MDchat Transcript for November 9, 2010

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Transcript of #MDchat for Tuesday, November 9, 2010

Follow @MD_chat on Twitter for Regular Updates

Twitter.com/MD_chatMDchat.org

MD_Chat Welcome to #MDchat everyone! Before we begin, let's get started withintroductions.

murzeePulm/CC trained health services researcher, blogger, epidemiology professor,methods buff #mdchat

RichmondDocFamily doc in #RVA; not multitasking as much this week as last, but alwaysmultitasking at some level or another. #mdchat

astuppleI'm a third year medical student at SUNY Upstate, keen on the way forward.#mdchat

MD_Chat @murzee @RichmondDoc @astupple Welcome! #MDchat

peds_id_doc#mdchat - Peds ID Fellow in Upstate NY - will try to chip in but will probably listen for advice/insight on this week's session. Hello all!

astupple SUNY Upstate is in Syracuse, NY. #mdchat

CrescendoCGI'm Beth- I work with hc consumers to help them make better choices abouthealth hc- appreciate MD perspectives @ these chats #mdchat

spulimSmart Pill May Keep Track of How, When Medicine Is Taken - AOL Health http://j.mp/9Cy240 #mdchat

mkmackey Kathy Mackey listening in to #mdchat

RichmondDoc@peds_id_doc Que pasa, amigo? If you're anything like me, you start off lurking but get drawn in to discussion just the same... #mdchat

jodymsHello everyone, I write a blog for women with cancer. #MDCHAT Listeningtonight:)

murzee Good to see you, @mkmackey! #mdchatmkmackey @murzee thank you! Nice crowd already.. #mdchat

peds_id_doc

@RichmondDoc #mdchat - probably - but I'm at an advantage in that the topic

of private practice hopefully won't ever apply to me...!

EllenRichterI'm Ellen, a critical care nurse legal nurse consultant in south Florida wholoves social media how its infiltrating health care #MDchat



MD_ChatOK, we'll get started with the first topic in a moment. Two topics today. Pleaseprepend responses to topics w/T1, T2 etc. #MDchat

apjonas Pat Jonas, Holistic Family Physician private practice, Ohio Hi all #mdchatDoctor_V I'll peek during homework #mdchat

RichmondDoc@peds_id_doc That's good, though: you'll be able to discuss *why* that's thecase (if you feel comfortable). #mdchat

MD_ChatT1 Private Practice: What's its future? Doomed? Or open to innovation? Bouncequickly to @Doctor_V's http://bit.ly/d81MM2 #MDchat

murzee Good to see you, @apjonas, Doctor_V! Homework? #mdchat

murzeeRT @MD_Chat: T1 Private Practice: Whats its future? Doomed? Or open toinnovation? Bounce quickly to @Doctor_Vs http://bit.ly/d81MM2 #mdchat

jodymsRT @MD_Chat: T1 Private Practice: What's its future? Doomed? Or open toinnovation? Bounce quickly to @Doctor_V's http://bit.ly/d81MM2 #MDchat

RichmondDocT1 I don't think it's doomed, though definitely a trend of new docs moving intoemployed/hospital-owned groups. #mdchat

peds_id_docRT @MD_Chat: T1 Private Practice: What's its future? Doomed? Or open toinnovation? Bounce quickly to @Doctor_V's http://bit.ly/d81MM2 #MDchat

RichmondDoc T1 I can see a shift in the types of private practices, though: concierge,extremely-low-overhead models, etc. #mdchatmurzee T1: perhaps both? Innovation may mean a change in approach #mdchat

ability4life#MDchat Kathy Kastner, Canadian pt. Blown away by posthttp://tinyurl.com/2bpgqzb will respectfully listen and learn 2nite

astupple T1 Wow, I heard this statement from two different people just today. #mdchat

RichmondDoc

T1 Remains to be seen what is left of #hcr after the elections, what that means

re: ACOs, and how easily indies can make a go of it. #mdchat

mkmackey T1 Private Practice: Whats its future? @Doctor_Vs http://bit.ly/d81MM2 ;gt;Thoughtful comments here both realistic optimistic #mdchat

peds_id_doc#mdchat T1 Much of my US family has suggested I go into private practice - I'mnot keen on all the work...too many hassles on several fronts

