Case You’ve been asked to see an inpatient for a rheumatologic consultation. After seeing the patient, you enter an initial consult note in the electronic medical record (EMR). The next day, when you write a follow-up note for this patient, you copy part of your assessment and plan from your prior note. Soon after you…
Safety The Food and Drug Administration (FDA) has updated the Warnings and Precautions sections of prescribing information for the bisphosphonate agents, including risedronate sodium tablets and combinations with calcium (Actonel/Atelvia), alendronate and combinations with vitamin D (Binosto/Fosamax), ibandronate (Boniva), etidronate (Didronel) and the RANK-ligand inhibitor denosumab (Prolia/Xgeva).1 This information relates to an increased risk for…
Dr. Sheffield is an adult rheumatologist who received the following referral request from a family doctor: “Please see this 22-year-old male with a history of juvenile arthritis for ongoing care. I have only seen him once, and have no previous medical records.” Dr. Sheffield meets with Paul, who reports that he has had arthritis since…
What started out as a way to bring specialty medicine to rural areas around 40 years ago has evolved from sharing imaging and laboratory results to seeing and interacting with patients remotely. Telemedicine is beginning to evolve from its traditional urban–rural linkage, and rheumatologists are following along. “Telemedicine covers a variety of services, but it…
The editorial staff of The Rheumatologist comprises medical and publishing professionals. Physician Editor Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS, is a clinical associate professor of internal medicine in the Division of Immunology, University of Iowa Hospitals and Clinics, Iowa City. Before assuming the role of physician editor, he was a member of the ACR…
Ethical considerations for rheumatologists in terminating consultative services to a community hospital
Tips to establish collaborative patient care models with your PAs, NPs
Lack of efficacy, poor DAS scores may be misinterpreted as a drug failure
Operational, budgetary, financial and human resource responsibilities typically fall under practice managers’ domains
Junior rheumatologist says EHRs equal the ‘End of Humane Reasoning’ when it comes to patient care, practice management