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06 Dec 2017

MICHIGAN HOUSE APPROVES INTERSTATE MEDICAL LICENSURE COMPACT

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The Michigan House of Representatives passed a bill to join an interstate compact to synchronize its medical licensing regulations with those of 22 other states, allowing health care providers licensed in participating states to provide services.

 

OCTOBER 30, 2017
Original By Joshua Paladino
Re-posted By Physician Licensing Service

 

 

 

 

 

 

 

The Michigan House of Representatives passed a bill to join an interstate compact to synchronize its medical licensing regulations with those of 22 other states, allowing health care providers licensed in participating states to provide services in Michigan.

 

Legislators approved House Bill 4066 (HB 4066) on October 10. The bill now awaits action by the Michigan Senate Committee on Health Policy.

 

Increasing Health Care Access

 

HB 4066’s sponsor, state Rep. Jim Tedder (R-Clarkston), says the bill would help increase consumers’ access to quality health care.

 

“In an age when we see advances in telemedicine, we also hear recurring themes of lack of access to quality care in rural and underserved areas,” Tedder said. “The interstate medical licensure compact allows a means through which specialty practice physicians can maintain multistate licensure in an expedited process.”

 

The bill would synchronize Michigan’s health care licensing rules with other states’, Tedder says.

 

“In effect, through a compact, we’re really coordinating our statutory and regulatory rules in line with others,” Tedder said. “This brings a lot of states in line with what I consider to be very highly scrutinized rules here in Michigan.”

 

Staving Off Federal Overregulation

 

Interstate compacts can preempt federal regulatory overreach, Tedder says.

 

“In many cases, when you see an interstate compact established, it preempts any potential for federal licensure of physicians,” Tedder said. “With increasing health care costs and increasing encroachment from the federal government, this is a prudent preemption of any forthcoming licensing regulations at the federal level.”

 

Pros and Cons of Compact

 

Jarrett Skorup, strategic outreach manager with the Mackinac Center for Public Policy, says the proposed compact has advantages and disadvantages.

 

“There’s two sides to this, from a free-market standpoint,” Skorup said. “The one side is licensing restrictions are too high in all professions, so we want to work toward lessening that. To the extent that this allows people to move among states with one license, it’s a good thing. The problem with it is, you don’t want Michigan to lock itself into restrictive licensing agreements or into a compact that will vote to raise requirements.”

 

Skorup says reciprocity agreements, in which states agree to recognize other states’ occupational licenses, are a good idea.

 

“You pretty much have the same requirements in every state to be a medical doctor, so for those states with similar requirements, it makes sense for states to enter a reciprocity agreement,” Skorup said.

https://www.heartland.org/news-opinion/news/michigan-house-approves-interstate-medical-licensure-compact

30 Nov 2017

State Medical Boards Slammed After New Year – Experts Suggest Applying NOW

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The contract rush is real around the turn of every new calendar year for physicians looking to relocate or extend their telemed reach into new markets. Expect the medical boards to be extra busy this holiday season with all of the movement in the medical industry to expand its operations.

20-year-anniversary-v2Because of the high demand for physicians in the United States, many experts in the medical licensing field have suggested that doctors get ahead of the new year’s rush by applying now for needed medical licenses. Medical boards prioritize licensure by the order of submission and getting in early before the January 1 rush ensures you will be licensed first.

Physician Licensing Service has spent the last 20 years mastering each state medical board in United States. The expertise gained in our 20 years of serving physicians have made us a valuable asset to 1,000’s of medical practices in North America.

Take advantage of our Preferred Pricing Structure for practicing physicians by emailing Tony Hendricks at th@physicianlicensing.com or by calling at 801-449-9196.

 

You can also order new medical licensing services through a secure, 128bit encrypted, website by going to HERE.

22 Nov 2017

HAPPY THANKSGIVING to all of the friends and family of PLS

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PHYSICIAN LICENSING SERVICE would like to give a heartfelt thank you to all of our friends and family this holiday season and we wish the best for you and yours.

