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...younger physicians may have other advantages--like a fresher sense of the latest standards of care. Many doctors have concluded that there is something of a sweet spot on the age-education-experience continuum. They seek out clinicians who are no more than 10 years out of residency, old enough to have some mileage, young enough to be up to speed. There is actually some hard data for this rule. A review published last year in the Annals of Internal Medicine examined the connection between a doctor's years in practice and the quality of care he or she provided...

Author: /time Magazine | Title: Q: What Scares Doctors? A: Being the Patient | 4/23/2006 | See Source »

...think of hospitals as cathedrals of science, yet doctors walk around with their pockets stuffed with 3-by-5 cards on which they write patient information; when they sign off for the day they read from the card to the doctor coming on duty. "My pizza parlor is more thoroughly computerized than most of health care," says Berwick. It's easy to see the advantage of giving everyone easy access to a patient's history and test results. But getting there can be painful. Enter a hospital when it is in the process of introducing more computers, they...

Author: /time Magazine | Title: Q: What Scares Doctors? A: Being the Patient | 4/23/2006 | See Source »

This is why doctors are reluctant to be hands-off when it comes to a loved one's care. Until proper safeguards are built into the system, what a patient needs most, many doctors agree, is a sentinel--someone to take notice, be an advocate, ask questions. Now that the family doctor has been squeezed out of that role, someone else has to step in. But even a doctor--family member may not be able to counter the complexity of the system. Dr. Berwick of the Institute for Healthcare Improvement tells the story of his wife Ann's experience when...

Author: /time Magazine | Title: Q: What Scares Doctors? A: Being the Patient | 4/23/2006 | See Source »

...evening for 14 days straight. "No day passed--not one--without a medication error," Berwick remembers. "Most weren't serious, but they scared us." Drugs that failed to help during one hospital admission were presented as a fresh, hopeful idea the next time. If that could happen to a doctor's wife in a top hospital, he says, "I wonder more than ever what the average must be like. The errors were not rare. They were the norm...

Author: /time Magazine | Title: Q: What Scares Doctors? A: Being the Patient | 4/23/2006 | See Source »

...most compelling reasons to be a good patient are selfish ones. You will get more than free drug samples if your doctor is comfortable and communicates easily with you. You'll get more of the mind that you came for, a mind working better because it's relaxed--recalling and associating freely, more receptive to small, even subliminal clues. That means better medical care. But you should try to be a good patient for unselfish reasons too. We worry about you 60 hours a week. We gave up our 20s for you. Why not show us some love...

Author: /time Magazine | Title: Medicine: What Makes a Good Patient? | 4/23/2006 | See Source »

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