Is an integrated practice in your future?
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Biomedical subjects
Publications and source records attributed to C E Barnes.
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BACKGROUND AND PURPOSE: The purpose of this study was to determine how human anatomy was being taught in physical therapy programs in the United States. SUBJECTS: Faculty in 103 physical therapy programs participated in the study. METHODS: A six-page questionnaire, which was mailed to 145 physical therapy programs, contained five sections: demographics, human gross anatomy--present and future, administration/cost, human anatomy textbooks, and human gross anatomy content areas. RESULTS: Anatomy was a laboratory-intensive course, with dissection being the primary laboratory teaching method. Use of prosected specimens, various audiovisuals, and computer-assisted instruction was also documented. Half of those teaching anatomy had a degree in physical therapy, and 65.6% of these educators were doctorally prepared. When comparing anatomy courses taught by physical therapy faculty and non-physical therapy faculty, differences existed between the two groups with respect to course content and clinical applicability. The most significant difference in content area emphasis was noted in the thoracic area. CONCLUSION AND DISCUSSION: Differences noted in course-content emphasis demonstrate the necessity for physical therapy faculty to communicate with non-physical therapy faculty teaching human anatomy about course content. Although the survey results have indicated that numerous texts are in use, the value placed on clinical applicability remains a significant consideration.
The Seidel nail is an intramedullary locking device available for the treatment of humeral shaft fractures that require operative fixation. A retrospective review of 13 consecutive patients treated with the Seidel nail was undertaken to evaluate results, with attention to complications. No nerve palsies or infections occurred. Complications occurred in 46% of the patients and included intraoperative comminution associated with lateral placement of the pilot hole, instrumentation failure, and underreaming of the canal, resulting in iatrogenic fracture.
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This article provides a brief overview of antitrust principles that are applicable to the health care industry, and applies those principles to some major antitrust issues that hospitals currently face.
In an opinion issued on February 20, 1990, the Federal District Court for the Central District of California summarily dismissed the claim of Dr. George M. Austin that Santa Barbara Cottage Hospital and five individual physicians conspired to suspend his hospital privileges in violation of Section 1 of the Sherman Act. The decision was based on the court's determination that the actions of the hospital and defendant physicians were immune from federal antitrust liability under the Health Care Quality Improvement Act of 1986. The case is the first test of the Act in connection with a staff privileges claim under the antitrust laws and is the first affirmance of the immunity protections of the Act.
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To avoid antitrust liability from physician fee-setting in HMOs and PPOs, participating physicians should share the risk of profit and loss. "Health Law" is a regular feature of Physician Executive contributed by the law firm of Epstein Becker and Green, P.C. Douglas A. Hastings, Esq., a partner in the firm's Washington, D.C., offices serves as column editor.