 

 

 

 

Consider our service to alleviate medical licensing pressure this season by contacting  Tony Hendricks at th@physicianlicensing.com.

 

 

Special custom pricing for multi-state license acquisition. Take advantage of our new Quantum licensing division specifically designed for inter-office coordination to augment the backlogged licensing divisions within.

 

10 Nov 2017

NewYork-Presbyterian specialists use telemedicine to treat stranded Puerto Ricans

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The medical center jumped in after Hurricane Maria to deliver care services in what it calls a proof-of-concept for using telehealth tools in emergency response.

telemedicine in Puerto Rico

Original by Bill Siwicki – posted November 09, 2017 – 02:56 PM

Reposted by Physician Licensing Service

 

NewYork-Presbyterian Weill Cornell Medical Center sent an emergency team to work with patients on the ground in Puerto Rico and conduct visits with specialists using telemedicine tools in the wake of Hurricane Maria’s devastation.

 

The move comes amid a 2017 hurricane season during which other hospitals such as Nemours, and telemedicine companies including LiveHealth Online, Doctor On Demand and EpicMD, have been offering free virtual consultations to people in storm-ravaged areas in Florida, Texas and Puerto Rico.

 

Beginning on Oct. 27, NewYork-Presbyterian sent people to Puerto Rico to deploy the telemedicine equipment that enabled them to consult with specialists back in New York.

 

“On the first day, I received a call from physician assistant Nancy Pagan that she needed a consultation for a 2-year-old boy with diabetes who had elevated blood sugar for the past two weeks,” said Shari Platt, MD, chief of pediatric emergency medicine at the medical center. “Within one hour, we were using our telemedicine service to perform peer-to-peer consultation in a three-way communication.”

 

That live video conference included Pagan, Platt and and Zoltan Antal, MD, the chief of pediatric endocrinology at NewYork-Presbyterian Weill Cornell Medical Center.

 

The caregivers were able to virtually see the child, speak with the mother, and advise Pagan on how to adjust the insulin dose and diet to better manage his diabetes, which had become uncontrolled.

 

“Being able to see the child, and assess his behavior, his level of comfort and hydrated state, and his well appearance, was a priceless aspect of this evaluation, as a simple phone discussion could not have provided this critical information that helped to guide his care,” Platt said. “Further, for his mother to be able to speak with Dr. Antal, to see his face, and have an eye-to-eye contact, offered a powerful connection and an intangible sense of trust and faith in our care.”

 

Clinicians are using such telemedicine technologies in Puerto Rico Rico and elsewhere to deliver specialist and sub-specialist care in ways that emergency teams simply cannot without the tools.

 

“Many of the patients have had complex medical conditions that even in our own emergency department would be managed with the consultation of a sub-specialist,” Platt said. “And this level of specialization cannot be duplicated by emergency teams on the ground.”

 

Access to specialized medical care is frequently difficult, if not impossible, following disasters. And with people having grown accustomed to seeing and speaking with friends and family via video or Facetime, Platt said telemedicine enables patients to be cared for by a specialist when necessary.

 

That said, it’s still early to tell for certain what impact telemedicine will have on Puerto Rico overall as it continues to recover and what that might mean for other areas that face storms in the future.

 

Telemedicine bridges the gap and allows the medical center’s physicians to treat patients as if the medical center’s caregivers were there in person. So from that standpoint, the use of telemedicine in Puerto Rico is in essence a proof of concept that the digital health services can be of tremendous value in emergency and disaster response situations.

 

“What we can say is that as a result of our time providing aid in Puerto Rico, we know now that we can still provide access to general and sub-specialty care that can adequately address chronic conditions such as diabetes and dermatological care for certain skin reactions that occur during times like this and especially when the patients might not have access,” said Rahul Sharma, MD, emergency physician-in-chief at NewYork-Presbyterian/Weill Cornell Medical Center.

