Posts in Dr. Jeffrey Roth
Medical Education in Nevada: a Team Approach

It is no surprise that Nevada, and moreover Las Vegas, needs more physicians. We are near the bottom of physician to patient ratios and would need to add thousands of new physicians just to get to the 50th percentile. Recruitment of physicians can be problematic, as some see Las Vegas as the party destination it is portrayed as in the movies—they do not see the schools, community, and cultural offerings such as the Smith Center or Nevada Ballet Theatre that many of us have fallen in love with as residents of this great city. There are few places better to move one’s family and practice medicine—though reimbursement rates continue to be an issue, opportunity abounds.

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The Vaping Epidemic.

The Surgeon General of the United States has declared that vaping is an epidemic among U.S. teens.

An epidemic refers to an increase, often suddenly, in the number of cases of a disease above what is normally expected in that population in that area. A pandemic refers to an epidemic that has spread over several countries or continents, usually affecting many people.

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Prior Authorization Must Go.

Prior Authorization (PA) is a process that requires physicians and hospitals to obtain approval from an insurance company or other payer to qualify for payment before they can deliver the prescribed treatment or ordered service their patients need. It is used by payers as a utilization-management tool to control costs and, traditionally, was applied mainly to newer or more expensive services and medications. Physicians have reported an increase in prior-authorization burdens, and this may in part be due to payers placing PA requirements on commonly prescribed drugs and services that are neither new nor costly.

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1000 Cases.

After the infamous Libby Zion case, there was a movement to limit medical resident work hours. At that time, our General Surgery program had us doing in-house call 3 days a week, and typically working upwards of 120 hours a week.

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Dedication and Commitment.

We see stories about physicians all the time. Occasionally we find one that truly stands out.

Humans of New York started as a photoblog and book of street portraits. It was created by photographer Brandon Stanton. It has a tremendous social media following. In May of 2016 it ran a photograph and one paragraph story on Dr. Michael P. La Quaglia, Chief Pediatric Surgeon at Memorial Sloan-Kettering Cancer Center.

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