologically, this was all a precursor to the informal concept of life or holistic financial planning. Kahneman was awarded the Medal of Freedom, by President Barack Obama, on November 20, 2013.

READ: Behavioral Economics and Psychology DEM

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RIP: Daniel Kahneman PHD

Posted on March 28, 2024 by Dr. David Edward Marcinko MBA

NOBEL PRIZE WINNER AND FATHER OF BEHAVIORAL ECONOMICS

By Staff Reporters

DEFINITION: According to Wikipedia, behavioral economics is the study of the psychological, cognitive, emotional, cultural and social factors involved in the decisions of individuals or institutions, and how these decisions deviate from those implied by classical economic theory.

Behavioral economics is primarily concerned with the bounds of rationality of economic agents. Behavioral models typically integrate insights from psychology, neuroscience and microeconomic theory. The study of behavioral economics includes how market decisions are made and the mechanisms that drive public opinion.

Behavioral economics began as a distinct field of study in the 1970s and ’80s, but can be traced back to 18th-century economists, such as Adam Smith, who deliberated how the economic behavior of individuals could be influenced by their desires.

The status of behavioral economics as a subfield of economics is a fairly recent development; the breakthroughs that laid the foundation for it were published through the last three decades of the 20th century. Behavioral economics is still growing as a field, being used increasingly in research and in teaching.

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Daniel Kahneman PhD, the father of behavioral economics, died yesterday at age 90 years old. He’s best known for applying psychology to economics and uncovering biases and mental shortcuts that make people act irrationally, as he chronicled in his best-selling book Thinking, Fast and Slow.

Kahneman, along with his long-time collaborator and friend Amos Tversky PhD, developed “prospect theory,” or loss-aversion theory, which earned him the Nobel Prize in Economics in 2002 (which he shared with fellow economist Vernon Smith). The idea is that people value losses and gains differently, so we feel more bad about losing $100 than we feel good about making the same amount. He applied this theory to investors, who had previously been considered rational decision-makers. It shows up elsewhere, too—for example, golfers putt better when they’re facing the loss of a stroke than when they might gain one.

Two other biases he identified include:

The “peak-end rule” that people remember an experience primarily based on how they felt at its most intense moment and the final part of it. It’s why you consider a whole vacation good if the last day was good—or the opposite.
The conjunction fallacy where people erroneously think the probability of two things being true is more likely than just one thing, which the famous “Linda the Bank Teller” problem illustrates.

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Filed under: Breaking News, Career Development, Ethics, Experts Invited, Financial Planning, Health Economics, LifeStyle, mental health, Research & Development, Risk Management | Tagged: Amos Tversky, behavioral economics, Daniel Kahneman, Kahneman, Nobel prize, Risk Management, Vernon Smith | Leave a comment »

CAREER: Physician Coaching and Development

Posted on March 26, 2024 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

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Did you Know?

Experts estimate that it can cost more than $1 million to recruit and train a replacement for a doctor who leaves the profession because of burnout. But, as no broad calculation of burnout costs exists, Dr. Tait Shanafelt [Mayo Clinic researcher and Stanford Medicine’s first Chief Physician Wellness Officer] said Stanford, Harvard Business School, Mayo Clinic and the American Medical Association (AMA) are further cost estimating the issue. Nevertheless, Shanafelt and other researchers have shown that burnout erodes job performance, increases medical errors, and leads doctors to leave a profession they once loved.

CITE: https://www.r2library.com/Resource

Fortunately, we can help. From formal coaching to second career opinions, mentoring and advising, we can help with our remediation executive career programs. Regardless of what is happening in your life, it is wonderful to have a non-partial, confidential and informed career coach and sounding board on your side.

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

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Disruptive Behavior and Bullies in Medicine

Posted on January 18, 2024 by Dr. David Edward Marcinko MBA

“Micro-Aggressors” in Healthcare

[By staff reporters] http://www.CertifiedMedicalPlanner.org

Every workplace has “micro-aggressors” or/or bullies that exhibit disruptive behavior.

But, when the workplace is a hospital, it’s not just an employee problem.

Definition

Microaggression is a term coined by psychiatrist and Harvard University professor Chester M. Pierce in 1970 to describe insults and dismissals he said he had regularly witnessed non-black Americans inflict on African Americans.

In 1973, MIT economist Mary Rowe extended the term to include similar aggression directed at women; eventually, the term came to encompass the casual degradation of any socially marginalized group, such as the poor and the disabled.

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Case Report

In one reported case, the worker, felt threatened: His superior came at him “with clenched fists, piercing eyes, beet-red face, popping veins, and screaming and swearing.” He thought he was about to be hit. Instead, his angry co-worker stormed out of the room.

But, it wasn’t just any room: It was in a hospital, adjacent to a surgical area. The screamer was a cardiac surgeon, and the threatened employee was a perfusionist, a person who operates a heart/lung machine during open heart surgery. In 2008, the Indiana Supreme Court ruling in Raess v. Doescherupheld a $325,000 settlement for the perfusionist, who said he was traumatized.

PHYSICIAN COACH: https://marcinkoassociates.com/process-what-we-do/

Conclusion

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
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ADVISORS: www.CertifiedMedicalPlanner.org
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
Dictionary of Health Economics and Finance
Dictionary of Health Information Technology and Security
Dictionary of Health Insurance and Managed Care

Foreword by: J. WESLEY BOYD MD PhD MA

Harvard Medical School

Boston Children’s Hospital – Psychiatrist

Yale University

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HEALTHCARE: Spending Grew in 2022

Posted on December 26, 2023 by Dr. David Edward Marcinko MBA

By Health Capital Consultants, LLC

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On December 13, 2023, the Centers for Medicare & Medicaid Services (CMS) released its annual report on healthcare spending in the U.S., highlighting the growth in private insurance and Medicaid spending in 2022, which was offset by the declines in supplemental federal funding as a result of the COVID-19 pandemic.

