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Tuesday, January 12, 2010

Blogging gives voice to doctors in the trenches

My name is Dr. Rob, and I am the newest contributor to the ACP Internist blog. (That sounds a lot like a 12-step meeting, doesn't it?) Perhaps that's appropriate, as many of us internists feel powerless at this point in time, and we could certainly use help from a higher power (or at least from Washington, D.C.)

Since I will be a regular contributor, I thought a little bit of background information is appropriate:
--My full name is Rob Lamberts, ACP Member, and I am part of a private practice in suburban Augusta, Ga. I grew up in New York and went to medical school at Jefferson Medical College in Philadelphia. Read between the lines: I get called "Yankee" a lot.
--I did a combined internal medicine/pediatric residency at Indiana University and my practice is a mix of both. Read between the lines: I have a masochistic streak.
--Our office has been on electronic medical records since 1996, and was recognized by Health Information and Management Systems Society for our excellent implementation, receiving the Davies Award for 2003. Read between the lines: I am a geek.
llamas by ECohen via Flickr--Since 2006, I have authored the blog Musings of a Distractible Mind, which is a mix of personal musings about life as a doctor, an insider's view of our ridiculous system, and humor (with the inexplicable appearance of llamas in an inordinate number of posts). Read between the lines: I write whatever strikes me at the time.
--Since July of 2009, I have hosted The House Call Doctor podcast, part of the Quick and Dirty Tips family of podcasts. My goal is to give concise and accurate medical information that the general public can understand. Read between the lines: the apocalypse may already be upon us.

One of my main passions--and what I will concentrate on in this blog--is to give a voice to the practicing internist. The health care debate rages in Washington, lobbyists vie for influence, and bills are passed; yet, the people who are at the center of the whole debate have very little voice. Doctors do have their advocacy groups (ACP is among the best), but even those representatives don't truly understand our situation.

I make my living off of seeing patients in my office. I have to meet payroll, pay rent, and cover my other expenses before I can get paid at all. This means that I don't have time to spend in Washington giving my very important perspective. I only get paid for days I am at work.

Blogging has given the doctors "in the trenches" a voice. I have been honored to be able to actually have some influence on the debate through my blog. I have been cited by the New York Times and Los Angeles Times, and have appeared on NPR. I contribute to the website MedPage Today. It boggles my mind that a practicing doctor in the deep south could actually have the opportunities to voice my views before such a large audience; but, the reason I have gotten this opportunity is that I voice a very important perspective that is rarely heard.

So I hope you enjoy my contributions to this fine blog. I am going to start out re-posting some of my more popular posts. Read between the lines: I am being a little lazy but will cover hot topics when they come up. I am truly honored to be part of ACP, and relish the opportunity to contribute on this blog. I doubt llamas will come up much. Read between the lines: It's irony.

Rob Lamberts, ACP Member, writes the blog Musings of a Distractible Mind and is on Twitter. He is board certified in Internal Medicine and Pediatrics and was an early adopter of electronic medical records.

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1 Comments:

Blogger Toni Brayer, MD said...

Great to read your thoughts, Dr. Rob

January 12, 2010 1:06 PM  

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Send comments to ACP Internist staff at acpinternist@acponline.org.

Blog log

Members of the American College of Physicians contribute posts from their own sites to ACP Internist and ACP Hospitalist. Contributors include:

Albert Fuchs, MD
Albert Fuchs, MD, FACP, graduated from the University of California, Los Angeles School of Medicine, where he also did his internal medicine training. Certified by the American Board of Internal Medicine, Dr. Fuchs spent three years as a full-time faculty member at UCLA School of Medicine before opening his private practice in Beverly Hills in 2000.

David Katz, MD
David L. Katz, MD, MPH, FACP, is an internationally renowned authority on nutrition, weight management, and the prevention of chronic disease, and an internationally recognized leader in integrative medicine and patient-centered care.

DrDialogue
Juliet K. Mavromatis, MD, FACP, provides a conversation about health topics for patients and health professionals.

Dr. Mintz' Blog
Matthew Mintz, MD, FACP, has practiced internal medicine for more than a decade and is an Associate Professor of Medicine at an academic medical center on the East Coast. His time is split between teaching medical students and residents, and caring for patients.

