• Quality Improvement or Human Research? Ethics in the Gray Zone

    Medical research on human subjects has substantial institutional oversight and regulatory assurances to protect patients. However, research is expensive and the insights gained from human research often takes many years to permeate clinical practice. In this modern age of healthcare focused on enhancing quality, value, and patient safety, a new paradigm has emerged – the ‘quality improvement’ project. These projects are subject to a much lower level of oversight, and enjoy more loosely defined protocols. The intent is to be able to rapidly implement better and safer processes for the benefit of patients. However, some projects share considerable similarities with traditional human research. Are their champions simply trying to circumvent regulatory hurdles by calling their experiments ‘quality improvement’?

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  • Twitter for busy doctors: tweeting the meeting

    Twitter for busy doctors? It is easier than you think! Another American Society of Anesthesiologists Annual Meeting has come and gone, and once again, social media exploded. There was plenty going on around Facebook and a little bit of Instagram, but as has been typical for healthcare social media, doctors are on Twitter. Check out these images that show the amazing growth (15,000%) since October of 2013 around this meeting. The same is going on in all realms of healthcare – time to get on board!

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  • 4 big mistakes doctors make on social media and how to avoid them

    This video emphasizes the importance of a few simple best practices for doctors on social media, and healthcare social media in general. Specifically, we discuss a few things you should NOT do! 1) You should obviously not disclose or discuss the personal health information of patients online, even in a “private” or “physician only” forum. Your words or images may be construed as a violation of (HIPPA) – the Health Insurance Portability and Accountability Act – EVEN if you do not explicitly reveal the patient’s identity…

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  • Make your online reputation audit accurate and actionable!

    It is SO worth the time invested to get this right! Your digital footprint is your online reputation, and much of it IS within your control. Be sure you know what Google says about you, so you can influence the internet to serve up more of what you like and less of what you don’t (errors, out of date, same name but not you, etc). Every professional, doctors included, needs to do this.

    This video will walk you through the exact process of performing a thorough, accurate online self-audit so you’ll…

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  • Should doctors use social media professionally?

    Click “keep reading” below to access my video – a special announcement about a free Facebook LIVE video series on healthcare and social media! Whether you are in private practice, academics, or even administration, there’s something for you in this new series that breaks down how, why, when, and where healthcare professionals and organizations can and should be leveraging social media.

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  • Why are kids dying at the dentist?

    Is pediatric dental anesthesia safe? Right on the homepage of the ADSA is a big box: “getting sedated at the dentist: there’s nothing to worry about”. Recent news, however, seems to contradict that statement. In Texas alone, there are at least 85 reported deaths of patients who died following dental procedures between 2010 and 2015. In these cases, anesthesia was reportedly administered by dentists with anesthesia training. But what is a ‘dentist anesthesiologist’? In the FAQ section of the ADSA website, they state “Anesthesia is administered by a licensed anesthesiologist, who was trained in a formal anesthesia residency program.” No wonder people are confused…

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  • Twitter has changed. Meet the new 140 character rules.

    Twitter has made some changes to the 140 character limit. Specifically, they have changed the structure to exclude “prefix” and “suffix” data. Here’s how the new changes will impact your twitter stream:

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