CITE: https://www.r2library.com/Resource/Title/082610254

This Health Capital Topics article reviews the notable healthcare spending findings in CMS’s report. (Read more…)

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HOLIDAY: Tip Etiquette 2023?

Posted on December 21, 2023 by Dr. David Edward Marcinko MBA

GRATUITIES

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DAILY UPDATE: Mental Health and NASDAQ Technology Stocks

Posted on December 16, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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SPONSOR: http://www.MarcinkoAssociates.com

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“We kept hearing nightmare stories about Americans not getting the treatment that they needed because insurance companies were denying them care. But we didn’t have enough data to show just how extensive and deep the problem was.”—

Bill Smith, founder of mental health advocacy coalition Inseparable, on patients with mental health diagnoses not receiving care (NPR)

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The NASDAQ closed at an all-time high yesterday, breaking the record it set in November 2021, as technology stocks continued to rally on the news that the Fed may cut interest rates next year.

DocuSign shot up following reports that the $11 billion company whose tech lets you use your signature without a pen could be up for sale.

CITE: https://www.r2library.com/Resource

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RIP: Medical Debt!

Posted on December 9, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Casey McIntyre, a 38-year-old book publisher and mother of one, helped wipe out more than $30 million in unpaid medical bills for other people…without being alive to see it. McIntyre’s husband posted a message on her behalf after she died of ovarian cancer last week, asking people to participate in a “debt jubilee” that pays off the medical bills of others. The response has been overwhelming:

As of yesterday, the nonprofit RIP Medical Debt has received more than $300,000 in donations through McIntyre’s campaign. The organization relieves $10,000 of medical debt for every $100

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CAREER: Physician Coaching and Development in 2024

Posted on December 8, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

CITE: https://www.r2library.com/Resource

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

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COACH: https://marcinkoassociates.com/process-what-we-do/

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HEALTHCARE Innovation and Practice Management on the Move

Posted on December 1, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Online therapy company Talkspace will provide free virtual mental health services to more than 400,000 adolescents and teens in New York City after inking a deal with the city. The new program, dubbed TeenSpace, will connect teens to a licensed therapist through phone, video and text.

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The Patient-Centered Outcomes Research Institute (PCORI) has announced funding awards of $80.5 million to support four new studies focused on disparities in maternal health. They will take into account clinical and social factors that contribute to inequities and will compare interventions in various settings.

And … Ayble Health, a digital health platform for patients with chronic gastrointestinal conditions, is working with the Mayo Clinic Complex Care Program to offer a hybrid care model that matches patients with the appropriate virtual and in-person care based on acuity and need.

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MARCINKO & Associates, Inc.

Posted on November 29, 2023 by Dr. David Edward Marcinko MBA

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

By Ann Miller RN MHA CMP™

At Marcinko & Associates our clients traditionally include physicians [MD, MBBS and DO], dentists [DDS and DMD], podiatrists [DPM], Registered Nurses [RNs], Certified Registered Nurse Anesthetists [CRNA], Physician Assistants [PA] and Nurse Practitioners [NP]. A growing cohort of clients include medical technologists, physical, speech and occupational therapists, etc.

The above are naturally segregated into three career tranches: 1. New practitioners, 2] Mid-Career practitioners and 3] Mature practitioners. We serve them all and are fully prepared for any special needs situation that may arise in any tranche [death, divorce, adverse risk event and/or bankruptcy, etc].

Marcinko & Associates understands the complexity of financial and non-financial deal terms because we are also doctors. Our “hard” knowledge of your business comes from being actual healthcare facility owners, operators and medical practitioners [with additional professional licenses and expertise] enabling us to effectively analyze your business, take corrective measures and present your healthcare entity in the best possible and accurate light.

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But, if you’re looking at this website, chances are you are fed up, burned out, seeking practice management techniques or a better work-life balance. Or, you are looking for a new non-clinical career, thinking of finance, investing, retirement, or all of the above. Perhaps you are just looking to regain the joy and meaning in your medical or professional career? This is known as “soft” psychology, coaching, personal consulting or fraternal advice.

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Regardless, of your “soft” personal or “hard” corporate needs, our transparent Fees for Service [FFS] model is moderated for all colleagues based on the acuity and urgency of their engagements. Reduced rates and/or limited charity work may also be possible.

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http://www.DavidEdwardMarcinko.com

CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

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PHYSICIANS ONLY: Career Coaching and Development

Posted on November 23, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

CITE: https://www.r2library.com/Resource

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

THANK YOU

CONTACT US: https://marcinkoassociates.com/process-what-we-do/

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MARCINKO & Associates, Inc.

Posted on November 22, 2023 by Dr. David Edward Marcinko MBA

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business – Financial Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

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By Ann Miller RN MHA CMP™

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CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

USA: Contact

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CAREER: Executive Physician Coaching

Posted on November 14, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

CITE: https://www.r2library.com/Resource

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

THANK YOU

CONTACT US: https://marcinkoassociates.com/process-what-we-do/

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CAREER: Physician Coaching and Executive Development

Posted on November 11, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

CITE: https://www.r2library.com/Resource

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

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CONTACT US: https://marcinkoassociates.com/process-what-we-do/

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RUDE PATIENTS: To Laboring Physicians?

Posted on October 27, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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A spike in rude behavior emerged as one of the pandemic’s many societal consequences and has not receded alongside the public health crisis. The uptick in poor behavior is likely driven by increased stress and isolation from society, The Atlantic’s Olga Khazan reported in 2022. In many cases, these stressors mean people are easily set off when encountering innocuous requests, Keith Humphreys, PhD, a psychiatry professor at Stanford University, told The Atlantic.

