Doctorpreneurs

The Business of Medicine: Old paradigm and new  I wish I was a young buck looking for my first job. Recently, I received an email promoting a new position: Hi Dr. …, Hope this email finds you well! I’m contacting you regarding a Dermatology Opening in [a scenic rural area]  Please see below for details and send CV if interested. Seeking a BE/BC Dermatologist to join its medical staff.  Join the most trusted hospital in the area due to its highly trained physician staff and its arms-length affiliation with the University of [X] Hospital in {Y]. The community itself is an attractive university town located in the Foothills of the redacted … Continue reading

Share

Specialists in the Skins of the Rich and Famous

top doctors make a difference  Castle Connolly – Top Doctors by Dr. A.R. Pito, FRCP Castle Connolly often buys a full-page ad in the New York Times listing preferred physicians (16 per page). “The mission of Castle Connolly Medical Ltd. is to help consumers find the best healthcare. The top doctors who are listed in our books and on this website’s directory were nominated by their peers in an extensive survey process of thousands of American doctors each year. Those doctors who are among the very best in their specialties and in their communities are selected for inclusion. Doctors do not and cannot pay to be included in any Castle … Continue reading

Share

Welcome to The Cloud Clinic

 by A.R. Pito and D.J. Elpern Sugata Mitra hit upon the idea of unsupervised learning by computers in an iconic study of slum children in India. This evolved into Self-Organised Learning Environments (SOLEs) where children search for answers to ‘big’ questions. Why not apply this idea to the medical environment? We envision a Consultative Cloud Clinic. The primary aim of Cloud Clinic is to enhance diagnosis and therapy in the interest of patient care and autonomy. Mitra’s School in the Cloud project enables small groups, to competently search for answers to ‘big questions’, drawing rational, logical conclusions. The concept can be usefully applied to ‘health questions.” Mitra and his colleagues … Continue reading

Share

AMA – Industry Link

We have observed an exciting new trend.  Professional journals have started arriving with adverts glued to their covers.  First, the Academy of Dermatology’s flagship journal, the JAAD, recently touted Topicort Spray.  Now, the July 2015 issue of the the AMA’s journal JAMA Dermatology has its table of contents obscured by a cover ad for Cosentyx, a new biologic for psoriasis.  At ~ $44,000 per year per patient, if prescribed by one busy dermatologist, that might come close to the revenue the AMA gets for prominent placement  of this annoying drug promotion.  All one cay say is WTF!  We can’s wait to see the Direct To Consumer Advertisements on TV!! Cover … Continue reading

Share

The Great God Fred

Once in a generation or so,  there appears in our specialty, a charismatic individual whose creativity and intellect advance our knowledge and understanding in ways that were unanticipated. Dr. Frederic Sheldon Brandt was featured recently in a New York Times Style essay: The Man Behind the Face. His specialty is facial rejuvenation, and, if one believes the article, he and his associates are miracle workers. The Great God Fred and Associates’ website is worth visiting as well.  This is dermatology for the rich and famous. After reading the article and visiting the website, you can draw your own conclusions.

Share

Listen to the Patient…

Notes from the Xanadu Clinic, Norfolk Island, South Pacific The patient is a 65 yo man with a one week history of intense lancinating pain in the right upper quadrant.  He was examined by his internist who suspected gall bladder disease and ordered an abdominal ultrasound.  It was negative, so an abdominal CT scan was scheduled.  Between the ultrasound and the CT scan the patient developed a rash on the abdomen and back.  He attributed it to one of the new drugs he was prescribed for his abdominal symptoms. I saw him today for elective surgery of a skin cancer.  I greeted him with “How are you today?” He answered, … Continue reading

Related Posts Plugin for WordPress, Blogger...
Share