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Board Certification Testing Available in June in Orlando, FL
Make plans now to take one of the following exams during the June 16 – 18th course in Orlando, FL.
We will be offering the following exams
and
Written and Oral Exams will be held on Saturday, June 17. Hand-on lab exam will be Sunday 18th
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2017 ASIPP Washington Legislative trip Set for Sept 12-13, 2017
At no other time in the history of the American Society of Interventional Pain Physicians has it been more important for you, as members, to get involved in our advocacy efforts. Our specialty has been gravely affected by drastic and severe coverage cuts. These cuts so radical, they have hurt more than just our bottom lines; some practices and surgery centers have been forced to close their doors.
The election of President Trump and his appointment of Representative Tom Price as Health and Human Services Secretary and Seema Verma to head the Centers for Medicare and Medicaid Services have given us some hope and an opportunity to achieve some of our goals, and possibly reverse these cuts retroactively and reinstate the previous reimbursement or even improve reimbursement for 2018.
Now is our chance! Let your voices be heard!
We have scheduled a legislative conference September 12 and 13. To participate in this conference, you must to be in Washington on Tuesday, September 12 in order to attend the preparation session. Wednesday, September 13, we will head to Capitol Hill to hear speeches and meet with Senators and Representatives. Some appointments may continue through Thursday. If you would like to leave on Wednesday, please do not plan on leaving before 6 pm.
Each member is expected to visit two senators and one member of Congress for a total of three visits.
ASIPP will be booking a block of rooms for those who choose to attend. You will be responsible for travel expenses.
Please let us know as soon as possible if you will be attending so that we can begin making the appointments. Contact Kasi Stunson kstunson@asipp.org.
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Majority of physicians experience burnout, extreme frustration with stacks of paperwork
Problem is so intense, more than half of the physicians surveyed have considered leaving medical field altogether in recent years, study shows.
Nearly two-thirds of physicians feel more overworked now compared to when they first started their careers, according to a new national study from
locumstory.com. Only 13 percent say they are less overworked now. Results show overexertion is strongly felt across all practice types, and most physicians struggle with poor work-life balance, the study found. Moreover, thirty-nine percent of respondents didn't think their facility supported a strong work-life balance.
Healthcare Finance News
Physicians besieged by 'burnout,' pessimistic view of profession, Physicians Foundation study says
Survey finds 49 percent say they "often or always" experience feelings of burnout, would not recommend a career in medicine to their children.
A growing number of physicians are laboring under intense feelings of burnout, and most say they're overextended or at capacity, according to a new survey conducted by The Physicians Foundation. The findings suggest a struggle among physicians to maintain their level of morale and adapt to changing delivery and payment models. Among those surveyed, 49 percent say they "often or always" experience feelings of burnout, and the same percentage said they would not recommend a career in medicine to their children. Fifty-four percent rate their morale as somewhat or very negative, and 48 percent plan to cut back on their hours, retire, take a non-clinical job or switch to concierge medicine. Eighty percent said they were overextended and didn't have time to see additional patients.
Healthcare Finance News
Don't Listen to the Burnout "Experts"
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Listen to Your Heart
Burnout happens. It can creep up on you when you least expect it. Take it from me, a self-confessed survivor of burnout. I was in fact so burned out, so crispy around the edges, that I could have starred in the movie sequel "Toast II: Beyond Burnout."
We doctors put a lot of passion into practicing medicine. A lot. All that passion can be draining.
We may think we're immune to the physical and mental collapse caused by so much overwork and stress.
After all, burnout is a condition that happens to other poor schleps, but not to us!
Endocrinology Advisor
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Experts split on whether quality reporting enhances or detracts from patient care
David R. Scrase, MD, says quality reporting made him a better physician; David L. Hahn, MD, said it adds to physician burnout.
Doctors spend about half of their EHR time during patient encounters, according to new findings published in Health Affairs. The other half is consumed by desktop medicine tasks for which they do not get reimbursed. "Physicians logged an average of 3.08 hours on office visits and 3.17 hours on desktop medicine each day," the authors wrote. "Over time, log records from physicians showed a decline in the time allocated to face-to-face visits, accompanied by an increase in time allocated to desktop medicine."
Researchers looked at data captured by electronic health records time-stamp functionality 31 million EHR transactions conducted between 2011-2014 by 471 primary care physicians and 765,129 patient records to measure how doctors spend their time.
Healthcare Finance News
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Opinion: Fact Checking Health-Care Hysteria
It’s as if Democrats didn’t even bother reading the GOP bill before attacking it.
After the House voted last week to repeal and replace ObamaCare, Democrats quickly launched a barrage of false attacks. Minority Leader Nancy Pelosi asserted that the bill would “gut” protections for patients with pre-existing conditions. Never one to shy away from melodrama, she added: “This is deadly. This is deadly.”
