Contents tagged with physician
By Tasaduq Hussain Mir, MD, FAAFP
It has been almost a year now since I read the powerful book, “When Breath Becomes Air,” a neurosurgical scholar’s account of his losing battle with cancer. Dr. Paul Kalanithi died at a very young age of 36 due to lung cancer that had spread from his lungs to his brain.
“When Breath Becomes Air” is about a journey toward an imminent death. This book is a doctor’s account as a patient and the reciprocal relationship between him and his doctor. It is about an uncomfortable sense of vulnerability when it comes to physicians being on the other side of the table as patients. It is also about our gratitude for what we have in our hands and how to reconcile with what is beyond our reach. It is about our appreciation for each and every blessing that comes our way without us realizing it.more
An excerpt from Dr. Justin Bartos’ Physician of the Year acceptance speech
By Justin V. Bartos III, M.D.
Thank you for the great honor of being named the 2012 Texas Family Physician of the Year. It is a dream come true. As you work on behalf of your patients, your practice, and the specialty of family medicine, you often wonder if this effort is recognized by your colleagues. It is extremely gratifying to receive such an award.
I practice under the Medical Clinic of North Texas, which comprises more than 150 primary care physicians. I also spend a portion of my time as the medical director of the Dr. David Pillow Senior Health Clinic at HCA North Hills Hospital. This has been a very fulfilling part of my practice. David Pillow was my mentor when I started my practice 27 years ago. Using the fundamentals of the patient-centered medical home we have a very effective proactive team approach to senior care.more
Managed care contract negotiation guideTo help members through the maze of managed-care contract negotiations, AAFP has developed a 12-page guide that takes members step-by-step … more
By Daniel J. Marino
What is your reaction to the concept of clinical integration? If you are like most physicians I talk to, you are interested in the idea but wary of the many uncertainties that surround it. You may also have some reservations about getting involved with the local hospital. If you become clinically integrated, will you be able to maintain control of your own practice?
One thing is clear: Doing nothing is not an option. Unsustainable health care cost trends are creating pressure that is simply not going away. All payers are pushing to reduce costs, and there is broad and deep agreement that greater coordination of care is the solution. Physicians who stick to the clinical models developed under fee-for-service reimbursement are going to suffer from steady fee schedule reductions.more
By I. L. Balkcom IV, M.D.
TAFP President, 2011-2012
It’s just a small, non-descript pin. Its cash value is minimal and if found in someone’s drawer, it would be summarily thrown in the trash while other more prized items would be saved. However, this pin is a treasure to me. I will guard this pin until my time on earth has passed. While cleaning out my drawer I’m sure someone will ask why I kept this.
The middle of November found me attending a very special event for a young man of 17 years. Luke was receiving his induction as an Eagle Scout in the Boy Scouts of America. I had been honored to be chosen to attend the service, as I had attended to Luke since he was a very young child. His mother and father are patients of mine also and I silently cheered for them, beaming with pride at their son’s accomplishment.more
By W. Mike McCrady, M.D., and Anne McCrady
While politicians debate health care reform in Washington, here in Texas change is already affecting the practice of family medicine. In hospital board rooms and medical staff meetings, local doctors are hearing about the transformation of primary care, payments based on quality and value, and the expectation of providers to capture a larger and larger market share. There is a confounding list of issues behind these pressures: some legislative, some economic, and others technological. In response, around the state, not just doctors, but administrators, legislators, and consultants are weighing in on the critical role of primary care to manage cost, ensure continuity, and meet patients’ needs.
With so much at stake, Texas family physicians face a daunting future. How should we respond to these changes? As with so many things, the answer seems to be to work together. For a rapidly growing proportion of us, that means joining forces with other providers, often as part of a hospital system. A report from the Texas Department of State Health Services shows a drop in the percentage of physicians who identified themselves as being in partnerships from 50 percent to 30.2 percent in the past 10 years. This decreasing number of small medical groups is also documented in national statistics. In fact, a recent New England Journal of Medicine article predicts that by 2012, 40 percent of active primary care physicians will be employed by hospital systems.more
By Robert Youens, M.D., M.M.M.
TAFP President, 2008-2009
Recently in a neighboring community to mine with practicing family physicians, a hospital, surgeons, obstetrical care, ER coverage and multiple visiting specialists, two interesting developments have occurred. First, a new clinic has opened with a $1 million grant and the backing of the local community and a citizen champion. The plan is to have it qualify as a Federally Qualified Health Center “look-alike” that will allow it to receive Medicare and Medicaid reimbursement at significantly higher levels than the locally practicing physicians. This clinic is able to see any patient: Medicare, Medicaid, private insurance or private pay. Incidentally, the guiding force behind the clinic says they currently have a nurse practitioner and a “family practice” doctor, but he wants to get a pediatrician because his primary reason for starting the clinic is to help children.
Second, with the help of local and federal politicians, a Veterans Administration clinic is to open this summer to care for veterans in the area who need their services, thus decreasing travel distances to a more remote VA clinic. This clinic was awarded on a bid contract to a company who apparently does this in other places and is to be staffed by various ancillary personnel hired for the business as well as a general practitioner from the area.more
AAFP prevails in efforts to clarify difference between physicians and ‘Dr. Nurse’
By Barbara Bein
A recent meeting between the AAFP and members of the National Board of Medical Examiners, or NBME, … more
TAFP loses Austin physicians
Durward A. Baggett, M.D. | Dec. 30, 1924 - Aug. 21, 2008
TAFP Past President Durward A. Baggett, M.D., died on Aug. 21, 2008 at the age of 83. Baggett practiced … more
Corpus Christi physician known for heart health crusade dies at 81
Jose E. Antoni, M.D. | Dec. 12, 1926 - Sept. 22, 2008
TAFP life member Jose E. Antoni, M.D., died of cancer on Sept. 22, 2008 at … more