 

Original: http://www.healthcareitnews.com/news/newyork-presbyterian-specialists-use-telemedicine-treat-stranded-puerto-ricans

15 Sep 2017

Patients and families save time and money with telemedicine visits study finds

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Patients and families who use telemedicine for sports medicine appointments saved an average of $50 in travel costs and 51 minutes in waiting and visit time, according to a new study by Nemours Children’s Health System. Each telemedicine visit also saved the health system an average of $24 per patient, researchers reported at the American Academy of Pediatrics National Conference & Exhibition.

 

Original posted 9/15/17 by: www.news-medical.net

Reposted 9/15/17 by: Physician Licensing Service

 

“There’s a constant need to innovate care delivery to demonstrate value to patients and families,” said Alfred Atanda Jr., MD, an orthopedic surgeon at the Nemours/Alfred I. duPont Hospital for Children and author of the study. “Nemours’ tech-savvy care environment provides another way to get patients the care they need — where and when they need it. We were able to do so while saving families time and money.”

 

In a cohort study of 120 patients younger than 18 who had at least one telemedicine visit between September, 2015 and August, 2016, the Nemours researchers compared total time of clinical visit, percentage of time spent with attending surgeon, and wait time, to data from in-person visits in the department. Data were collected for postoperative evaluations, surgical/imaging discussions, and follow-up visits. Demographic data and diagnosis were recorded from the electronic medical record.

 

The findings support the use of telemedicine to reduce costs for both the patient and hospital system, while maintaining high levels of patient satisfaction, researchers said. After each visit, parents were asked to complete a five-item satisfaction survey. Ninety-one percent of parents found the application easy to download, 98 percent would be interested in future telemedicine visits, and 99 percent would recommend telemedicine to other families.

 

The study, which was conducted in a pediatric sports medicine practice, also found that the percentage of time spent with the provider was significantly greater for telemedicine than for in-person visits (88% vs. 15% of visit time). Families also saved significant travel time and expense, avoiding an average of 85 miles of driving, resulting in $50 of savings in transportation cost per telemedicine visit.

 

Researchers said the study demonstrates that telemedicine can successfully be used in pediatric subspecialties to maximize healthcare resources and stretch the availability and expertise of the limited number of pediatric subspecialty providers.

 

“We know that telemedicine is often looked to for common childhood ailments, like cold and flu, or skin rashes. But we wanted to look at how telemedicine could benefit patients within a particular specialty such as sports medicine,” said Atanda. “As the healthcare landscape continues to evolve and the emphasis on value and satisfaction continues to grow, telemedicine may be utilized by providers as a mechanism to keep costs and resource utilization low, and to comply with payor requirements.”

 

Nemours has implemented telemedicine throughout its health system with direct-to-consumer care for acute, chronic, and post-surgical appointments, as well as through its partner hospitals, schools, and even cruise ships. Nemours CareConnect is a 24/7 on-demand pediatric telehealth program which provides families access to Nemours pediatricians through a smartphone, tablet, or computer–whether they are at home, school, or even on the sports field. If necessary, the physician may order a prescription, using geo-location service on the smartphone or tablet, and send it to the nearest pharmacy.​​

 

Original found here: https://www.news-medical.net/news/20170915/Patients-and-families-save-time-and-money-with-telemedicine-visits.aspx

28 Jul 2017

Both sides of aisle agree in Congress — telemedicine is the future!

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Last Thursday, in the midst of the intense debate about the future of ObamaCare, Congress held yet another hearing extoling the virtues of telehealth and remote patient monitoring, and lamenting the barriers in Medicare that are preventing seniors from accessing these new technologies in the same way as patients in the commercial market.

 

 

 

The hearing in the House Small Business Committee followed a typical pattern of hearings on telehealth. It began with witnesses outlining the litany of evidence of how telehealth and remote monitoring are supporting patients with chronic disease like diabetes, COPD and CHF, as well as patients who can’t access primary care or behavioral health services because of distance or workforce shortages.