The trend has hit healthcare hard. Hospitals and health systems nationwide have reported an uptick in disrespectful, discriminatory, or violent behaviors from patients since the pandemic. Nearly 24 percent of physicians reported experiencing workplace mistreatment in 2020, including verbal mistreatment or abuse, according to a study published in JAMA Network Open.

Source: Mackenzie Bean, Becker’s Hospital Review

MORE: https://medicalexecutivepost.com/2023/08/07/medical-workplace-violence-prevention-guidelines/

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Filed under: "Doctors Only", Ethics, Experts Invited, LifeStyle, mental health | Tagged: AMA, Becker's, JAMA, JAMA Network Open, Keith Humphreys, OLGA KHAZAN, patient rudeness, rude patient behavior, rude patients, The Atlantic | Leave a comment »

D.E. MARCINKO & Associates, Inc.

Posted on October 23, 2023 by Dr. David Edward Marcinko MBA

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

By Ann Miller RN MHA CMP™

At D.E. Marcinko & Associates our clients traditionally include physicians [MD, MBBS and DO], dentists [DDS and DMD], podiatrists [DPM], Registered Nurses [RNs], Certified Registered Nurse Anesthetists [CRNA], Physician Assistants [PA] and Nurse Practitioners [NP]. A growing cohort of clients include medical technologists, physical, speech and occupational therapists, etc.

D.E. Marcinko & Associates understands the complexity of financial and non-financial deal terms because we are also doctors. Our “hard” knowledge of your business comes from being actual healthcare facility owners, operators and medical practitioners [with additional professional licenses and expertise] enabling us to effectively analyze your business, take corrective measures and present your healthcare entity in the best possible and accurate light.

***

CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

***

CAREER: Physician Coaching and Development

Posted on October 8, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

CITE: https://www.r2library.com/Resource

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

THANK YOU

CONTACT US: https://marcinkoassociates.com/process-what-we-do/

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MARCINKO & Associates, Inc.

Posted on September 24, 2023 by Dr. David Edward Marcinko MBA

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

By Ann Miller RN MHA CMP™

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http://www.DavidEdwardMarcinko.com

CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

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D.E. MARCINKO & Associates, Inc.

Posted on September 20, 2023 by Dr. David Edward Marcinko MBA

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

By Ann Miller RN MHA CMP™

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http://www.DavidEdwardMarcinko.com

CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

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D.E. MARCINKO & Associates, Inc.

Posted on September 19, 2023 by Dr. David Edward Marcinko MBA

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

By Ann Miller RN MHA CMP™

***

http://www.DavidEdwardMarcinko.com

CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

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ChatGPT: Accuracy in Clinical Medical Decision Making?

Posted on September 10, 2023 by Dr. David Edward Marcinko MBA

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By Dr. David Edward Marcinko MBA FACFAS CMP

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Putting ChatGPT to the test to see if AI can work through an entire clinical encounter with a patient – recommending a diagnostic workup, deciding a course of action and making a final diagnosis – Mass General Brigham researchers have found the large language model to have “impressive accuracy” despite limitations, including possible hallucinations.

Colleague Bertalan Meskó, MD PhD, The Medical Futurist, sent me the following fascinating report.

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A recent study revealing ChatGPT’s high scoring in clinical decision accuracy has made waves. While the results are certainly promising, it’s crucial to keep in mind that these tests capture only a fraction of the myriad skills and knowledge required to treat patients – and we need to interpret the implications accordingly.

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Filed under: "Doctors Only", Ethics, Experts Invited, Information Technology, Jokes and Puns, LifeStyle, mental health | Tagged: accuracy in medicine, AI, artifical inteligence, Artificial Intelligence Medicine, Bertalan Meskó, ChatCGP, clinical medicine, decision making, Massachusetts General Hospital, medical futurist | Leave a comment »

DAILY UPDATE: Heat, Mental Health, Covid, Markets and Crypto-Currency

Posted on September 10, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Heat: A 2016 study found that the average hospitalization due to a heat-related illness cost $5,359 between 2001 and 2010. (Healthcare Brew)

CITE: https://www.r2library.com/Resource

Mental Health: “Facilities are] just not staffed or oriented toward taking care of people with complex needs.”—Paul Getzel, director of advocacy group National Alliance on Mental Illness’s Seattle chapter, on a new report that 25% of Seattle-area residents on average are denied admission to mental health facilities (the Seattle Times)

Covid: Older adults with long Covid might experience “special challenges.” (the New York Times)

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Markets: Unfortunately, all three major indexes were down for the week as investors nervously side-eyed Jerome Powell. Kroger ticked up after the grocery chain revealed that it had agreed to pay $1.2 billion to settle claims over opioid sales but also struck a deal to sell 400 stores for $1.9 billion to help secure approval for its merger with Albertsons.

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Crypto: The CEO of collapsed crypto exchange “Thodex”, Faruk Fatih Ozer, was sentenced to 11,196 years in prison by a Turkish court for a potpourri of offenses, including aggravated fraud and money laundering. Thodex went belly-up in 2021, costing its investors an estimated $2.6 billion. If you’re thinking “That’s surely the longest jail sentence ever handed down for fraud,” think again: In 1989, Thai pyramid-schemer Chamoy Thipyaso was slapped with a 141,078-year sentence, or roughly 12.6 Ozers (though she was released after only a few years).

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Filed under: "Advisors Only", Alerts Sign-Up, Alternative Investments, Ethics, Experts Invited, Information Technology, Investing, mental health | Tagged: Albertsons, Covid-19, crypto, crypto currency, Faruk Faith Ozer, Healthcare Brew, heat, heat wave, hot, lomg covid, markets, mental health, national Alliance Mental Health, ozers, stock indexes, Thodex, warm | Leave a comment »

RUDE PATIENTS: To Laboring Physicians?

