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Phase 2 of HIPAA Audit Program Launches

From the College  |  May 13, 2016

With many competing priorities facing physician practices, HIPAA compliance and security is not a topic that usually makes it to the top of the list. But this is not the case with the Department of Health and Human Services’ Office for Civil Rights (OCR), because it has initiated a new phase of audits of physician…

Participate in Virtual Hill Meetings through the ACR

From the College  |  May 13, 2016

On May 12, ACR leaders representing the Board of Directors, the Affiliate Societies Council and the Committees on Government Affairs and RheumPAC took the ACR’s policy message to Capitol Hill. There is power in numbers, so we hope you will participate in your own Virtual Hill Day by visiting Legislative Action Center and letting your…

Tips for Setting Treatment Goals with the Patient

Karen Appold  |  May 13, 2016

When working with a newly diagnosed patient to determine a treatment plan, ensure the patient has a good understanding of the diagnosis, the options available and what the options entail. “It is important to help patients understand that there are choices, and that their decisions should be based on what matters to them,” says Susan…

Concerns Arising over Increased Retractions in Scientific Articles

Kurt Ullman  |  May 13, 2016

The number of scientific articles retracted increased 10-fold between 1988 and 2008 (from 0.002% in the early 1980s to 0.02% in 2005–2009), according to a paper published in the Journal of Medical Ethics.1 The authors did note that the number of articles listed in Medline each year has also increased over time, from approximately 300,000…

Tips for Increasing Your Client Base

Karen Appold  |  May 13, 2016

Recruiting new patients requires a multi-faceted approach. A rheumatologist must have a solid brand and marketing platform, as well as an active strategy to attract and convert new patients. This might involve embracing social media, having a website, developing a referral network, being involved in your community and nurturing existing patients. Your brand includes such…

Why Physicians Say Sick Days Aren’t Worth the Trouble

Karen Appold  |  May 13, 2016

A recent JAMA Pediatrics article found that 83% of clinicians admitted to coming to work while sick and 95% admitted to knowing that it could be dangerous for their patients.1 “The decision to work sick is shaped by systems-level and sociocultural factors,” the study authors wrote. In speaking with rheumatologists on the matter, I found…

New Bisphosphonate Therapy Recommendations for Postmenopausal Osteoporosis

New Bisphosphonate Therapy Recommendations for Postmenopausal Osteoporosis

Kathy Holliman  |  May 13, 2016

A task force of the American Society for Bone and Mineral Research (ASBMR) has released new recommendations delineating the potential benefits and risks of prolonged therapy with oral and IV bisphosphonate therapy and providing guidance on duration of bisphosphonate therapy for postmenopausal osteoporosis.1 The task force makes clear that data and clinical experience on which…

Biosimilars: Expanded Treatment Options

Joan M. Von Feldt, MD, MSEd, FACR, FACP  |  May 13, 2016

Soon, biosimilars will be available as treatment options for our patients. Biosimilars are being introduced to the U.S. market in the hope that they will spur competition and drive down the price of these expensive medicines. Previous articles in The Rheumatologist have touched on various issues surrounding these new therapies, and everyone in the rheumatology…

Treating Rheumatologic Illnesses in Athletes

Treating Rheumatologic Illnesses in Athletes

Simon M. Helfgott, MD  |  May 13, 2016

Never underestimate the power of dreams and the influence of the human spirit. … The potential for greatness lives within each of us. —Wilma Rudolph, U.S. Olympic sprinter & winner of three gold medals From Spinnaker to Wheelchair It can be an unnerving experience when the patient you are about to see is young and…

Figure 2: The nail bed shows some discoloration.

3 Cases of Glomus Tumor—An Unusual Cause of Hand Pain

Abraham Chaiton, MD, MSc, FRCPC, RhMSUS, & Maggie Larché, MBChB, MRCP, PhD  |  May 13, 2016

Hand and digit pain are common presenting symptoms to primary care physicians, rheumatologists, physiatrists and neurologists. There are many causes, but quality and location of the pain can be important clues to the diagnosis. Glomus tumors, neurovascular hamartomas of the glomus body, are an uncommon cause of hand pain. The glomus unit itself is a…

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