 

Testimony always includes evidence of improved access, quality and reduced costs. At Thursday’s hearing, Michael Adcock, administrator of the Center for Telehealth at the University of Mississippi, testified about a remote patient monitoring pilot for patients with diabetes that resulted in a “marked decrease in blood glucose, early recognition of diabetes-related eye disease, reduced travel to see specialists and no diabetes-related hospitalizations or emergency room visits among our patients.”

 

 

The program demonstrated savings of over $300,000 in the first 100 patients over six months. The Mississippi Division of Medicaid extrapolated this data to show potential savings of over $180 million per year if 20 percent of the diabetics on Mississippi Medicaid participated in this program.

 

 

What more could we want? We are locked in a national debate about coverage, but the underlying issue is cost. Telehealth and remote patient monitoring have proven through the Veterans Administration, the commercial sector and health systems that these tools can save money, improve quality and access, and there are plenty of peer-reviewed studies that show it.

 

 

Last Thursday’s hearing also hosted Nicole Clowers, the managing director of the Health Care team at the General Accounting Office (GAO). She detailed a GAO report in which they determined that only 0.2 percent of Medicare Part B fee-for-service beneficiaries accessed services using telehealth in 2014. Not two percent — but 0.2 percent. That compares with more than 90 percent of large employers in the commercial market offering telehealth.

 

 

There is something that Congress can do to finally facilitate more telehealth and remote monitoring in Medicare. First, they can make telehealth and remote monitoring part of the basic benefit in Medicare Advantage (MA). MA plans are already trying to offer these tools to their beneficiaries, but the administrative burden of a supplemental benefit creates barriers. By simply allowing plans to offer them as part of the basic package, we would facilitate access for 18 million Medicare beneficiaries.

 

 

On the fee-for-service side of Medicare, Congress can grant the Secretary of Health and Human Services authority to waive telehealth restrictions if the Actuary of the Center for Medicare and Medicaid Services (CMS) determines that allowing particular codes in Medicare Part B to be offered through telehealth will decrease costs and maintain quality, or increase quality while maintaining costs.

 

 

 

This solution is far from simply lifting all telehealth restrictions, as stakeholders from the patient, doctor, hospital and health plan communities would like. It is instead, a painstaking process of code-by-code review of evidence related to cost savings that will ensure the Medicare budget is protected (for those who believe that telehealth would somehow cost Medicare money rather than save it). Rep. Bill Johnson (R-Ohio) and Rep. Doris Matsui (D-Calif.) introduced a bill Thursday that will do just that.

 

 

On remote monitoring, we already have codes that allow for the collection and interpretation of physiologic data, such as remote ECG, blood pressure and glucose monitoring, but it’s bundled with other codes, which means it can’t be billed separately. Congress or CMS could unbundle this code and open remote monitoring in the Medicare program.

 

 

This is an ideal time to take action on telehealth and remote monitoring in Medicare.

 

It is a bipartisan issue with support from members as diverse as Sens. Roger Wicker (R-Miss.), John Thune (R-S.D.) and Thad Cochran (R-Miss.) to Brian Schatz (D-Hawaii), Ben Cardin (D-M.D.), Mark Warner (D-Va.).

 

In the House, Reps. Diane Black (R-Tenn.), Greg Harper (R-Miss.), Peter Welch (D-Vt.), Bill Johnson (R-Ohio), Mike Thompson (D-Calif.) and Doris Matsui (D-Calif.) are all working together.

 

If Republicans from Mississippi and Tennessee and Democrats from Vermont and California can come together — surely we can get this done.

 

 

ORIGINAL BY: KRISTA DROBAC, OPINION CONTRIBUTOR – 07/27/17 06:20 PM EDT

REPOSTED BY: PHYSICIAN LICENSING SERVICE

 

Krista Drobac is the executive director of the Alliance for Connected Care, an advocacy organization dedicated to achieving the promise of connected care in Medicare. 

