Category Archives: Practice Enhancement

Alarming Rates of Life-Threatening Patient Nondisclosures

A patient’s full disclosure of medically relevant information to their clinician is essential to ensuring all-encompassing health support, developing successful treatment strategies and guaranteeing optimal outcomes. This is especially true in cases of imminent threat, which range from drug and substance abuse habits to domestic violence incidents. Previous research has revealed that patients often choose not to share details about certain behaviors, such as lack of exercise or poor diet, in fear of being judged or reprimanded. However, relatively little knowledge was available thus far about the disclosure rates for life-threatening factors.

While it is essential for primary care providers to be aware of all details affecting patient health, a recent study indicates that nearly half of patients withhold potentially life-threatening information from their physicians. Aiming to determine the prevalence of patient nondisclosure about imminent threats and identify the common underlying reasons, researchers evaluated data from 4,510 Amazon’s Mechanical Turk (MTurk) and Survey Sampling International (SSI) survey respondents.

Continue reading

 The Complexities of Physician Compensation

Although overall physician salaries continue to rise steadily, the latest research reveals the caveats and complexities of physician compensation, such as a widening gender pay gap and vast differences between specialties. Published annually, the Medscape Physician Compensation Report is the most comprehensive and widely used physician salary survey in the United States, analyzing compensation, hours worked, time spent with patients, and what practitioners find the most rewarding and challenging about their jobs. Over 20,000 U.S. physicians across 30 specialties responded to this year’s online survey, delivering both good and bad news about the state of the healthcare system.

Continue reading

The Real Cost of Physician Burnout

In recent years, leading health care organizations have declared physician burnout, or the state of physical and mental exhaustion associated with job stress, a public health crisis. The problem is so pervasive that burnout was added to the list of medical conditions by the World Health Organization in May of this year. Compared to average American workers, physicians are experiencing twice as much burnout, which may lead to high turnover, lower-quality care, and suboptimal patient outcomes. In addition to raising significant ethical concerns, overworked and unhappy physicians are taxing on the U.S. economy, costing the nation $4.6 billion per year, according to new research published in the Annals of Internal Medicine.

Continue reading