EllenRichterInteresting piece @Doctor_V ...hopefully things will end up righting themselveshttp://bit.ly/d81MM2 #MDchat

apjonasT1 Payment reform critical to having a base of pvt practice PC physicians. DirectPC (subscription practice) helps for some pts, etc.#mdchat



PracticalWisdom Greetings, I ;quot;m Lisa Curious Adult Education Scholar #MDchat

peds_id_doc#mdchat T1 Hospital/academic jobs have several attractions:insurance/benefits included, better hours

RichmondDoc

T1 More docs looking for work/life balance want to avoid the overhead costs

and malpractice; ;quot;employed ;quot; vs private helps w/that. #mdchat

RichmondDocRT @peds_id_doc: #mdchat T1 Hospital/academic jobs have severalattractions: insurance/benefits included, better hours #mdchat

murzeeT1: Is it not time for a model change? FFS kept private practice going, no?#mdchat

RichmondDocT1 But many docs learn/are trained to be independent and self-reliant; seeopportunity on owning a small business. #mdchat

astupple T1 Is it bad if hospitals take over administering outpt care? #mdchat

murzeeT1. Some private practice will remain, but mostly with payment reform will needeconomies of scale/efficiencies #mdchat

peds_id_doc#mdchat t1 @richmonddoc I have a small business on the side too - wouldn't

want to do medicine for that though...

mkmackey

T1 Similar to corporate world entrepreneur? Benefits of both. Needs to fit

lifestyle and personal needs #mdchat

chukwumaonyeije

T1: Truth be told, private practice (which I am in) has never been all it's crackedup to be... #MDCHAT

PracticalWisdom Would think it's hard though you all have to run a business and don't have timeto take Bus. Classes? #MDchat

peds_id_doc@astupple #mdchat T1 OutPt care is a different beast from InPt...both needsome kind of 'specialist' mentality. Academic centers do both...

murzeeT1: Medicine is more cumbersome today than ever -- cannot apply old modelsany longer #mdchat

RichmondDoc@astupple I don't think it's necessarily bad, though it does change the nature of MD practice and limits some professional options. #mdchat

chukwumaonyeije

RT @murzee: T1. Some private practice will remain, but mostly with paymentreform will need economies of scale/efficiencies #MDCHAT

Doctor_V Next generation wants 9-5 work for 9-5 pay, no? #mdchat

healthgisthttp://j.mp/d5Z8gi ♻ @Doctor_V Next generation wants 9-5 work for9-5 pay, no? #mdchat



RichmondDoc@PracticalWisdom Certainly makes it harder; some docs are doing MD/MBA degrees, or returning for fast-track executive MBA programs. #mdchat

chukwumaonyeijeT1: @murzee is correct. The current *model* is a lot of the problem. #MDCHAT

murzee

You think so? What about professionalism? RT @Doctor_V: Next generation

wants 9-5 work for 9-5 pay, no? #mdchat

healthewomanPrivate Practice will be a privilege of the rich; everyone else is going to get runthrough the cattle chute. Take a number. #MDChat

RichmondDocT1 So long as we're looking at increased volume and doing more = betterreimbursement, hard for independent practice to keep up. #mdchat

apjonasT1 pts need to storm the Bastille of the med-ind-complex $ partner w/pvtpublic PC practice ext svc ala agriculture to fix mess #mdchat

chukwumaonyeije@Doctor_V: I think there will be a trade-off. Some want 9-5. Others will provideconcierge service for incr$$ but incr time output #MDCHAT

RichmondDoc@murzee @Doctor_V I think the next generation is willing to put in more than9-5 hrs, but want flexibility and options. #mdchat

chukwumaonyeije@healthewoman Apple store is also a cattle chute... incl. take a number. But a

well designed cattle chute... #MDCHAT

peds_id_doc @RichmondDoc #Mdchat T1 - Indeed - when YOU are the product, it doesn'tscale well. Poor small business model :-P

chukwumaonyeijeRT @RichmondDoc: @murzee @Doctor_V I think the next generation is willingto put in more than 9-5 hrs,but want flexibility and opts. #MDCHAT

healthewoman@chukwumaonyeije Agreed! Except I doubt the US Gov't can design asfunctional and efficient a cattle chute #MDChat

murzee

@RichmondDoc Agreed, flexibility and options. Perhaps more transparency and

less ;quot;frat rush ;quot; mentality in the field 2? #mdchatdr_spikyhair @murzee don't see how 9-5 limits professionalism (word?) #mdchat

murzeeRT @peds_id_doc: @RichmondDoc #Mdchat T1 - Indeed - when YOU are theproduct, it doesnt scale well. Poor small business model :-P #mdchat

chukwumaonyeije@healthewoman The US Govt. has already shown us it CANNOT. It will be up toentrepreneurial 21st century docs to design implement #MDCHAT