20 Jul 2017

At a growing number of schools, sick kids can take a virtual trip to the doctor

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School nurses offer far more than just Band-Aids these days. As the prevalence of childhood conditions like asthma and diabetes have risen, nurses treat a wide range of problems. Still, only an estimated 40 percent of U.S. schools have a full-time nurse, according to the National Association of School Nurses.

 

 

But now telemedicine — virtual doctor visits over video — is increasingly helping nurses do their jobs. Telemedicine programs are making inroads in schools, where a student referred to the nurse can be plopped in front of a screen and connected with a physician. Special computer-connected otoscopes and stethoscopes allow doctors to check ears, noses, throats, and heartbeats from afar.

 

 

Proponents say telemedicine in schools can bring benefits such as the ability to treat more complex conditions and keeping chronically ill kids in school.

 

 

 

And a report on a school telemedicine program in Rochester, N.Y., found that it “redressed socioeconomic disparities in acute care access in the Rochester area, thus contributing to a more equitable community.”

 

 

But the programs are still relatively new and the ability of schools to fund them long-term isn’t guaranteed. Funding sources can change from year to year, school district to school district. A patchwork of private insurance, Medicaid, grants, and families paying out of pocket covers existing school telemedicine programs.

 

 

“The value of telemedicine depends on what your telemedicine model is,” said Dr. Kenneth McConnochie, professor of pediatrics at the University of Rochester Medical Center, where he helped develop the telemedicine program. “For that reason, some kids are gonna get lousy care.”

 

 

‘It’s convenient access’

 

 

In recent years, several school districts in Dallas, Texas, have started telemedicine programs in partnership with Children’s Health System in Dallas.

 

 

Starting with two preschools in 2013, the program eventually grew to reach 97 schools in Texas, and has conducted 4,000 virtual doctor visits at those schools since 2013.

 

 

At the schools, nurses use a rolling cart that holds a large, high-definition screen for videoconferencing and a variety of digitally connected medical scopes and tools. An encrypted, HIPAA-secure connection ensures privacy.

 

 

“I have the technology to listen to heart sounds, look in ears, at skin and in mouths,” said Dr. Stormee Williams, a pediatrician who sees students via video. “But I can’t check an abdomen, so no tummy aches. And that’s the number one complaint among school-age children. But one school nurse said that she can have them lie down for 10 or 15 minutes, and then they’re ready to go back to class.”

 

 

Parents have to fill out a consent form ahead of time allowing their kids to have telemedicine consults. The forms include private insurance information, for families that have it. For those without private insurance, the company can bill Medicaid.

 

 

And arrangements like these do more than just make sure kids get treatment — they make the whole process faster and get kids back to class with less interruption.

 

 

“It’s not just access, it’s convenient access,” said McConnochie. “Even when kids have access, they still end up sitting in the emergency room for six hours. Telemedicine can eliminate that.”

Who pays?

 

 

Generally, for telemedicine consults done at schools, the parents’ insurance is billed. For kids without private insurance, coverage may come from Medicaid, but not universally: Only 23 states and D.C. allow Medicaid reimbursement for school-based telemedicine, according to a 2017 report from the American Telemedicine Association.

 

 

In the states that don’t allow Medicaid to cover the visits, grants or local government funds can pay for telemedicine programs. Some school districts use local government funds earmarked for public health initiatives. Others rely heavily on education or health grants.

 

 

“It basically expands the reach of school nurses, it doesn’t replace them,” explained Dr. Steve North, a specialist in adolescent medicine and the medical director at the 10-year-old Health-e-Schools program, which currently serves 33 schools covering 12,000 students in western North Carolina. It conducted 874 visits in during the 2015-16 school year.

