Chapters about Medicolegal | Primary Care RAP

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Medicolegal Risks of Low Risk Chest Pain
From January 2019, Hello, New Year! Bye Bye, PPIs?
Amal Mattu discusses two large branches of pitfalls in patients being evaluated for ACS: EKG pitfalls and HISTORY red flags. We discuss pitfalls and red flags relating to medical legal risks when dealing with chest pain. • Additional talking points: • ECG: 25-50 % misses, look closer …
22min 45
Matthew DeLaney, MD, FACEP, FAAEM, Amal Mattu, MD, and Mizuho Morrison, DO
Observation Care
From December 2018, Clots and OCP's
Observation care may be one of the most confusing topics in medicine. What is it? Who qualifies for it? What are the financial and clinical implications? In this segment, Drs. Steve Biederman and Tom Robertson take us on a tour of observation care and all that it means.
17min 41
Steve Biederman, MD and Tom Robertson, MD
Service Animals
From November 2018, Those Clots are So Superficial
When a PC RAP listener wrote us with a question about the differences among service animals, emotional support animals, and therapy animals, our own animal lover Brandon Grove looked into the indications, uses, and legal protections (or lack thereof) afforded to each group. In this segment, he …
8min 47
Brandon Grove, MD
Good Samaritan Laws
From August 2018, Good Samaritans
What do you do if you’re on a flight, someone gets sick, and a flight attendant asks, “is there a doctor on board?” Brandon Grove and Neda Frayha walk you through a play by play of what to expect, which actions to take, and what the law says about it all.
11min 22
Brandon Grove, MD and Neda Frayha, MD
Leaving AMA
From July 2018, All Risk, No Reward
In this segment, Andrew Buelt walks us through the do’s and don’ts of managing patients who want to leave the health care setting against medical advice.
15min 40
Andrew Buelt, DO
Treating Friends and Family
From June 2018, A Hyperthyroid Fetus
Has a friend or family member ever asked you for medical advice? Join the club! In this segment, Neda Frayha, Miz Spangler, and Sol Behar discuss how to handle requests for advice and even treatment from non-patients.
17min 43
Solomon Behar, MD, Mizuho Morrison, DO, and Neda Frayha, MD
Don’t Put This in My Chart, But...
From May 2018, The Buzz That Won't Quit
When a patient asks, “don’t put this in my record, but…”, what are we to do? In this segment, Neda Frayha and Mike Weinstock explore whether or not to document every single fact we learn about our patients, how to judge when something must be documented, and how to maintain a trusting relationship …
16min 12
Neda Frayha, MD and Mike Weinstock, MD
Code Status
From March 2018, What’s Your (Code) Status?
Andrew and Heidi review the literature to get a sense of who well - or how badly!- we are doing at discussing code status with our patients. They review articles that suggest ways to improve this conversation, and also discuss different training strategies and novel ways to get providing our …
10min 29
Andrew Buelt, DO and Heidi James, MD
Paper Chase 3: Getting Sued -- It May Be Less Likely Than You Think!
From May 2016, The Sexology of Radicular Back Pain
Does a history of lawsuit make future malpractice claims more likely?
5min 33
Andrew Buelt, DO and Joe Weatherly, DO
Using Evidence Based Algorithms
From May 2016, The Sexology of Radicular Back Pain
Using evidence based algorithms – do they protect you? What are they? Who wants cookbook medicine? Do they help or harm you in med mal cases? Dealing with the non-believers (patients and providers).
17min 45
John Shufeldt, MD, JD, MBA, FACEP and Mike Weinstock, MD
Treating Family Members
From April 2016, Hernias and Ovaries
Treating family members without proper evaluation in a clinical setting (ie: without vital signs, examination, or other variable tests) is frankly an injustice to our loved ones. Mike discusses with many practitioners the dangers of doing this, and how at the end of the day it's frankly hard to be …
31min 23
Mike Weinstock, MD, Dave Sharkis, MD, Kurt Marks, PA-C, and Mel Herbert, MD
The 10 Step Approach to the Bounceback Patient
From April 2015, The Iron Cranberry
Discuss 10 actions that can be taken to improve care in a patient returning for a repeat visit. •
19min 37
Mike Weinstock, MD and Mizuho Morrison, DO
Pitfalls and Pearls in the Evaluation of Acute Chest Pain
From November 2014, Is That a AAA In Your Pocket?
Most patients with chest pain don’t have serious disease, but always consider the life threats. •
31min 42
Mike Weinstock MD