RichmondDoc

@apjonas T1 Agree: to change the model of care provision and reimbursement,

will need patients to partner w/ calls for change. #mdchat



mkmackey T1 With economy as it is for new grads, next generation physicians may behappier to accept the conditions of a future physician #mdchat

apjonas@murzee T1 medical practice to respond to uniqueness of ea indiv pt canhappen with humans at ctr (pt-dr) bonding vs the sludge #mdchat

peds_id_doc@healthewoman @chukwumaonyeije #mdchat - they don't need to design it,the system is already here. Single payer just..er....pays....

murzee @dr_spikyhair Professionalism precludes rigid shift work, IMO #mdchat

murzeeRT @apjonas: T1 medical practice to respond to uniqueness of ea indiv pt canhappen with humans at ctr (pt-dr) bonding vs the sludge #mdchat

RichmondDoc@chukwumaonyeije @healthewoman No indication that healthcare will begovt-run; employed docs likely to be under hospital systems. #mdchat

MD_ChatT1 Follow-up: Might part of answ be in reviewing origins of prvt prctice? e.g.:

Ask: what was needed then versus what's needed now. #MDchat

RichmondDoc@murzee T1 If we allow new docs to feel they can put in time and beprofessional, they will choose pvt vs employed status. #mdchat

murzee@MD_Chat Exactly! The field is so different today, and the model needs tochange. Period. #mdchat

chukwumaonyeije@RichmondDoc @healthewoman Agree that healthcare will not be govt-run;lots of innovative/disruptive concepts out there. Esp ACOs #MDCHAT

RichmondDoc@MD_Chat T1 I think looking at the origins of pvt practice can be revealing--that is *all* that existed, unless in public hospital. #mdchat

murzee@RichmondDoc Not sure about that - wrote ab it here http://evimedgroup.

blogspot.com/2010/10/restoring-medicines-social-contract.html #mdchat

CrescendoCG

RT @murzee: @MD_Chat Exactly! The [healthcare] field is so different today,

and the model needs to change. Period. #mdchat

RichmondDoc@MD_Chat T1 Back in the day, everyone hung out their shingle on their ownand had their own practice; not many options. #mdchat

healthewoman@RichmondDoc I worked for a hospital for 3 months. They didn't know whatthe **** they were doing in running a medical practice. #MDChat

chukwumaonyeije@MD_Chat Would also look at how well the *current* private practice modeldeals with cost and public health. Not so great sad2say #MDCHAT

MtnmdThere are powerful innovations out there 2 assist docs 2 stay in private practice.Like our Co. there are ways to change and succeed. #mdchat



PracticalWisdom What about the cash only option? http://www.medpagetoday.com/PracticeManagement/PracticeManagement/13347 #MDchat

astuppleT1 I'm go prim care bc I think tech will decentralize med away from specialist tothe hands of PCP's- tech wave breaks, prv prac win #mdchat

murzee Recommend Paul Starr's book as the definitive hx of US medicine. #mdchat

RichmondDoc@healthewoman T1 Have heard similar issues from many other docs; also haveknown pvt practice docs struggling to run a practice... #mdchat

murzeeRT @chukwumaonyeije: @MD_Chat Would also look at how well the *current*private practice model deals with cost and public health. #mdchat

chukwumaonyeije@healthewoman @RichmondDoc My practice works out of 10 diff hospitals in

ATL. They are *not* created/managed equally! #MDCHAT

apjonas@RichmondDoc T1 pvt for some, public for some, hosp emp for some, gov empfor some.wk frce Balance PAYMENT reform w/rad innov #mdchat

healthewoman what makes a practice run well is a practice manager who understands business#MDChat

MtnmdPhysicians have to let go of old, pharma/ins run model and think out of box forgood of patients and UR practice. #MDChat