 

 

“We see all patients, regardless of their ability to pay,” North said. “We have a very generous sliding scale for patients without insurance or who are underinsured. Students who are uninsured or have extremely high-deductible plans and have a household income less than 400 percent of the federal poverty level are seen at no cost to the family.”

 

 

North is quick to point out, however, that telemedicine, an innovation meant to supplement the limited number of school nurses, can also be hampered by that limitation. According to the National Association of School Nurses, 35 percent of schools employ only part-time nurses, while one-quarter of U.S. schools do not have a nurse at all.

 

 

“The school can only use it if the school nurse is available,” he said. “And schools often share nurses, so at a school with a part-time nurse, a child who gets sick when the nurse isn’t in wouldn’t have access.”

 

 

In those cases, North added, the student is simply sent home or picked up by a parent.

 

 

A former schoolteacher, North started Health-e-Schools in 2007 with money from a fellowship grant. Today, the group purchases the necessary equipment with government and foundation grants, and both North and a nurse practitioner see and treat schoolchildren. Still, telemedicine in schools is “a relatively new concept,” North said, and there isn’t an established or recommended way to go about creating a school-based telemedicine program. “There’s not an easy entry point.”

 

 

Many schools do it through partnerships with hospitals, local government, a nonprofit social service agency, or a for-profit company. The Sioux Falls School District in South Dakota set up a telemedicine program for its 31 schools with Catholic-based health care provider Avera Health. Some school districts provide telemedicine through city or county health departments. Others contract with companies like 24/7 Kid Doc.

 

 

But all this variation makes for a model that is unevenly applied and difficult to maintain for keeping kids healthy, said Williams. She pointed out that because Texas opted out of Medicaid expansion under the Affordable Care Act, the school telemedicine program needed a state waiver to get Medicaid funding.

 

 

“One thing we need is sustainability,” she said. “Waivers and grants aren’t going to last forever.”

 

Original article: https://www.statnews.com/2017/07/19/telemedicine-schools-children/

By LEAH SAMUEL @leah_samuel

JULY 19, 2017

Reposted by Physician Licensing Service on July 20, 2017

07 Jul 2017

Physicians: Can social media make or break your career?

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For doctors in the digital age, your social media fingerprint has the power to either advance or damage your career.

Studies show that many doctors are not following professional guidelines when it comes to using social media.

 

 

 

 

 

 

 

 

Whether you’re using social media to post pictures of your vacation in the Cayman Islands or to reach out to colleagues regarding a challenging patient, the line between personal and professional, as well as what’s appropriate, can sometimes become blurred.

Research has shown that many physicians using social media report minimal formal training in professional conduct online, as well as a lack of awareness regarding which guidelines to follow.

 

A number of recent studies have highlighted the level of unprofessional social media content posted by physicians.

 

These included profanity, references to (or appearing to be) intoxicated, and sexually suggestive photographs. They also included possible HIPAA violations, which have the potential to damage careers.

 

While this behavior has been observed across all career stages, including attending physicians, the levels were highest among residents and recently graduated physicians.

 

It’s easy to get caught out when talking about patients online, as an article in The Hospitalisthighlighted. Even supposedly innocuous identifying features can “turn a seemingly harmless post on social media into a patient privacy violation.”

 

“Any physician who uses social media has to be mindful and conscious about protecting private patient information even on personal accounts,” said Toni Brayer, M.D., chief executive officer of Sutter Pacific Medical Foundation in San Francisco, CA.

But your online presence and interactions can also be powerful tools, said ophthalmology resident Steven M. Christiansen, M.D., an avid blogger and Twitter user based at the University of Iowa in Iowa City.

 

How can you turn social media to your advantage? And what guidelines can you follow to make the most of professional social media?

Using social media for your reputation

 

Matt Dull, M.D. – who is due to start his critical care fellowship at the Spectrum Health Hospital in Grand Rapids, MI – became interested in using social media professionally when he heard a keynote speaker at a national medical conference discuss the fact that patients were looking for providers on social media.

