Articles by Nicholas Genes, MD, PhD
There are few things more satisfying in emergency medicine than
employing your technical skill to quickly alleviate a patient’s pain. And
there are few things more annoying in modern practice than reading a
lit review that relies on animal studies and histology slides to warn
you about potential downsides to your skillful, pain-relieving ways. Yet here we are.
We store our email online. Documents. Photos. Financial information.
Various companies offer these services, and one -- Google -- does them
all, very well, for free. Why not add health information to the mix?
When I left Manhattan for the Society of Academic Emergency Medicine
(SAEM) annual meeting in Boston, I was ready for a change of scenery. We
had gone live with a new information system in our emergency department
just a month before. While the vendors thought it went smoothly enough,
and the financial hit seemed (for the most part) mitigated, I was still
fielding a lot of requests from my physician colleagues.
In this series, much space has been dedicated to explaining the changes
coming to emergency medicine as hospitals try to qualify for federal
stimulus dollars, by demonstrating meaningful use of electronic health
records. But as these changes unfold, another tech revolution is taking
place in health care – the way patients interact with each other, and
with health organizations, using social media.
EHR drug-drug interaction warnings may ultimately save lives, but does
the collateral damage of “alert fatigue” negate the benefit?
EP-turned-CMIO Steven Davidson talks frankly about the challenges of qualifying for Meaningful Use.
You may not have realized it, but in recent months there has been a
fundamental reordering of the way hospitals are regarding electronic
health records (EHR), thanks to what some are calling the single most
potent federal effort to change health care delivery in decades (Jha
2010). Part I in a new series edited by Nicholas Genes, MD, PhD
I am interested in keeping up on some academic topics I explored in
residency, and furthering my various role(s) in my department. That
means I’ve got to stay on top of an array of specialized news sources –
from journals in several specialties, press releases, and web sites. A
few years ago, this would’ve meant maintaining a hodgepodge of print
and electronic resources, forcing me to thumb through a lot of
journals’ tables of contents each month, or navigate dozens of
bookmarks in my browser.
A few of you might be reading this on your new iPads. The rest of you are probably sick of the speculation and hype that Apple’s new tablet will transform the publishing world, just as the iPhone changed mobile phones and the iPod revolutionized the music industry. But a more relevant question for us is: “Can the iPad change the way we work in the emergency department?” I sure hope so.
Work + Life
I’ll get the shot, but what’s next?
When I first heard about the requirement that emergency physicians in New York receive the H1N1 vaccination, I shrugged. Doctors in general and newly-graduated residents (like me) in particular are used to jumping through a lot of hoops for the privilege of practicing medicine. This year alone I've paid thousands of dollars and filled out hundreds of pages of forms for insurers, hospital credentialing, state and DEA licensure, and board certification. I've provided countless administrators with bits of my medical record, from vaccination logs to viral titers to PPD results. If I skimped on any of this, I wouldn't be allowed to work.
From this standpoint, what's the big deal about a mandatory flu shot?
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