PracticalWisdom RT @healthewoman: what makes a practice run well is a practice manager whounderstands business #MDchat

murzeeRT @Mtnmd: Physicians have to let go of old, pharma/ins run model and think out of box for good of patients and UR practice. #mdchat

healthewoman@Mtnmd I've never let Ins/Big Pharma make my medical decisions for me ormy patients #MDChat

chukwumaonyeije

@healthewoman Doesn't hurt if that practice manager is also willing to step on

a few heads... #MDCHAT

Mtnmd#MDChat I agree, there R many innovative/disruptive models out there, some R quite appealing.Learning business is key, not sure MBA necessry

chukwumaonyeijeRT @murzee: RT @Mtnmd: Physicians have to let go of old, pharma/ins runmodel and think out of box for good of patients practice. #MDCHAT

murzee Have to say good night now, sorry -- great chat, thanks! #mdchat

apjonas

@murzee then go outside med for books on how to be radical for the people.

Google, OReilly IT books, Warrior Books anything but med #mdchat



RichmondDoc@PracticalWisdom T1 Cash-only and low-overhead practice models can be very liberating...or very difficult to make work well. #mdchat

healthewoman@chukwumaonyeije careful, you might be accused of being a ;quot;disruptivephysician ;quot; if you buck power establishment of an institution #MDChat

mkmackey @murzee good to see you..next time.. #mdchatRichmondDoc @murzee Good night! Till next time?! #mdchat

chukwumaonyeije@Mtnmd Most important skill regarding new models is willingness to be open.This is the downfall of docs in my generation IMHO #MDCHAT

Mtnmd@healthewoman #MDChat Example: Sermo docs bashing med marijuana, butthen when pharma offers patented alternative, they jump right on.

MD_Chat @murzee OK, good night! Hope to see you next time! Cheers! #MDchat

chukwumaonyeije@healthewoman Too late. I've already got a rep... #MDCHAT

littlebytesnewsRT @healthewoman: Private Practice will be a privilege of the rich; everyoneelse is going to get run through the cattle chute. Take a number. #MDChat

Mtnmd@healthewoman #MDChat Another example: for docs to financially flourish,they have to handle the $ marketing. It's been 2 easy w/ins.

RichmondDoc

RT @chukwumaonyeije: @Mtnmd Most important skill regarding new modelsis willingness to be open. This is the downfall of docs in my generation IMHO#MDCHAT

Mtnmd @chukwumaonyeije #MDChat I couldn't agree more.

PMgeezerRT @healthewoman: Private Practice will be a privilege of the rich; everyoneelse is going to get run through the cattle chute. Take a number. #MDChat

foxepracticeHave you seen http://www.carepractice.com/ ? RT @PracticalWisdom Whatabout the cash only option #mdchat

chukwumaonyeije100% agree re docs handling $ and marketing. @Mtnmd @healthewoman#MDChat Much more skin in the game if you forego insurance #MDCHAT

Mtnmd@healthewoman #MDChat I, too, think that is inevitable. However, we can helpmake the ;quot;chute ;quot; better, and support the private model, too.

healthewomanRT @foxepractice: Have you seen http://www.carepractice.com/ ? RT@PracticalWisdom What about the cash only option #mdchat

astupple

Is hello health pvt prac for the rich? http://hellohealth.com/physicians/

#mdchat



peds_id_doc@astupple #mdchat T1 Tech will help...but specialists will still be needed forconsults/referrals. Tech can't train PCPs

apjonasT1@healthewoman The cattle chute is a good challenge for pvt practice to chew on radically. The poor/rich could choose a doc #mdchat

PracticalWisdomfoxepractice: I've not seen http://www.carepractice.com/ ? Thank you. Great

Website looks like for the rich and Famous~ :0 #MDchat

Mtnmd@RichmondDoc @healthewoman These docs don't HAVE to struggle, there iscompetent help, if they can stop trying to B lone ranger #MDChat

