Interim Physicians Blog

Ken Teufel M.D.

Picture of
Dr. Ken Teufel

Dr. Ken's Corner: prescription drug marketing faces criticism

Posted by Ken Teufel M.D. on Jul 24, 2019 3:33:56 PM

Only two countries worldwide allow direct-to-consumer (DTC) advertising of prescription drugs: The United States and New Zealand. Over 20 years (1997 to 2016) DTC prescription drug advertising in the U.S. increased from $1.3 billion to $6 billion "with a shift toward advertising high-cost biologics and cancer immunotherapy" (JAMA Network, January 1/8, 2019). According to the JAMA-published study, pharmaceutical companies bombarded the American consumer with 4.6 million ads in 2016. This includes 663,000 TV commercials (compared to 72,000 in 1997). The authors' conclusions: "Despite the increase in marketing over 20 years, regulatory oversight remains limited."

Read More

Topics: Dr. Ken's Corner

Dr. Ken's Corner: rural Americans deserve better access to health care

Posted by Ken Teufel M.D. on Jun 26, 2019 12:32:22 PM

Despite rural-to-urban migration trends, millions of Americans still live in rural communities. Census figures show that they make up 25% of the nation's total population; yet fewer than 10% of U.S. physicians practice in rural communities, according to the National Rural Health Association. The situation is likely to get worse as older rural physicians retire and new medical school graduates choose high-paying, non-primary care specialties better suited for urban settings.

The consequences are predictable. A new poll by NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health found that one out of every four people living in rural areas said they couldn't get the health care they needed recently. And about a quarter of those said the reason was that their health care location was too far or difficult to get to. 

Read More

Topics: Rural Physician Shortage

Dr. Ken's Corner: competency of older doctors being questioned

Posted by Ken Teufel M.D. on May 23, 2019 5:16:21 PM

Instead of retiring at age 65, many doctors choose to continue practicing medicine well into their 70s and 80s. A national trend to test the competency of these older physicians appears to be gaining momentum, especially among some of the nation's largest hospital systems. Hospitals report growing concern that the mental and physical skills of some of their older physicians have deteriorated to the point of putting patient safety at risk. Paying special attention to "weeding out" impaired physicians once they have reached a certain age is proving to be a sensitive issue, to say the least.

Read More

Topics: Dr. Ken's Corner, Physician Retirement

Dr. Ken's Corner: deadly superbug comes out of the shadows

Posted by Ken Teufel M.D. on May 14, 2019 11:27:44 AM

The dramatic increase in Candida auris infections has received little publicity...until now. According to the CDC, nearly half of those who become infected with this nasty fungus die within 90 days. Upon gaining access to a patient's blood-stream, C. auris defies conventional treatment. Ninety percent of the time it's found to be resistant to at least one of the three commonly used anti-fungal medications and 30 percent of the time it's resistant to two or more of the drugs.

There have been 587 cases of C. auris in the United States, says the CDC. To date, it's been reported in 12 states, the greatest concentration being in New York, New Jersey and Illinois. Fifty percent of residents in some Chicago nursing homes tested positive for the presence of C. auris. Its spread has become so much of a concern that the CDC has now placed C. auris on its list of germs classified as an "urgent threat."
Read More

Dr. Ken's Corner: Is it Burnout or Boredom?

Posted by Ken Teufel M.D. on Mar 27, 2019 9:29:24 AM
Burnout among physicians is much higher than burnout in the general population. But could it be that many physicians diagnosed with burnout are actually suffering from boredom? Here are some of the synonyms listed under the heading of boredom: apathy, weariness, dissatisfaction, frustration, restlessness, lack of enthusiasm, lack of interest, lack of concern. And here's the AMA's definition of burnout: "emotional exhaustion, depersonalization, and a lost sense of accomplishment." Sounds like boredom and burnout go hand-in-hand.
Read More

Topics: Physician Burnout

Dr. Ken's Corner: Is Telemedicine the New Frontier?

Posted by Ken Teufel M.D. on Feb 21, 2019 3:35:15 PM

Robotic surgery, gene therapy, and deep brain stimulation are so-called "frontiers" of medicine.  Now there's a new frontier--telemedicine. "Research firm IHS Markit estimates that telemedicine visits will soar from 23 million in 2017 to 105 million by 2022" (Associated Press, 2/6/19). By then, one in ten doctors' visits could be via telemedicine. This could be an understatement if practitioners, health systems, and investors keep discovering new ways to expand telemedicine's reach.

Read More

Topics: Dr. Ken's Corner, Telemedicine