MLK quote re injustice in healthcare
#medsky #primarycaresky #gerisky #IMProudsky
This inauguration day on this particular Day of the year …
We should be struck by
the dichotomy b/t access to primary #healthcare as an indivisible right &point of dignity … -> 2/2
#medsky #primarycaresky #IMProudsky #pediatricssky
‘You’re too smart for primary care. You should rethink that’
No more individually and societally damaging words in #meded exist. If you utter them you are irresponsible, you can’t read an extinction threatened room, and you are doing HARM
#medsky #IMProudsky #primarycaresky
Way back, in the halls of CMS &AMA, in the fee for service landscape that has been artificially propped up forever, some folks thought a RELATIVE value unit was a good idea
To relatively express value in healthcare, to establish structures of reimbursement->
Hey #medsky #IMProudsky
#primarycaresky
Just had 2wks off
Now back 2d - can’t fathom how much falls behind 4a huge panel
Drove home down - harder 2keep up over 33 years
One ride home
Played jazz LOUD
Next one
Beethoven LOUD
Picking up
Wonder what Beethoven would have thought of jazz ..
Hey #mededsky #medsky #IMProudsky
Side thought as I approach ?ABIM MOC/recertification
Just have never thought a multiple choice fund of knowledge nugget question was EVER a good assessment 4what really happens at the bedside, listening&thinking
Patients are not linear multiple choice, nope 👎
#primarycaresky #medsky #IMProudsky
On line items that should be included in all primary care work conditions, #4 :
All primary care docs ramping up to a huge patient panel size are provided standard team for co care
PA/NP to help w triage, add ons, routine lab review
Pharmacist
Therapist/CSW
#primarycaresky #medsky #IMProudsky
On a next line item that should be included in all primary care work conditions, #3 :
(Likely both a legislative target &collectively bargained agreement)
No noncompete re all nearby employers can be accepted
Restriction 2earn income on departure is a shackle
x.com/gimaprecepto...
Hey #medsky #primarycaresky #IMProudsky
For those of us that can still open/read posts over there, not sure I have energy to retype/post - maybe soon, but wanted to get it out here :
(Hope this works?)
Hey #primarycaresky #medsky #IMProudsky
On the line items that should be included in all primary care work conditions:
Enough non patient facing time should be worked into a week template 2allow for all:
documentation
billing
Lab review
calls/portal messages
admin work
forms
letters
At work!
Beautiful moon
Long Island dock with beautiful sky
Drenched New Jersey shore dock with ominous sky and a single lamppost in far backdrop
Sky with bright white edge clouds and a ray of light making its way through
Hey #medsky #IMProudsky
Found myself searching my phone deck for a baseball photo to respond to a post, and came across the foundational power of #primarycaresky speaking to me unexpectedly thru old pictures:
Hey #primarycaresky #medsky #IMProudsky
Extremely grateful on Grateful Day that we were blessed 2join a profession where relational care 4other humans is core
Less than grateful that this relational care is so very transactional in our air
I’m really grateful 4advocates fighting 4the relational
#primarycaresky #medsky #IMProudsky
On the line items that should be included in all primary care work conditions, #2:
A maximum panel size per FTE units needs to exist and be respected. Docs know when they’re teetering and care is becoming shaky
In addition, team support must be provided
Hey #primarycaresky #medsky #IMProudsky
On the line items that should be included in all primary care work conditions:
Enough non patient facing time should be worked into a week template 2allow for all:
documentation
billing
Lab review
calls/portal messages
admin work
forms
letters
At work!
Hey #primarycaresky #IMProudsky #psycholosky (?)
🙏🏻 @garyschw.bsky.social 4share
Ya know how many of our #patients have intense behavioral health needs?
Well, major bottom line insurers will financialize morality &our mission, they’ll push the transactional vs relational line. Really disgusting
Ok #primarycaresky #medsky #IMProudsky
What we’re the most common topics to hit your exam room this past week, and why was one of them coronary calcium score coronary calcium score ??
And a sneaky appearance from primary care unionization efforts up in Boston?