Everything Health
Toni Brayer, MD, FACP, blogs about the rapid changes in science, medicine, health and healing in the 21st century.

FutureDocs
Vineet Arora, MD, FACP, is Associate Program Director for the Internal Medicine Residency and Assistant Dean of Scholarship & Discovery at the Pritzker School of Medicine for the University of Chicago. Her education and research focus is on resident duty hours, patient handoffs, medical professionalism, and quality of hospital care. She is also an academic hospitalist.

Glass Hospital
John H. Schumann, MD, FACP, provides transparency on the workings of medical practice and the complexities of hospital care, illuminates the emotional and cognitive aspects of caregiving and decision-making from the perspective of an active primary care physician, and offers behind-the-scenes portraits of hospital sanctums and the people who inhabit them.

Gut Check
Ryan Madanick, MD, ACP Member, is a gastroenterologist at the University of North Carolina School of Medicine, and the Program Director for the GI & Hepatology Fellowship Program. He specializes in diseases of the esophagus, with a strong interest in the diagnosis and treatment of patients who have difficult-to-manage esophageal problems such as refractory GERD, heartburn, and chest pain.

I'm dok
ACP Member Mike Aref, MD, PhD, ACP Member, is an academic hospitalist with an interest in basic and clinical science and education, with interests in noninvasive monitoring and diagnostic testing using novel bedside imaging modalities, diagnostic reasoning, medical informatics, new medical education modalities, pre-code/code management, palliative care, patient-physician communication, quality improvement, and quantitative biomedical imaging.

Just Oncology
Richard Just, MD, ACP Member, has 36 years in clinical practice of hematology and medical oncology. His blog is a joint publication with Gregg Masters, MPH.

KevinMD
Kevin Pho, MD, ACP Member, offers one of the Web's definitive sites for influential health commentary.

MD Whistleblower
Michael Kirsch, MD, FACP, addresses the joys and challenges of medical practice, including controversies in the doctor-patient relationship, medical ethics and measuring medical quality. When he's not writing, he's performing colonoscopies.

Medical Lessons
Elaine Schattner, MD, ACP Member, shares her ideas on education, ethics in medicine, health care news and culture. Her views on medicine are informed by her past experiences in caring for patients, as a researcher in cancer immunology, and as a patient who's had breast cancer.

Prescriptions
David M. Sack, MD, FACP, practices general gastroenterology at a small community hospital in Connecticut. His blog is a series of musings on medicine, medical care, the health care system and medical ethics, in no particular order.

Reflections of a Grady Doctor
Kimberly Manning, MD, FACP, reflects on the personal side of being a doctor in a community hospital in Atlanta.

Technology in (Medical) Education
Neil Mehta, MBBS, MS, FACP, is interested in use of technology in education, social media and networking, practice management and evidence-based medicine tools, personal information and knowledge management.

White Coat Underground
Peter A. Lipson, MD, ACP Member, is a practicing internist and teaching physician in Southeast Michigan. The blog, which has been around in various forms since 2007, offers musings on the intersection of science, medicine, and culture.

ACP Internist and ACP Hospitalist also contribute to and draw upon content from Get Better Health, a network created by Val Jones, MD, to support and promote health care professional bloggers, provide insightful and trustworthy health commentary, and help to inform health policy makers about the clinician's point of view on health care reform, science, research and patient care.

Other blogs of note:

American Journal of Medicine
Also known as the Green Journal, the American Journal of Medicine publishes original clinical articles of interest to physicians in internal medicine and its subspecialities, both in academia and community-based practice.

Clinical Correlations
A collaborative medical blog started by Neil Shapiro, MD, ACP Member, associate program director at New York University Medical Center's internal medicine residency program. Faculty, residents and students contribute case studies, mystery quizzes, news, commentary and more.

db's Medical Rants
Robert M. Centor, MD, FACP, contributes short essays contemplating medicine and the health care system.

Interact MD
Michael Benjamin, MD, ACP member, doesn't accept industry money so he can create an independent, clinician-reviewed space on the Internet for physicians to report and comment on the medical news of the day.

PLoS Blog
The Public Library of Science's open access materials include a blog.

White Coat Rants
One of the most popular anonymous blogs written by an emergency room physician.

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