MD_Chat Shoulder tap: Next topic coming up in a couple minutes. #MDchatPracticalWisdom @MD_Chat: Shoulder Tap~ love that line can I steal it? #MDchat

apjonas

@astupple No, Direct Primary Care fits with the unemployed, uninsured,

insured w/HSA. Pays PC to do what they love the rt way #mdchat

chukwumaonyeijeDon't fear the cattle chute. Apple, Starbucks, Whole Foods, etc. Greatexperiences. But ultimately they are moving product (us) #MDCHAT

astupple@peds_id_doc @apjonas I'm hoping for a the specialist craze to be a bubble,one that will be burst by tech in PCP's hands. Wishful? #mdchat

apjonas@astupple Qliance also is DPC with happy docs and pts. Flex and integratemodels to max qual/prof satisfaction. Solution shop, etc. #mdchat

Mtnmd@chukwumaonyeije #MDCHAT Yes, Symtrimics offers incrsed pay via visitsincrsed pt health along w/elegant marketing.Not only place to look

black_doveNovember 2010 #VitalSigns report highlights the latest CDC info on access tohealth care. http://is.gd/gSdss #hcr #mdchat #rnchat

CaroldeRT @healthewoman: Private Practice will be a privilege of the rich; everyoneelse is going to get run through the cattle chute. Take a number. #MDChat

Mtnmd

RT @chukwumaonyeije: Don't fear the cattle chute. Apple, Starbucks, WholeFoods, etc. Great experiences. But ultimately they are moving product (us)#MDCHAT

peds_id_doc @astupple #mdchat T1 Speaking as a specialist I hope it's wishful thinking :-P

MD_ChatT2 AMA's Social Media Guidance. Announced yesterday: see http://ow.ly/373By What do you think? Anything to add? #MDchat

peds_id_doc

@astupple #mdchat T1 Tech doesn't provide knowledge or experience...that's

really what the specialist offers to the PCP.



Mtnmd@peds_id_doc @astupple #MDChat OK, is there a way to make it a win/win for

both specialists and primary care? That's how lawyers always win.

CrescendoCG@chukwumaonyeije Agree that Apple does it well, but w/team approach. Ptsseem reluctant 2 embrace team approach to health. Thoughts? #mdchat

astupple@peds_id_doc Hah! I can't pull my foot out of my mouth in 140 characters!#mdchat

peds_id_doc@Mtnmd @astupple #mdchat I would like to think that tech can help PCPs andSpec's communicate better for the good of the patients

apjonas@astupple @peds_id_doc T1 Hugging Warriors have more fun than $ fiends.Dream driven med students will win the day w/pts of like mnd #mdchat

Mtnmd

@CrescendoCG @chukwumaonyeije #MDChat Maybe our leadership is lacking

to show benefits??

chukwumaonyeije@CrescendoCG Team approach works for Apple and will work for medicine.Has to be implemented properly though... #MDCHAT

RichmondDoc@peds_id_doc @astupple I'd qualify your statement by adding ;quot;techdoesn't provide *specialized* knowledge or experience ;quot;... #mdchat

CrescendoCG@chukwumaonyeije Agree! Pts need to understand value. Good communicationis key. #mdchat

RichmondDocT2 The AMA guideline report is helpful, though largely common sense andlargely addressed in other chats and other blogs. #mdchat

Mtnmd#MDChat I see many docs on social media in anonymous mode. Not bad idea

but I C other side of that argument, too. Esp if volatile topics.

peds_id_doc@RichmondDoc @astupple - #mdchat Qualification accepted - that was what Imeant. Twitter is making me too succinct for my own good!

RichmondDoc T2 Seems that most discussion I've heard preceding this AMA announcement was on-target in predicting what concerns might be. #mdchat

apjonas@Mtnmd @peds_id_doc @astupple docs who luv what they do= dream will be

blinder to $ diff and go for helping pts. MS debt in the way #mdchat

peds_id_doc#mdchat T2 was asked just yesty by a pt to friend on FB...not really happy withthat idea.

RichmondDoc

@MD_Chat T2 I'm waiting for the actual document to see if there is any

additional info in it. I would hope so... #mdchat



Mtnmd@RichmondDoc #mdchat I LOVE social media for docs, chance to hear fromdistant colleagues and share positive ideas, chance for improvement

RichmondDoc@peds_id_doc T2 Most of us docs would *not* friend a pt on FB; though OK tohave a practice/professional page for that interaction. #mdchat

EllenRichter Yes I agree RT @RichmondDoc: T2 Seems most discussion I've heard precedingthis AMA announcemt was on-target in predicting concerns. #MDchat

Mtnmd@apjonas @peds_id_doc @astupple #mdchat I think med school should befree, poss w/ service requirement.