Posted on September 4, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Source: Mackenzie Bean, Becker’s Hospital Review

MORE: https://medicalexecutivepost.com/2023/08/07/medical-workplace-violence-prevention-guidelines/

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MARCINKO & Associates, Inc.

Posted on September 1, 2023 by Dr. David Edward Marcinko MBA

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

By Ann Miller RN MHA CMP™

***

http://www.DavidEdwardMarcinko.com

CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

***

CAREER: Physician Coaching and Development

Posted on September 1, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

CITE: https://www.r2library.com/Resource

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

THANK YOU

CONTACT US: https://marcinkoassociates.com/process-what-we-do/

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NEW YORK STATE: Got Health Insurance?

Posted on August 31, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

SPONSOR: http://www.CertifiedMedicalPlanner.org

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Just 5% of New Yorkers lacked health insurance in 2021, but the state may struggle to maintain that low rate (it’s currently among the top 10 in the US) following the end of a pandemic-era policy that prevented anyone from being kicked off Medicaid.

A new report from New York State Comptroller Tom DiNapoli analyzed health insurance trends in the state, and found the percentage of uninsured New Yorkers fell each year from 11.9% in 2010—when the Affordable Care Act (which allowed states to extend Medicaid eligibility) became law—to 5.2% in 2021.

Nationally, 8.6% of people lacked health insurance in 2021, according to the analysis. (Though Department of Health and Human Services data released earlier this month found the US uninsured rate hit a record low of 7.7% during the first three months of 2023.)

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Filed under: "Advisors Only", "Doctors Only", Career Development, CMP Program, Drugs and Pharma, Health Economics, Health Insurance, Health Law & Policy, Information Technology, mental health | Tagged: Health Insurance, New York, new york health insurance, New York State Comptroller, NY, ny health insurance, Tom DiNapoli | Leave a comment »

MARCINKO & Associates, Inc.

Posted on August 31, 2023 by Dr. David Edward Marcinko MBA

WHAT WE DO AND HOW WE ASSIST MEDICAL COLLEAGUES

Hard Business Advice AND Personal Lifestyle Coaching

http://www.MARCINKOASSOCIATES.com

By Ann Miller RN MHA CMP™

***

http://www.DavidEdwardMarcinko.com

CONTACT US TODAY – THRIVE TOMORROW!

Suite #5901 Wilbanks Drive

Norcross, Georgia USA 30092-1141

email: MarcinkoAdvisors@msn.com

***

CAREER: Physician Coaching and Development

Posted on August 14, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

CITE: https://www.r2library.com/Resource

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

THANK YOU

CONTACT US: https://marcinkoassociates.com/process-what-we-do/

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CAREER: Physician Coaching and Development

Posted on August 8, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

CITE: https://www.r2library.com/Resource

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

THANK YOU

CONTACT US: https://marcinkoassociates.com/process-what-we-do/

***

NIH: Jeanne Marrazzo MD Succeeds Dr. Anthony Fauci as Infectious Disease Chief

Posted on August 3, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Jeanne M. Marrazzo MD, a University of Alabama at Birmingham infectious-disease expert, will succeed Anthony S. Fauci this fall as director of the National Institute of Allergy and Infectious Diseases, federal officials announced yesterday.

The $6.3 billion research institute is among the largest of the 27 institutes and centers that constitute the National Institutes of Health, America’s flagship biomedical agency. NIAID is also particularly prominent given its involvement in the response to the coronavirus pandemic and other diseases; it has also received attention because of Dr. Tony Fauci’s own high profile and Republicans’ ongoing efforts to investigate the institute’s workings.

Marrazzo, an infectious-disease physician and epidemiologist who has been a principal investigator on NIH grants since 1997, has focused her research on the human microbiome and the prevention of HIV and infections in the female reproductive tract. She emerged as a frequent commentator during the pandemic, appearing on national television and urging Americans to get vaccinated and take other steps to protect themselves from the virus.

An openly gay physician, Marrazzo has studied barriers to care for LGBTQ patients and advocated to address them.

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MENTAL HEALTH: The Parity and Addiction Equity Act?

Posted on July 27, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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President Joe Biden’s administration just announced new rules meant to push insurance companies to increase their coverage of mental health treatments.

DR KENT: https://medicalexecutivepost.com/2023/05/26/dr-kent-may-is-mental-health-month-2/

The new regulations, which still need to go through a public comment period, would require insurers to study whether their customers have equal access to medical and mental health benefits and to take remedial action, if necessary.

MORE: https://medicalexecutivepost.com/2023/06/23/june-mens-mental-health-month/

The Mental Health Parity and Addiction Equity Act requires that insurers provide the same level of coverage for both mental and physical health care — though the administration and advocates argue insurers’ policies restrict patient access.

ACT: https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet

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ChatGPT’s Decline, the FTC and Microsoft

Posted on July 23, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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ChatGPT (Chat Generative Pre-Trained Transformer) is an artificial intelligence chatbot developed by OpenAI and launched on November 30, 2022. It is notable for enabling users to refine and steer a conversation towards a desired length, format, style, level of detail, and language used. Successive prompts and replies are taken into account at each stage of the conversation as a context.

However, the accuracy of OpenAI’s generative language model appears to have declined much this Spring.

LINK: https://openai.com/blog/chatgpt

A not-yet-peer-reviewed study by Stanford and Berkeley researchers of ChatGPT-4 and ChatGPT-3.5 found a huge difference in the chatbot’s answers between March and June of this year—often for the worse, something people were already reporting anecdotally online.

GPT-4 went from 97.6% accuracy in identifying prime numbers a few months ago to only…2.4% in June.
The newer version of the language model got better at fending off problematic prompts, like coming up with illegal money-making schemes. But rather than explaining why queries are troublesome, it’s now more likely to simply say something like, “Sorry, but I can’t assist with that.”
When asked to create computer code, GPT-4 generated functional work 52% of the time in March and only 10% of the time in June. The lines of code it provided weren’t wrong, but they started to be accompanied by non-usable text, which could create headaches for companies trying to integrate ChatGPT into programming workflows.

