Scarce evidence exists on the features, determinants and implications of physicians' dual practice, especially in resource-poor settings. This study considered dual practice patterns in three African cities and the respective markets for physician services, with the objective of understanding the influence of local determinants on the practice. Forty-eight semi-structured qualitative interviews...

Millions of people in our country went without a paycheck last month. My partners and I were among them. However, unlike the majority, who received no paycheck due to unemployment, we are busy family physicians in a rural private practice. Ours is not a story of insurance denials or inadequate Medicare reimbursement. Rather, it is a tale of unfortunate circumstances both within and outside our ...

William Osler is quoted as saying, "Nothing will sustain you more potently than the power to recognize in your humdrum routine, as perhaps it may be thought, the true poetry of life-the poetry of the commonplace, of the plain, toil-worn woman, with their loves and their joys, their sorrows and their griefs."(1) A family physician reflects how he continues to derive sustenance from having cared ...

When speaking about Professor Gheorghe Bilaşcu (1863-1926) and his major contribution to the establishment of Romanian medical education in Cluj, he should be considered not only in terms of scientist and creator of the Dental School, but also through his commitment to the development of science and culture in Romania. A wealthy dentist in Budapest where he graduated from the Dental School, he ...

For a number of reasons, hospitals appoint fulltime and part-time physicians to practice medicine within the hospital or its outlying divisions. Such physicians provide a wide variety of primary, specialty, and subspecialty services. Among other advantages for hospitals are a potentially tighter rein on quality control and an increased bed occupancy and revenue at a time when financial issues h...

The last two decades have brought about new medical and surgical treatments revolutionizing care for non-neurological urinary incontinence in women. Many studies, often randomized prospective studies with sufficient follow-up, have validated the therapeutic choices and shown them not to be part of a fad or marketing pressures. The French Association of Urology (L'Association Française d'Urologi...

f you are a regular reader of this section of the journal, you know that I am a cognitive therapist. You are aware, as well, that I have applied I this present-oriented model to aid the adjustment of patients diagnosed with cancer. My initial work in this area was accomplished at the Hollings Cancer Center of the Medical University of South Carolina, working alongside an enlightened oncologist....

Obstetric claims inflation is increasing the cost of covering obstetric risk. This is leading to obstetric risk avoidance by those offering insurance and by practitioners who do not perform enough deliveries to cover the cost of obstetric risk indemnity. By the end of the decade indemnifying obstetric risk will probably be too expensive for doctors in private practice. Non-indemnified doctors w...

All of us in the gathering today and the other members of our Academy who are not here for various reasons are united by one common goal, one common bond, one common aim, and that is the health and well-being of the children of our country. Whether it is the rural pediatrician who selflessly sacrifices the city life, the full time teacher who foregoes the financial lures of private practice, th...

This little brochure will be of interest to all medical practitioners with a large private practice. The author details what books should be kept by a doctor, and how to keep them. He points out how slipshod and unsatisfactory medical book-keeping often is; so that a locum can often hardly understand what has happened previously in the practice, or, when a practice comes to be sold, it is diffi...