Apparently the GOP proposal is the second health-care bill Mrs. Pelosi didn’t read. The legislation makes clear: “Nothing in this Act shall be construed as permitting health insurance issuers to limit access to health coverage for individuals with preexisting conditions.”
On Fox News Sunday, the MIT economist Jonathan Gruber came from a different angle, alleging it was dangerous to grant states waivers from some ObamaCare requirements. He suggested insurers could now “literally say, just because the genes you were born with, you’re going to pay more for health insurance.”
Wall Street Journal
Access to this article may be limited
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CMS Press Releases Take on a More Political Tone
WASHINGTON -- The Affordable Care Act (ACA) is "driving up insurance costs and reducing choices." The American Health Care Act passed by the House will help the U.S. "move toward patient-centered healthcare instead of government-centered healthcare."
Lines from a Republican congressional campaign brochure? Remarks in a speech by President Trump? Nope -- those are parts of press releases issued by the Centers for Medicare & Medicaid Services (CMS).
Usually, press releases from CMS are pretty matter-of-fact, and the releases issued by CMS under the Obama administration seemed to stick with tradition. For example, this one from November 2016 explaining the changes in premiums for Medicare Parts A and B notes: "This year, as in the past, the Secretary has exercised her statutory authority to mitigate projected premium increases for these beneficiaries, while continuing to maintain a prudent level of reserves to protect against unexpected costs."
MedPage Today
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Half of U.S. Physicians Receive Payments From Industry
HealthDay News — About half of U.S. doctors received payments from the pharmaceutical and medical device industries in 2015, amounting to $2.4 billion, and any form or amount of compensation can influence prescribing behavior, according to research published in the Journal of the American Medical Association, a theme issue on conflict of interest.1,2
In one study, researchers analyzed data collected by the Affordable Care Act's Open Payments program, which requires biomedical companies to report all payments made to physicians. The pharmaceutical and device industry in 2015 paid about $2.4 billion to almost 450,000 out of more than 933,000 doctors, the researchers found.
- Tringale KR, Marshall D, Mackey TK, Connor M, Murphy JD, Hattangadi-gluth JA. Types and Distribution of Payments From Industry to Physicians in 2015. JAMA. 2017;317(17):1774-1784.
- Larkin I, Ang D, Steinhart J, et al. Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing. JAMA. 2017;317(17):1785-1795.
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Levobupivacaine vs Ropivacaine for Brachial Plexus Block
Levobupivacaine and ropivacaine show similar analgesic effects postoperatively after brachial plexus block, according to a study recently published in
Medicine.1
Both levobupivacaine and ropivacaine are commonly used to provide long-lasting analgesia after peripheral nerve block. Levobupivacaine however, presents several advantages over ropivacaine, with greater lipophilic properties,2longer-lasting analgesia from epidural and spinal injections,3,4 and a more potent analgesic effect postoperatively. Here, using a randomized prospective trial, researchers sought to determine whether levobupivacaine could provide longer-lasting analgesia than ropivacaine after brachial plexus block, as was found in just 1 study.5
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FDA Revisits Mandatory Opioid Prescriber Training
SILVER SPRING, Md. -- Stakeholders at a two-day FDA workshop nearly unanimously agreed that the Federal Government must do something to help educate providers about treating pain -- especially when it comes to prescribing opioids -- but they disagreed on exactly what should be done.
The FDA hosted the workshop to solicit input on its potential involvement in prescriber training via its extended-release and long-acting (ER/LA) opioid analgesics Risk Evaluation and Mitigation Strategy (REMS). The agency has considered whether to implement mandatory training
as recommended by an advisory panel last year, but it has not yet done so.
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N.Y. Single-Payer Health-Care Bill Passes State Assembly
‘Medicare-for-all’ legislation expected to stall in more conservative Senate
Democrats in the New York Assembly are relaunching a push for a statewide single-payer health-care program in hopes that the national debate over health care will give their legislation new momentum.
The “Medicare-for-all” bill—designed to provide health insurance to all state residents—passed the predominantly Democratic Assembly Tuesday afternoon following several hours of partisan back-and-forth on the chamber floor.
The bill has passed the Assembly twice before, but then stalled in the more conservative and currently Republican-controlled state Senate, as it is expected to again.
Access to this article may be limited.
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OHSIPP Meeting
August 25-27, 2017
The Ohio Society of Interventional Pain Physicians (OHSIPP) has set the dates for its 2017 meeting.
Dates are Friday Aug 25 thru Sunday Aug 27, 2017.
The meeting will be held in Cincinnati at the Westin Hotel, 21 E 5th St , at Fountain Square .
Contact Michelle Byers for more information MichelleHByers@gmail.com
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