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Additionally, the FTC is looking into ChatGPT. The commission seeks to understand whether OpenAI has broken any consumer protection laws. OpenAI received a 20-page demand letter highlighting the commission’s concerns over its data security practices. Microsoft’s Activision Blizzard is likely to be affected if OpenAI is found in the wrong.

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DAILY UPDATE: Minority/BIPOC Mental Health Awareness Month, Inflation and the Markets

Posted on July 11, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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July marks Minority/BIPOC Mental Health Awareness Month

A time when healthcare leaders and policymakers acknowledge the disparities that exist in behavioral health access and outcomes, as well as examine ways to address them. Tell us how your company, hospital, or practice is working to eliminate barriers and ensure equitable access to mental health services.

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U.S. inflation cooled in May to an annual 4%, its lowest annual rate in more than two years, but core inflation rose by 0.4% month-on-month and 5.3% year-on-year.

And the markets are eagerly awaiting key inflation prints from the U.S. later this week, with the core annual consumer price index (CPI) — which excludes volatile food and energy prices — remaining persistently high to date, despite the headline figure gradually edging closer to the Federal Reserve‘s 2% target.

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Here is where the major benchmarks ended:

The S&P 500^® Index (SPX) was up 10.58 points (0.2%) at 4,409.53; the Dow Jones Industrial Average (DJIA) was up 209.52 points (0.6%) at 33,944.40; the NASDAQ Composite (COMP) was up 24.77 points (0.2%) at 13,685.48.
The 10-year Treasury note yield (TNX) was down about 4 basis points at 4.008%.
CBOE’s Volatility Index (VIX) rose 0.21 to 15.04.

Chip stocks were among the strongest sectors Monday, with the Philadelphia Semiconductor Index (SOX), jumping about 2%.

Retail and industrial stocks were also strong, while the small-cap focused Russell 2000 index (RUT) gained 1.5%. Utilities and Communication Services ranked among the weakest performers. Volatility perked up, with the VIX touching a five-week high.

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ORDER: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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JUNE: Men’s Mental Health Month

Posted on June 23, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Mental Health America is proud to recognize June as Men’s Health Month. So, if you think you or a loved-one may be experiencing signs of a mental illness, visit www.mhascreening.org to take a free, quick and confidential screen for depression, bipolar disorder, anxiety, PTSD, and/or Alcohol or Substance Use problems.

DR KENT: https://healthcarefinancials.wordpress.com/wp-admin/post.php?post=317916&action=edit

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Put a doctor in your pocket (and skip the waiting room)

Caraway is an app that delivers mental, physical, and reproductive health services tailored to 18- to 29-year-olds. Start therapy, fill prescriptions, answer immediate health concerns, and more—anytime, anywhere, 24/7. Lock in limited-time pricing of $20/month or $180/year (your first 30 days are free!)

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FLORENCE 2.0: A.I. Advice for a A Healthier Lifestyle And Mental Health

Posted on June 13, 2023 by Dr. David Edward Marcinko MBA

WHO

By Staff Reporters

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By 2030, the WHO projects that 15 million healthcare workers will be missing globally.

Introducing Florence, the “world’s most extensive freely accessible AI health worker” is one way of tackling this issue.

Florence is knowledgeable in key health topics, including mental health, nutrition and tobacco cessation, and provides information on COVID-19 vaccines. So, have a chat with her.

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BRAIN AWARENESS MONTH: I’m Supporting “Adaptive Miami Beach Days” in June and Beyond

Posted on June 12, 2023 by Dr. David Edward Marcinko MBA

DR. KENT MERCADO JD

U.S. CONGRESS 11th DISTRICT – ILLINOIS

http://www.ElectDrKent.com

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As a doctor and attorney, it is only logical for me to be the medical guardian for my adult learning and physically challenged cousin. So, I am here in Miami, Florida nearly every month for his physician appointments as well as social service visits. But, we also make sure we attend exciting and fun activities, as well!

In fact, last weekend was no exception as we went to the Sabrina Cohen Foundation for their Adaptive Beach Days event during Brain Awareness Month every June.

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The Cohen Foundation provides adaptive services for physically impaired people to participate in water activities, particularly in the ocean and beach activities. Miss Cohen was injured 19 years ago in a terrible accident and had a spinal cord injury. Instead of feeling sorry for herself, she created a foundation where she helps others enjoy life and activities outdoors. She received a 2 1/2 million dollar grant from the city of Miami and has a permanent site on the Beach in Miami. And, she provides services and activities for many people and is trying to take her foundation nationwide.

LEARN MORE: http://www.sabrinacohenfoundation.org

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ME-P NOTE: The Illinois’s 11th Congressional District is in the state of Illinois. It includes parts of Cook, DuPage, Kendall, Kane and Will counties, as well some suburbs of Chicago and rural areas. So, please drop us a line and consider learning about and supporting Dr. Kent, regardless of your congressional district, affiliation and/or U.S. state. He is a political centrist and surely a rising new national star.

DR KENT MERCADO JD FOR CONGRESS

VISIT: http://www.ElectDrKent.com

DONATE: https://tinyurl.com/yckrppn8

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Pediatric Mental Health Month is Also in May

Posted on May 26, 2023 by Dr. David Edward Marcinko MBA

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Even though timely follow-up care for self-harm or mental illness has been shown to prevent hospitalizations, reduce the chances of a repeat visit, and improve overall outcomes, less than a third of children receive follow-up care within seven days of their ED visit, and just over half (56%) receive care within a month, according to a recent study from Ann & Robert H. Lurie Children’s Hospital of Chicago.