RichmondDoc@Mtnmd T2 If we're here, then by definition we think this matters. Next step isto get more docs involved figure out best use. #mdchat

peds_id_doc

#mdchat T2 I've been 'online' for years. Infamous in certain circles...never

anonymous when discussing medical/science stuff chukwumaonyeijeT2: Basically common sense info for newbies. #MDCHAT

RichmondDoc@Mtnmd @apjonas @peds_id_doc @astupple Has been a model proposed thatmed school is free; paid after residency by % of salary yearly #MDchat

peds_id_doc@Mtnmd @apjonas @peds_id_doc @astupple #mdchat My med school WASfree. The perks of growing up in the UK :o)

peds_id_doc@RichmondDoc T2 #mdchat Today was the first time I'd considered setting upa Prof page :-/ My FB is friends, family and fun.

MtnmdRT @SOCIALMEDIAPRO1 A leader leads by example not by Force. Sun Tzu#MDChat

chukwumaonyeijeT2:Don't underestimate the size of the ;quot;next wave ;quot; of MDs to adoptsocial media. Smart phone (non-BB) adoption will set the stage. #MDCHAT

PracticalWisdom

RT @Mtnmd: RT @SOCIALMEDIAPRO1 A leader leads by example not by

Force. Sun Tzu #MDchat

healthewomanIf med sch is free who pays the teachers and who pays for the cadavers?@Mtnmd @apjonas @peds_id_doc @astupple #MDChat

FlipswitchTeens A leader leads by example not by Force. Sun Tzu #MDChat RT @mtnmd: RT@SOCIALMEDIAPRO1

apjonas@peds_id_doc @Mtnmd @astupple a soon to B proposed extension service doccorps will get free med tng, like US military docs.#mdchat

Mtnmd@RichmondDoc @apjonas @peds_id_doc @astupple So if free med school isone agreed solution, that is an easy one to work on. #MDChat



astuppleRT @chukwumaonyeije: T2:Dont underestimate the size of the ;quot;next wave;quot; of MDs to adopt social media. Smart phone will set stage. #mdchat

philbaumann@chukwumaonyeije I'd agree - I think the slow adoption in last few years willflip in near future (primarily due to mobile, etc.) #MDCHAT

peds_id_doc@healthewoman @Mtnmd @apjonas @astupple #MDChat My med school wasmostly paid by the Govt and cadavers were donations - greatly appreciated

RichmondDoc@apjonas T2 I think making a civilian option for med school support coupled

w/ service can work well; Virginia had a program... #mdchat

Mtnmd@apjonas @peds_id_doc @astupple #MDChat That is GREAT! Would love if

we ignored neg press and chose topics of agreement to move on.

RichmondDoc

@apjonas T2 ...that worked like that. However, changed to loan repayment b/c

lots of docs defaulted on the service obligation. #mdchat

apjonas@Mtnmd @RichmondDoc @peds_id_doc @astupple the hcr legislationincludes a doc corps that appeared expandable depending #mdchat

chukwumaonyeije@philbaumann @astupple I see it already. When I used to talk to docs abttwitter I'd get blank stares. No longer. #MDChat

DrSamiLResearchRT @Mtnmd: RT @SOCIALMEDIAPRO1 A leader leads by example not by Force. Sun Tzu #MDChat

Mtnmd #MDChat What do you guys think about Sermo?

astuppleRT @Mtnmd: RT @SOCIALMEDIAPRO1 A leader leads by example not by Force. Sun Tzu ;lt;If some docs aptly apply SM, they will outcompete. #mdchat

PracticalWisdomRT @chukwumaonyeije: @philbaumann @astupple When I used to talk to docsabt twitter Id get blank stares. No longer. #MDchat

healthewoman

@peds_id_doc @Mtnmd @apjonas @astupple taxpayers fund the govt. In the

US the taxpayers wld have to vote to fund med sch #MDChatMtnmd @astupple Spot ON! #MDChat

MD_ChatOur hour is almost up. We'll wrap up in a few minutes, but before we do pleasegive us your parting thoughts. #MDchat

