Clinical Conversations

November 28th, 2018

Podcast 225: Managing diabetes in primary care — are there quality differences among NPs, PAs, and MDs?

Does the diabetes care afforded by NPs and PAs match that of MDs? According to a careful analysis among Veterans Affairs patients there are no clinical differences in intermediate outcomes — hemoglobin A1c, systolic pressure, or LDL cholesterol. The principal and senior authors of that analysis are our guests this time. Links: Annals of Internal Medicine study (free […]

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November 6th, 2017

Podcast 215: Has primary care been Amazon-ized?

Timothy Hoff thinks clinicians “must finally recognize that they are indeed ‘workers’ whose ability to control their daily fates has been reduced greatly.” He worries about the continuing erosion of the doctor-patient relationship, and he wonders why the profession is so reluctant to view its members as “put-upon workers struggling to gain favorable conditions for […]

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