More than a quarter of the children in the study returned to the ED within six months.

RELATED: The second-largest psychiatric facility in Washington State is looking to hire more employees after threats that it could lose its accreditation.

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SOCIAL MEDIA: Dr. Vivek Murthy Warns on Children’s Mental Health

Posted on May 24, 2023 by Dr. David Edward Marcinko MBA

U.S. SURGEON GENERAL ADVISORY REPORT

By Staff Reporters

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May is mental health month in the USA. US Surgeon General Dr. Vivek H. Murthy issued a powerful public advisory yesterday warning of the considerable risks that social media poses to young people’s mental health. “Nearly every teenager in America uses social media, and yet we do not have enough evidence to conclude that it is sufficiently safe for them,” Murthy wrote. He argued that kids have “become unknowing participants in a decades-long experiment.”

The surgeon general’s report focuses on the impacts of social media on teens and kids—both positive and negative—and the attendant health risks. The report outlines two types of dangers associated with social networks: content-related problems, such as negative self-image or bullying, and use-related problems, such as poor sleep and addiction.

What we know about social media and kids’ mental health

By all accounts, America’s youth are currently experiencing a mental health crisis.

The number of teens and young adults with clinical depression doubled between 2011 and 2021, according to San Diego State University psychology professor Dr. Jean Twenge.
In 2021, the CDC found that nearly 25% of teenage girls had made a suicide plan.

Many experts have pointed to social media as a potential cause since the deterioration of kids’ mental health has coincided with the rise of social media platforms over the last decade.

Still, the effect of likes, retweets, and TikTok comments on kids’ brains remains more or less a mystery. We know that social media use affects adolescents and that teens show alarming rates of anxiety and depression. But studies that have attempted to determine whether social media is a direct cause of worsening mental health have been inconclusive. Plus, not all kids are impacted by social media similarly: Some—adolescent girls, for instance—appear to be more at risk than others.

Finally, and according to Morning Brew, while researchers search for answers, some lawmakers are pushing ahead with restrictions on teens’ use of social media. In March, for example, Utah became the first state to establish a curfew for teens on social media apps and mandate that parents have access to their children’s accounts.

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RIGHTS: Mental Health in America [Georgia]

Posted on May 23, 2023 by Dr. David Edward Marcinko MBA

MENTAL HEATH AMERICA

By Staff Reporters

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MENTAL HEALTH PARITY ACT

Atlanta, GA – Governor Brian P. Kemp, joined by First Lady Marty Kemp and their three daughters, Lt. Governor Geoff Duncan, Speaker David Ralston, members of the House and Senate, and mental health advocates, to sign the Mental Health Parity Act (HB1013) into law.

You may view his remarks from the bill signing ceremony below, and you can watch the full ceremony here.

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Mental Health Rights

People living with mental health conditions are people. They have people they love, activities they enjoy, and dreams for their lives. As people, they deserve to be treated with dignity, and under the law they have rights and protections.

GA MENTAL HEALTH PARITY LAW: https://gov.georgia.gov/press-releases/2022-04-04/gov-kemp-provides-remarks-and-signs-mental-health-parity-act

Unfortunately, it has long been the case that individuals with mental health conditions are among the most abused and discriminated against in our country. From leaving people to languish in overcrowded state hospitals to lobotomies and forced sterilization, the treatment of those with mental health conditions is a dark stain on our history as a nation.

While we have come a long way, abuse and discrimination continue to be serious problems today. The shackling or restraining of children, keeping people out of work, and denying access to services are just a few examples of the way we continue to fail the 1 in 5 Americans that has a diagnosable mental health disorder.

CITE: https://www.r2library.com/Resource/Title/082610254

This is not just a small issue for a small group of people: half of all Americans will experience a diagnosable mental health condition in their lifetime. If it is not us being directly impacted, it is likely that it will be our family members, friends, or loved ones– whether we know it or not. Beyond struggles in education or employment, we see the loss of human dignity and even human life for the people we love and care about when we do not work to address abuses in the system.

For Mental Health America, the fight against abuse and discrimination is essential to our history and continues to guide our work. MHA’s symbol, which sits in our national office, is the Bell of Hope cast from the chains and shackles that were used to restrain individuals in old state hospitals. As an organization, MHA is committed to the principles of human and civil rights inherent to the concept of equal justice under the law.

PROVIDERS: https://medicalexecutivepost.com/2022/10/05/a-review-of-mental-healthcare-provider-types/

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ORDER: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

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DAILY UPDATE: More Layoffs Amid Mental Health Awareness Month

Posted on May 2, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Companies, mostly in tech and media, have laid off thousands of employees, so far this year. For example:

Amazon announced in early January that it’s eliminating 18,000 roles in total, including layoffs that were announced in November 2022. The company announced last month that it was laying off an additional 9,000 people.

Payments company PayPal is cutting 7% of its staff, which amounts to about 2,000 employees, President and CEO Dan Schulman said on Jan. 31st.

E-commerce company eBay announced in an SEC filing on Feb. 7 that it’s laying off 500 people, or 4% of its workforce.

And, Jenny Craig is saddled with $250 million in debt and has been looking for a buyer, Bloomberg Law reported in March. The weight loss industry is going through changes, as the obesity drug business has exploded in popularity. The medications, which mimic hormones found in the body to support weight loss, have recently grown in popularity thanks to reported use by celebrities and posts from everyday people on social media about successful weight loss.

Finally, General Motors terminated “several hundred” contract employees who worked at its Global Technical Center in Warren, Michigan, and other locations this weekend in its bid to shave $2 billion from its budget by the end of next year. The cuts come nearly a month after 5,000 salaried employees agreed to a voluntary separation package that GM said would help it achieve close to 50% of its cost-cutting target this year alone and prevent further involuntary cuts.