Mtnmd@healthewoman I love the idea of paying percentage of income first few years.Perfect. #MDChat

peds_id_doc

@healthewoman @Mtnmd @apjonas @astupple #mdchat Seems like a no-

brainer, but perhaps I'm seeing it from the persp of docs as public servants



apjonas@healthewoman @peds_id_doc @Mtnmd @astupple Don't agree. How many tax payers voted on the health care legislation? #mdchat

Mtnmd@MD_chat #MDChat Thank you so much for moderating!! Appreciated.Thanks to everyone.

healthewoman @MD_Chat thank you all for the great conversations! #MDChat

astuppleRT @PracticalWisdom: RT @chukwumaonyeije: @philbaumann When I usedto talk to docs... No longer. ;lt;My med school friends stare. #mdchat

RichmondDoc@Mtnmd Have found *no* value at all in Sermo. Not an open community to my understanding; don't see any influence on most docs. #mdchat

eshwartsRT @RichmondDoc: Has been a model proposed that med school is free; paidafter residency by % of salary yearly #mdchat

peds_id_doc@healthewoman @Mtnmd @apjonas @astupple #mdchat in the UK, Docs areright up alongside teachers, firefighters, cops - overworked underpaid

chukwumaonyeijeI remain optimistic, bullish and positive abt medicine. If ever there was a fieldpoised for disruption innovation this is it! #MDCHAT

Mtnmd@RichmondDoc #MDChat I agree, that Sermo could be so great but somenegative willies have taken up roost, just complaining.

RichmondDocFinal thought: Social media is going to become a bigger part of doctor/patientcommunication in practice; we need to figure it out. #mdchat

astuppleRT @eshwarts: RT @RichmondDoc: Has been a model proposed that medschool is free; paid after residency by % of salary yearly #mdchat

peds_id_doc#mdchat - time up already...? This thing always goes by too fast. Thanks to allfor opinions and thoughts...

astupple

RT @peds_id_doc: @healthewoman @Mtnmd @apjonas @astupple #mdchat

in the UK, Docs are right up alongside teachers- I taught 5 yrs! #mdchat

chukwumaonyeije@astupple LOL. They'll catch on. I remember when my attendings called my palm pilot a ;quot;toy ;quot; #MDCHAT

CrescendoCGRT @RichmondDoc: Social media is going to become a bigger part of doctor/patient communication in practice;we need to figure it out. #mdchat

astuppleRT @RichmondDoc: Final thought: Social media is going to become a biggerpart of doctor/patient comm; we need to figure it out. #mdchat

apjonasSwarming together we can dabble as a solution shop. Can we go radical w/tweets together to define the next health care? Onward #mdchat



peds_id_doc#mdchat I think primary care is going to change in the future - I hope we getmore people out there. Needed for preventative medicine.

MD_ChatOK - Thank you everybody! Great chat. Anyhoo: next #MDchat is next Tues9pm. If you'd like to moderate email: [email protected]

chukwumaonyeije@Mtnmd: @RichmondDoc That was the vibe I got during my short tenure onSermo abt a year ago. Haven't been back but may try again. #MDCHAT

chukwumaonyeijeRT @RichmondDoc: Final thought: Social media is going to become a biggerpart of doctor/patient comm; we need to figure it out. #MDCHAT

astupple Thank you everyone! #mdchat

PracticalWisdomThank you for giving me the opportunity to listen learn. MD_Chat~ShoulderTap You did a great job once again.Good Night. #MDchat

MD_ChatTranscript of tonight's #MDchat will be up by tomorrow morning. If you havetopic suggestions, submit them here: http://tinyurl.com/MDtopic

susangiurleo

RT @chukwumaonyeije: RT @RichmondDoc: Final thought: Social media isgoing to become a bigger part of doctor/patient comm; we need to figure it out.#MDCHAT

EllenRichterInteresting to watch the discussion hear the different opinions about socialmedia medicine. Thanks doctors! Great chat! #MDchat

philbaumannRT @EllenRichter: Interesting to watch the discussion hear the differentopinions about social media medicine. Thanks doctors! Great chat! #MDchat

chukwumaonyeije@astupple Abso-Freekin-Lutely. Him and others... #mdchat

astupple@chukwumaonyeije Cool, I'd love to hear of some others, at your convenience.Christensen has been a game-changer for me. #mdchat

Twitter.com/MD_chatMDchat.org

Moderated by @PhilBaumannPhilBaumann.com

MDchat Transcript for November 9, 2010

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