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Patient safety, you might ask? In 22 years of practice, I have had one or two callsįrom pharmacies unclear about what was written. It was far more time consuming than simply writing the prescription Of patients, scroll down the list of meds, then scroll down the list of pharmacies,

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Hours of staff time to get the software working, I would have to scroll down the list

It was certainly not helpful for my solo practice. No estimate was availableĪs to the exact cost.

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Physicians will have to bear the cost for software, hardware and support for e-prescribingĬaremark provided me with a “free” three-year trial of iScribe and relatedĮquipment, with monthly charges to start after the free period. Those people who presently perform those duties, and will physicians do it for free. The data entry clerks for them at no cost. One cannot begin to estimate the cost savings for the PBMs as physicians will become PBMs are behind the effort to require e-prescribing as a condition for Medicare participation. Issues soon in order to attract hard working and skilled young physicians. Medical communities in rural areas will have to deal with these Physician assistants and nurse practitioners canīe helpful but they cannot manage many of our patients with multiple diseases andĬomplex treatments. As a general internist in a rural area, I sometimes feel likeĪ dinosaur about to become extinct. How will the rural areas get doctors, especially skilled internists in the future?Īlready, most internal medicine residents go for subspecialties and many of the restīecome hospitalists. These disadvantages of rural medicine in order to enjoy other advantages of living Some rural docs simply leave for the city (see those recruiting letters with “practices

Reason is that practices or hospitals have to be fairly large in order to have the

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On-call weekends (sandwiched between full weeks) and unpredictable night work. That most likely we will never have the opportunity for a practice without frequent Lifestyle, particularly as we enter our mid or late years in practice. (“boomer”) who work in rural communities are wanting the same humane However, in rural communities, these may be a long time coming. The younger generations of physiciansĪre justified in demanding predictable and humane work hours and this is one reasonįor “hospitalists,” “surgical hospitalists” and “laborists.” His hobbies include fishing, golfing and mountain biking.Your article “Is the generational gap a growth opportunity”, states some well-founded concerns. He is board-certified in Orthopaedic Surgery with additional certification in hand and upper extremity surgery. Post is a fellow of the American Academy of Orthopaedic Surgeons and a member of the American Society for Surgery of the Hand. He also had further training in hand surgery at the Texas Scottish Rite Hospital for Children. He completed his formal training in 1998 with a hand and microsurgery fellowship at University of Florida in Gainesville, Florida.

This was followed by an internship and residency in Orthopaedic Surgery at Indiana University Medical School in Indianapolis, IN. He earned his doctorate in medicine from Medical College of Ohio in 1992.