Exercise as Medicine

As senior editor, I'm proud to announce that the American College of Sports Medicine has published the fourth edition of ACSM’s Exercise Management for Persons With Chronic Diseases and Disabilities. Informally known to my fellow editors...

Read more
Population Health Management

Value-Based Payment, Checkboxes and the Dark Matter of Population Health

The Dark Matter of Population Health

Last week, CMS proposed new rules for compensating physicians through value-based payment. Now open 60-days for comment, the final rules aren’t expected until fall of 2016. The proposed...

Read more

Treat Every Patient Like She's Your Mother


Empathy (noun) — the ability to understand and share the feelings of another; derived from the Greek pathos, or feeling.

... Read more
Eat Well and Stay Well

New Dietary Guidelines - Back to the Future


Recently, the Department of Health and Human Services (HHS) issued the 2015-2020 Dietary Guidelines, almost a year after the Advisory Committee submitted its recommendations. These Guidelines are a big step forward, although not as big...

Read more

Annual Wellness Visits - Pro vs Con

The New England Journal of Medicine recently ran a Pro -vs- Con op-ed debate on the merits of well-patient visits in primary care. Like other such discussions, wellness visits were conflated with physical exams, the operative words are ...

Read more

Compassionate Use for Community-Based Interventions?

Somewhere between the age of 3 and 4 years old, while playing on the swingset next to the gravel driveway at my grandparent’s house, I heard my Grandfather say:

 “There’s more than one way to skin a cat”.

He explained the metaphor...

Read more

Dr. Fred Grabo

Today I went to the calling hours for a family friend, who was a physician to my family as well as to me when I was an adolescent, and who was also a fellow sailor with whom we all spent many happy days. Dr. Frederick Harrison Grabo was 87....

Read more

Why PCPs Should Do Wellness Visits

According to Adam Smith, people make choices that serve their enlightened self-interest. Truthfully, people also make a lot choices that are unenlightened, but that’s a problem for another blog! Today, let’s examine the question of why an...

Read more

Where Is The Medically-Directed Exercise?

 In 1993, an intrepid group of exercise physiologists, physical therapists and one physician (me) drafted the first edition of a textbook called Exercise Management of Persons with Chronic Diseases and Disabilities (CDD). Working on...

Read more

False Dichotomies of Health Care - Part 2: One Size Fits All

Reductionism vs Complexity



In Part...

Read more