 

“He said that being engaged with your patients on social media will be of increasing importance in the years to come,” Dr. Dull explained.

 

As a resident, he said, he doesn’t need to engage patients outside the hospital. But, he added, “In the future, I will be looking for ways to reach patients and potential patients through social media.”

Indeed, an increasing number of patients turn to doctor rating sites such as Rate MD, Yelp, and Vitals when choosing a physician.

 

“We know that [those sites] are increasingly important avenues for patients seeking more information about healthcare providers,” said Dr. Brayer. “We’ve learned that ‘stars’ matter and we celebrate good reviews internally and respond to any patient complaints directly for our physicians.”

 

As Dr. Christiansen noted, “We have worked too hard in our training to let a few poor ratings keep patients from coming to see us. Social media can help us create and establish an online presence we control.”

Connect with colleagues and learn

 

One of the greatest benefits of social media for physicians is the ability to connect with colleagues to improve diagnostic and other medical skills.

“I only recently started using social media for professional purposes,” said Dr. Dull. He started by joining the International Hernia Collaborative, a large Facebook group for surgeons to discuss complex hernia operations.

 

“From there, I found all of the other professional ways to leverage social media,” he said. “I now regularly find interesting journal articles, medical blog posts, and discussions of new therapies through Twitter.”

 

Indeed, a survey of 153 Dutch clinicians found that 76 percent of them used Twitter to extend their network of colleagues, while 71 percent used it to update their colleagues about their work.

 

Pathologists, for instance, use social media to share images with colleagues, students, patients, and even the general public, while professional medical organizations such as the American College for Chest Physicians use it to promote their specialty and provide education, which extends to patients.

 

“I use social media to promote health and wellness and as a way of letting people know what is happening in my organization and in the community,” said Dr. Brayer. “As a physician I have a strong voice and see myself as an expert with useful information.”

 

Twitter is also becoming a hugely effective tool for communicating content live from medical meetings.

Dr. Christensen and his colleagues published a study in Ophthalmology in August 2016, comparing Twitter activity during the American Academy of Ophthalmology’s 2014 and 2015 meetings. The “tweets” reached 23.7 million Twitter users in 2014, and 24.5 million in 2015.

 

Social media is also a powerful outlet for advocacy, says Dr. Christensen. A 1-minute YouTube video that highlighted his ophthalmology-related discussions with congressional representatives was viewed 1,700 times in the first week of its posting.

 

I can tell you that my involvement in social media has opened up countless opportunities to network with others both within ophthalmology and many other specialties.”

Steven M. Christiansen, M.D.

 

Whether you are going to use social media to connect with your colleagues, reach out to potential patients, or educate the general public, adhering to professional guidelines is key to protecting yourself and turning social media to your own advantages.

Practice safe social media

 

The American Medical Association (AMA), and most specialty medical societies, have developed ethics policies on the use of social media during the past few years.

These recommendations tend to revolve around the privacy of both you and your patients. Here is a summary:

  1. Do not post any patient-identifiable information anywhere, ever.
  2. Set privacy settings on media sites to protect your own information and content, but know that even if you restrict your posts to your own network, the information can leak out. A good rule of thumb is to never post anything that you wouldn’t want to see in a peer-reviewed journal.
  3. Maintain appropriate boundaries of the patient-physician relationship. Just because you are online doesn’t mean that the rules are relaxed.
  4. Separate your personal and professional content. Set up a separate Facebook page to promote your practice or talk about professional issues, and leave the personal one for family and friends – not patients.
  5. Say something if you see a colleague posting unprofessional content that may violate professional standards.
  6. Recognize the potential consequences of your online life, including negatively affecting your reputation among patients and colleagues.

 

Dr. Brayer has first-hand experience of putting these guidelines into practice. An emergency department physician who Dr. Brayer friended on Facebook frequently mentioned patients that she had treated.