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Happy Tuesday! Today marks the first day of Mental Health Awareness Month. One in five US adults experiences mental illness each year, but fewer than half of them get care, according to the National Alliance on Mental Illness.

The MARKETS

The S&P 500^® Index was down 1.61 points at 4167.87; the Dow Jones industrial average was down 46.46 (0.1%) at 34,051.70; the NASDAQ Composite was down 13.99 (0.1%) at 12,212.60.
The 10-year Treasury yield was up about 13 basis points at 3.585%.
CBOE’s Volatility Index was up 0.3 at 16.09.

ORDER: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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PODCAST: Behavior Modification and the Science of Change in Healthcare

Posted on March 16, 2023 by Dr. David Edward Marcinko MBA

By Eric Bricker MD

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CITE: https://www.r2library.com/Resource/Title/0826102549

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Filed under: "Doctors Only", Career Development, Ethics, Experts Invited, Health Economics, Health Insurance, Health Law & Policy, Insurance Matters, Interviews, Managed Care, mental health, Research & Development, Risk Management | Tagged: behavior, Behavioral Science, change in healthcare, Eric Bricker MD, healthcare change, science behavioral change, science change healthcare | Leave a comment »

META: “Needs to Get its Mojo Back”

Posted on October 25, 2022 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Quote: “Meta needs to get its mojo back.”

With Meta’s share price down more than 60% this year, investors are losing patience with Mark Zuckerberg’s big bet on the metaverse.

Altimeter Capital CEO Brad Gerstner, whose firm has more than 2 million shares in the company, wrote an open letter yesterday urging Meta to cut headcount expenses by 20% and keep metaverse spending under $5 billion per year to become a “more productive, and more focused company.”

We’ll see how Meta feels about its own mojo when it reports earnings tomorrow.

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ORDER: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

Filed under: Alternative Investments, Breaking News, Experts Invited, Information Technology, Investing, mental health, Op-Editorials | 2 Comments »

DAILY UPDATE: About the ECONOMY & RECESSION?

Posted on October 23, 2022 by Dr. David Edward Marcinko MBA

Forecasts Cognitive [Mental] Dissonance?

By Staff Reporters

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A Bloomberg economic model forecast a 100% chance of a US recession within 12 months

Jeff Bezos warned companies to “batten down the hatches” in response to Goldman Sachs’s CEO saying there’s a good chance we’ll have a recession.

Elon Musk guesstimated that we’re going to be in a recession “probably until spring of ’24.”

Gwyneth Paltrow said, “The economy sucks.”

BUT, Bank of America CEO Brian Moynihan (the one with the epic vocabulary) said that while analysts are warning of recession and slower spending, “We just don’t see [that] here at Bank of America.” Transaction volumes for its customers jumped 10% in September and the first half of October over a year earlier.

And, American Express’s CEO said, “We’re not seeing any changes in consumer spending” and predicted a strong holiday quarter for retail and travel.

United Airlines’s CEO is “so optimistic about 2023.”

Many business leaders are forecasting an economic downturn. But the execs who run travel and credit card companies say that shoppers aren’t pulling back spending at all.

It’s like Americans are watching the forecast call for thunderstorms but, seeing that it’s still sunny outside, are heading out to the waves to surf anyway.

Big picture: Recession fears are rising as the Fed raises interest rates to tame inflation that’s soaring at 40-year highs. While the definition of a recession is pretty broad, a slowdown in consumer spending would certainly be an indicator of one: It accounts for about 70% of the US economy.

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FINANCE: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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Filed under: "Advisors Only", Alerts Sign-Up, Experts Invited, LifeStyle, mental health, Op-Editorials | Tagged: About the ECONOMY & RECESSION?, economy, recession, recession forecast | Leave a comment »

What is the VIP [Patient] Syndrome

Posted on October 21, 2022 by Dr. David Edward Marcinko MBA

VERY IMPORTANT PERSONS

By Dr. David Edward Marcinko MBA

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VERY IMPORTANT PATIENTS

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DEFINITION: “VIP syndrome” is a term coined in 1964 by the psychiatrist Walter Weintraub to describe an intriguing paradox: Throughout history, the rich and famous, with all their resources and fancy doctors, have often received worse medical treatment, and suffered from worse health outcomes, than the average person. When physicians afford “special privileges” to their powerful patients, from “Mad King” George III to Michael Jackson, they seem to get sicker and even die. While Weintraub, a psychoanalyst, attributed the problem in part to doctors unconsciously resenting their influential patients, it seems doctors simply get starstruck around famous people and high-ranking figures. Despite their medical expertise, these physicians find themselves opting out of basic tests for “privacy” or prescribing dangerous medications for “comfort.”

CITE: https://www.r2library.com/Resource/Title/0826102549

MORE: https://www.msn.com/en-us/health/medical/an-easy-treatment-promised-me-a-sharper-jawline%e2%80%94except-for-one-little-catch/ar-AAVpHz9?li=BBnb7Kz\

DKE: https://medicalexecutivepost.com/2018/09/14/what-is-the-dunning-kruger-effect/?preview_id=188020&preview_nonce=b5c7f4a5de&preview=true

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HIT: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

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Filed under: "Doctors Only", Ethics, mental health, Touring with Marcinko | Tagged: David Edward Marcinko, Dunning-Kruger Effect, psychoanalyst, Very Important Patients, VIP Effect, Walter Weintraub | Leave a comment »

A Review of Mental Healthcare Provider Types

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA

Implications for Staffing Modern Mental Health Facilities

[By Carol Miller RN MBA]

Community Mental Health Centers are also referred to as County Mental Health Centers and treat patients usually with no or limited insurance in a domiciliary setting versus an inpatient state or community facility.

And, both children and adults are eligible to receive such assistance.

These programs provide a wide range of psychiatric and counseling services to the residents in their community as well
as other types of assistance. But, what type of mental healthcare staff, and providers, are involved with these facilities?

