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Tips to Help Physicians Understand, Cope, Manage Burnout

Carol Patton  |  June 14, 2017

Years ago, the Mayo Clinic was exploring effective ways to minimize burnout among the more than 3,000 doctors employed at its three medical and research facilities in Rochester, Minn., Scottsdale, Ariz., and Jacksonville, Fla. One strategy involved inviting physicians to participate in small groups to discuss topics that were fairly ubiquitous among doctors, from medical…

Filed under:Practice SupportProfessional TopicsWorkforce Tagged with:burnoutMayo Clinicpatient carepeer supportphysicianrheumatologistStress

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Dr. Peter Schur Discusses Lupus Treatment, Management Advances in Past 50 Years

Vanessa Caceres  |  June 13, 2017

Although systemic lupus erythematosus still does not have a definite cause or cure, rheumatologists and researchers over the past 50 years have witnessed and contributed to a great deal of progress that helps patients, says Peter H. Schur, MD, director emeritus of the Lupus Center, Brigham and Women’s Hospital, and professor, Harvard Medical School, Boston. Dr. Schur’s…

Filed under:ConditionsResearch RheumSystemic Lupus Erythematosus Tagged with:DiagnosisDr. Peter SchurLupusManagementPathogenesisResearchRheumatic DiseaserheumatologySLESystemic lupus erythematosusTreatment

Infection Rates for Patients with SLE on Immunosuppressive Drugs

Catherine Kolonko  |  June 13, 2017

A comparison study of the serious infection burden among patients with lupus found no major differences in patients treated with three separate immunosuppressive drug regimens. Given that serious infections are among the leading causes of hospitalizations and death in patients with systemic lupus erythematosus (SLE), researchers investigated whether the incident rates differed in patients who…

Filed under:ConditionsSystemic Lupus Erythematosus Tagged with:azathioprineClinicalcyclophosphamideimmunosuppressive drugsInfectionmycophenolate mofetiloutcomepatient careRheumatic DiseaserheumatologistrheumatologySLESystemic lupus erythematosus

Advantages, Disadvantages of Private Practice Ownership for Rheumatologists

Karen Appold  |  June 13, 2017

When he worked for a multi-specialty practice, Jonathan M. Greer, MD, FACR, FACP, president, Arthritis and Rheumatology Associates of Palm Beach, and affiliate clinical professor of medicine, Nova Southeastern University, Boynton Beach, Fla., found that there were too many restrictions and controls and no way to enhance the revenue stream for rheumatologists. So he moved on…

Filed under:Career DevelopmentPractice SupportWorkforce Tagged with:physicianPractice ManagementPrivate practicerheumatologistrheumatologystaff

Psoriasis May Itch as Intensely as Atopic Dermatitis

Joan Stephenson  |  June 13, 2017

NEW YORK (Reuters Health)—Itch intensity in moderate to severe plaque psoriasis can be substantial, and may be on a par with the notoriously itchy skin condition atopic dermatitis, new research suggests. “Both conventional wisdom and some of our classic dermatologic textbooks have stated that psoriasis is not particularly itchy,” corresponding author Dr. Alexa B. Kimball…

Filed under:ConditionsOther Rheumatic Conditions Tagged with:dermatitisitchplaque psoriasisPsoriasis

Rheumatology Coding Corner Answer: Infusion Services for Skilled Nursing Facility Patient

From the College  |  June 13, 2017

Take the challenge. CPT: 99213, 96413, 96415 x1, J1745 x 20* ICD-10: M05.09 This encounter is coded as 99213 because: History—The history of present illness is extended. The review of systems is detailed, and two of the three past, family, social history were documented, which makes the history level detailed. Exam—There are four systems examined,…

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:BillingCodingInfusionoffice visitpatient carePractice ManagementrheumatologistrheumatologySkilled nursing facility

Highlights from the Second Annual ACR Division Directors’ Conference

From the College  |  June 13, 2017

The second annual ACR Division Directors’ Conference took place in Chicago on March 10–11. The conference opened with a presentation on the use of the ACR’s Rheumatology Informatics System for Effectiveness (RISE) Registry in academic medical centers by Salahuddin “Dino” Kazi, MD, from UT Southwestern Medical Center, and Jinoos Yazdany, MD, MPH, from the University of California…

Filed under:From the College Tagged with:AC&RACR Division Directors ConferenceAmerican College of Rheumatology (ACR)update

Rheumatology Research Foundation Funding Enables Potential Treatment Advancements

From the College  |  June 13, 2017

Investigators at Brigham and Women’s Hospital recently discovered a novel subset of peripheral helper T cells (TPH) that drive rheumatoid arthritis (RA) inflammation. Originally published in the February issue of Nature, findings from this study provided bedrock knowledge for developing new RA therapies. Now, with funding from the Rheumatology Research Foundation, investigators are expanding on…

Filed under:ConditionsFrom the CollegeResearch RheumRheumatoid Arthritis Tagged with:Fundingperipheral helper T cellsRARheumatic DiseaseRheumatoid arthritisRheumatology Research FoundationTreatment

Tight RA Control Via Telemedicine Noninferior to Conventional Clinic Visits

Reuters Staff  |  June 12, 2017

NEW YORK (Reuters Health—Telemedicine follow up based on patient-reported outcome (PRO) is noninferior to conventional outpatient care for tight control of disease activity in rheumatoid arthritis (RA) patients with low disease activity or remission, new findings show. “Even though patients in the [telemedicine] follow-up groups requested more acute visits, they over-all had a more than…

Filed under:AppsResearch RheumTechnology Tagged with:Arthritis Care & Researchoffice visitpatient careRheumatoid Arthritis (RA)Technologytelemedicine

FDA Update: Romosozumab’s Uncertain Future; Plus Tocilizumab Approved for GCA

Michele B. Kaufman, PharmD, BCGP  |  June 9, 2017

Due to possible heart-related side effects, romosozumab is no longer expected to be approved this year for the treatment of osteoporosis…

Filed under:Biologics/DMARDsConditionsDrug UpdatesOsteoarthritis and Bone Disorders Tagged with:FDAFood and Drug AdministrationFracturesgiant cell arteritis (GCA)heartOsteoporosisromosozumabside effecttocilizumab

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