“Even though no names were used, it bothered me to see those posts,” Dr. Brayer said. As the AMA policy suggests, Dr. Brayer told her friend that these posts could violate privacy rules.

 

“I would recommend health professionals should never post anything with stories about patients or conditions, even if they think they are shrouding identity. It’s too close of a line to walk and patient privacy is our oath and responsibility,” Dr. Brayer said.

Starting in social media

 

 

If you are new to the professional side of social media, here are five simple tips to follow:

  1. Start a professional Twitter feed and share things that you are already doing – for example, medical conferences that you attend, clinical research, and important clinical studies in your field.
  2. Keep the personal and the professional accounts separate. For instance, have two Twitter handles, two Facebook pages, and two Instagram accounts.
  3. Make it clear that you are speaking only on behalf of yourself and are not representing your employer.
  4. Don’t ever give medical advice in a public forum.
  5. Expect criticism from colleagues. Use that to educate them on the value of social media done right.

 

“With all of its problems, there is no doubt that social media is here to stay,” Dr. Brayer commented. “As healthcare professionals we should use this tool as much as possible to promote health, nutrition, medical-political points of view such as information on the Affordable Care Act, healthcare legislation, and changes in Medicare and Medicaid. I believe the public is hungry for accurate health news they can trust.”

http://www.medicalnewstoday.com/articles/318012.php
30 Jun 2017

What is the Interstate Medical Licensure Compact? – What Doctors Need to Know

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The world of medical licensing in the United States has changed and the physician has come out on top. 

 

The IMLC is a great way for telemedicine, Locums Tenens and individual doctors looking to relocate to practice across state lines with a simplified and expedited process for obtaining medical licenses. This new licensing process can be very useful for select doctors who want to add a few more tracks of land to their practice boundaries.

Only select states have chosen to be a part of the Interstate Medical Licensure Compact and of the 18 states that are currently included only 8 of them have chosen to be an SPL (State of Principal Licensure). State of Principal Licensure is a designation for a ‘Home State’ for you to base your medical practice in. In order to capitalize on the benefits of the IMLC you must be based in one of the following states:

 

Alabama – Idaho – Iowa – Kansas – West Virginia – Wisconsin – Wyoming

 

A physician shall designate one of the member states as the state of principle license (SPL), as long as that state is

  1. The state of primary residence for the physician
  2. The state where at least 25% of the practice of medicine occurs
  3. The location of the physician’s employer
  4. If, 1, 2, and 3 don’t apply – the state designated as state of residence on federal income tax
    1. A physician my re-designate a member state as the Principle at any time

 

There are few more unique details and requirements to qualify and for a complete list please contact Tony Hendricks, th@physicianlicensing.com.

 

Once the SPL is established you are now able to obtain a completely expedited full medical license in the following states:

  1. Alabama
  2. Arizona
  3. Colorado
  4. Idaho
  5. Illinois
  6. Iowa
  7. Kansas
  8. Mississippi
  9. Montana
  10. Nebraska
  11. Nevada
  12. New Hampshire
  13. Pennsylvania
  14. South Dakota
  15. Utah
  16. West Virginia
  17. Wisconsin
  18. Wyoming

 

THE LICENSE WILL ISSUE IN DAYS NOT MONTHS!

 

Physician Licensing Service is here to help you navigate the waters of this new legislation and to learn how it can benefit your medical practice. For a FREE custom consultation on your eligibility in the new IMLC please contact Tony Hendricks, Business Director at Physican Licensing Service – th@physicianlicensing.com.

27 Apr 2017

How much PGY(post graduate training) do I need?

Physician Licensing No Comments

Post Graduate Training Requirements

This week, we continue discussion in our eligibility series. Previously, we talked about the 7 Year Rule and how this differs from the 10 Year Rule, both of which can quickly put up road blocks to a physician medical license.  Your next question should be, “Do I have enough post graduate training to qualify for this state’s license?”

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