Staffing

Staffing levels at community mental health facilities depend on the size and funding of each clinic, and vary in number, qualifications, and mix. Many personnel hold or are working on Master’s degrees and various professional certifications.

Typical staffing would include:

Administrative or Mental Health Director ¾ This individual, working under general policy directives, is responsible for planning, organizing, coordinating, and directing delivery of a community’s comprehensive mental health programs and services. This would include the development and implementation of goals, objectives, policies, procedures, budget, standard compliance, and work standards for mental health services. The Director is responsible not only for the services offered under the program, but also for extensive coordination with other county departments, public and private organizations, citizen groups, and the Board of Supervisors.
Case management staff ¾ These personnel are responsible for compiling all the services related to the treatment program.
Psychiatrists ¾ These individuals may work for a mental health center full or part time, and be Board-eligible or Board-certified in Psychiatry.
Psychologists ¾ These individuals will hold Ph.D., Psy.D. or Ed.D. qualifications and be licensed as clinical psychologists in the state.
Licensed Independent Social Worker (LISW) ¾ These individuals will have expertise in such services as family counseling, child psychology, geriatric dementia, psychological testing, and so on.
Licensed Marriage and Family Therapist (LMFT) — These individuals are specialized in various fields and provide an array of counseling services to patients, dependent on the nature of their problem.
Clinical Nurse Specialists ¾ These personnel are certified in psychiatric nursing by a national nursing organization such as the American Nurses Association to practice within the scope of these services and are licensed in the state.
Support staff ¾ These staff members would include an administrative assistant to the Director, medical billers, transcriptionist, and possibly a receptionist.
Substance Abuse Counselor or Licensed Professional Clinical Mental Health Counselor (LPC or LPCC) — An individual who takes a holistic approach where they exam a person’s external environmental and societal influences while also monitoring inner emotion, physical and behavioral health.

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Counselor Qualifications

A licensed mental health counselor has met or exceeded the following professional qualifications:

earned a Master’s degree in counseling or a closely related mental health discipline;
completed a minimum of two years post-Master’s clinical work under the supervision of a licensed or certified mental health professional; and
passed a state-developed or national licensure or certification examination.

Assessment

Conclusion

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Filed under: Career Development, Ethics, Experts Invited, mental health, Professional Liability, Quality Initiatives | Tagged: Clinical Nurse Specialists, Licensed Independent Social Worker, Licensed Marriage and Family Therapist, Licensed Professional Clinical Mental Health Counselor, LISW, LMFT, LPC, LPCC, Mental Healthcare Provider Types, Psychiatrists, Psychologist, Substance Abuse Counselor | 7 Comments »

Medicare Customers Say Mental Health Benefits Are Very Important

Posted on October 5, 2022 by Dr. David Edward Marcinko MBA

By Staff Reporters

AN eHEALTH SURVEY

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A eHealth survey of 3,800 Medicare customers aged 65 and older asked “When choosing health coverage, how important are mental health benefits?” The survey found:
• 38% say mental health benefits are “very important” to them when choosing health insurance.
• 34% say it’s “somewhat important” to them.
• 22% say mental health benefits are “not so important” to them.
• Only 5% say it’s “not at all important.”
Source: eHealth, “Seniors Speak Out On Mental Health,” March 2022

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Filed under: Ethics, mental health | Tagged: eHealth, medicare mental health, medicare mental health benefits, mental health, mental health benefits | Leave a comment »

Text or Call 988: SAMHSA – Substance Abuse and Mental Health Services Administration

Posted on October 4, 2022 by Dr. David Edward Marcinko MBA

By Staff Reporters

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988, a New National Suicide Hotline, Launched on July 16th, 2022

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A new national suicide hotline, 988, becomes operational nationwide on July 16th. People experiencing a mental health emergency, such as suicidal thoughts, a substance-use crisis, or any other emotionally distressing event, will be able to call during times of crisis, but operators will also be available via text and online chat (at https://suicidepreventionlifeline.org/chat), according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

The 988 hotline will essentially replace the National Suicide Prevention Lifeline (1-800-273-TALK); however, the previous hotline will not be discontinued when 988 is rolled out, and callers will be directed to the same services offered via 988. Mental health experts say the new hotline will provide necessary updates to the services currently provided by the 1-800 number, chief among them a focus on sending trained experts to respond to mental health emergencies rather than law enforcement who are unfamiliar with protocols when approaching suicidal individuals.

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READ: https://www.samhsa.gov/find-help/988

MORE: https://www.kevinmd.com/2022/07/new-988-hotline-has-potential-to-transform-mental-health-care-but-challenges-loom.html

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Filed under: Drugs and Pharma, Ethics, mental health | Tagged: 988, SAMHSA, Substance Abuse and Mental Health Services Administration | Leave a comment »

Percent of Population Under 65 With Mental Health Disorders

Posted on October 4, 2022 by Dr. David Edward Marcinko MBA

By Staff Reporters

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EBRI: % of Population Under 65 With Mental Health Disorders

• Anxiety disorders: 8.1%
• Major depressive disorders: 5.3%
• Attention deficit hyperactivity disorder: 2.8%
• Other behavioral/mental health disorders: 2.2%
• Bipolar and manic disorders: 0.7%
• Post-traumatic stress disorder: 0.5%
• Phobic anxiety disorders: 0.4%
• Autistic disorder: 0.3%
• Obsessive-compulsive disorder: 0.2%
• Eating disorders: 0.2%
• Schizophrenic disorders: 0.1%
• Dissociative disorders: 0.04%
• Delusional disorders: 0.02%

Source: EBRI, “How Do High-Deductible Health Plans Affect Use of Health Care Services and Spending Among Enrollees With Mental Health Disorders?” March 10, 2022

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