Category Archives: What Makes A Good Cardiologist

Dear Kim, I Am Indifferent To My Online Reputation

The skeptical cardiologist keeps getting  emails from Kimberly of mypracticereputation.com who informs him how important his online reputation is. The last email has quite an urgent, almost threatening tone: Kim reminds me of the multiple previous attempts to contact me and asks me if there is someone else in my practice she could speak with.

According to Kimberly, my online reputation “has become the primary way that patients, colleagues, referring practitioners, and even your friends  will come to learn about you.”

Kimberly informs me that her assessment “includes your online reputation score (A-F) scoring), the total number of reviews found about your practice online (some of which you may not be aware of) and your calculated current Reputation Danger Level™ (In Danger, At Risk or Protected).”

She has a really slick website:

Screen Shot 2016-01-31 at 12.41.36 PM.

However, I have no interest in checking my online reviews nor do I care what my Reputation Danger Level is.

If I were just starting a practice or fighting for new patients I might view this differently and consider engaging in such folderol.

However, at this point in my career, I am really only concerned with having positive interactions with the patients I have and helping them achieve optimal health as best I can. I get more than enough new patients by word of mouth from my current patients, their relatives, and from referring physicians who respect my patient care skills.

Also, I have a feeling that the majority of patients who take the time to write online assessments are disgruntled about something and want to tell the world. I’m not really interested in coming across a review of me that is totally unfair. It would only give me unnecessary stress.

I’m sure there are ways to expunge the negative reviews, likewise there are bound to be effective ways to ramp up the positive reviews. For positive reviews, for example, I could just ask the patients I know who really like my care and style to post something online. I don’t do that: it makes me uncomfortable.

But this just doesn’t seem right. If my online reputation can be manipulated by me or by myonlinereputation or their ilk, it would seem to further delegitimize the whole process.

Kimberly, if you happen to read this, please accept my apologies for not accepting your complementary (normally $249)  analysis.

And please stop sending me emails.

Disreputably Yours,

-ACP

 

My MOC Status Has Changed!

I am Board Certified by the American Board of Internal Medicine (ABIM) in both Cardiovascular Disease and Internal Medicine.

Recently the ABIM has changed the rules and started a Maintenance of Certification (MOC) Program which is chock-full of useless forms, fees and tests.

I, and thousands of other doctors have rebelled against this program, recognizing that there is no evidence it will improve doctors care, patient outcomes or overall quality of medical care but that it will fill the coffers of bureaucrats and bureaucratic institutions and fritter away valuable time we could be spending on patients.

I did not pay my several hundred dollar fee the ABIM demanded for 2015.

MOCAs a result, I received this morning an email from ABIM telling me that “your MOC status has changed”. I logged in and found that I was listed as “Certified, Not Participating in MOC.”

I’m still the clinical cardiologist I was yesterday and I still spend hours weekly reading about the latest developments in cardiology that impact clinical care, teaching residents, and giving conferences but I wonder what the ramifications of this will be.

Dr. Wes, a cardiologist who has been a vociferous opponent of MOC is alerting physicians that one ramification is that the SGR bill the Senate is considering would tie doctor evaluations to MOC status.

You can read his comments here. He includes sample letters to send to Congress.

If the federal government puts their weight behind sanctifying MOC, then all physicians will be forced to participate.

I strongly all urge all physicians to consider weighing  in on this with your local congresspeople.

-ACP