Southern medical journal
-
Southern medical journal · Sep 2023
Chargemaster Pricing Variation for Commonly Billed Procedures in Interventional Cardiology.
A chargemaster is a database of all of the billable items offered by a hospital with their base price listings. A 2018 executive order required all American hospitals to publish their chargemasters to increase price transparency and reduce healthcare expenditures. Chargemaster listings, however, demonstrate marked variability and inconsistency and have not been associated with consumer benefit. The objective of this study was to analyze chargemasters for commonly billed interventional cardiology procedures across five diverse states to explore relationships between price listings and hospital characteristics, ownership, location, and hospital quality. ⋯ Chargemaster price listings for common interventional cardiology procedures varied significantly across these five states. Urban and metropolitan hospital location, hospital type, and hospital ownership could be factors driving increased chargemaster procedure prices. Prices were highest at hospitals with the highest quality rating.
-
Southern medical journal · Sep 2023
Missing Voices: What Early Career Hospitalists View as Essential in Hospital Medicine-Focused Education.
Acknowledging that a successful career in hospital medicine (HM) requires specialized skills, residency programs have developed hospital medicine-focused education (HMFE) programs. Surveys of Internal Medicine residency leaders have described HMFE curricula but are limited to that specialty and lack perspectives from early career hospitalists (ECHs) who recently completed this training. As such, we surveyed multispecialty ECHs to evaluate their preferences for HMFE and to identify gaps in standard residency training and career development that HMFE can bridge. The objectives of our study were to describe multispecialty ECH needs and preferences for HMFE and to identify gaps in standard residency training and career development that HMFE can bridge. ⋯ Multispecialty ECHs describe HMFE as positively influencing their decision to pursue a hospitalist career and increasing their preparedness for practice. HMFE may be particularly well suited to foster advanced clinical skills such as independent rounding, critical thinking, and self-reflection. We propose an organizing framework for HMFE in residency that may assist in the implementation and innovation of HMFE programs nationwide and in the development of standardized HMFE competencies.
-
Southern medical journal · Sep 2023
Physician Leader, Humble Thyself: Balancing Narcissism and Humility in Healthcare Leadership.
Data on expert leadership have shown numerous benefits, including enhanced job satisfaction, productivity, and job retention. Similarly, many of the top hospitals in the United States are physician led; however, the training of a successful physician and that of a successful healthcare administrator often are significantly different. Here, we specifically discuss the balance of narcissism and humility in leadership as it pertains to physicians transitioning from clinical careers to healthcare administrative roles.