2011 Most-Read Articles by Primary Care Physicians

Carol Peckham


December 09, 2011

In This Article

Counting Down 10 Through 2: Most-Read Medscape Articles by PCPs

10. The "Ugly Duckling" Sign: An Early Melanoma Recognition Tool For Clinicians and the Public

The key to preventing deaths due to invasive melanoma (MM) remains detecting the disease early, at a stage when surgical excision of the tumor is still curative. One clinical clue to diagnosis is the "ugly duckling" sign -- a useful indicator for MM screening with implications for healthcare workers and the lay public alike. Given certain limitations of the established ABCDE acronym for early melanoma recognition, this study suggests a new, broader way of thinking about the ugly duckling concept and its place in MM detection.

9. Tea and Coffee Consumption and MRSA Nasal Carriage

In this study, consumption of hot tea or coffee was associated with a lower likelihood of methicillin-resistant Staphylococcus aureus (MRSA) nasal carriage. The findings raise the possibility of a promising new method to decrease MRSA nasal carriage that is safe, inexpensive, and easily accessible.

8. 10 Physicians Charged in Fed Sweep of Medicare 'Fraudsters'

In September, a federal bust of Medicare fraud in 8 cities has yielded criminal charges against 91 individuals, including 10 physicians as well as nurses, physical therapists, and family counselors. The defendants allegedly billed Medicare for $295 million in false claims with the help of kickbacks, illegal pain medication prescriptions, imaginary psychotherapy sessions, and other ploys. The US Department of Justice called the bust "the highest amount of false Medicare billings in a single takedown in Strike Force history."

7. Six Biggest Gripes of Employed Doctors

The 6 biggest complaints according to this article were:

  • Lack of job security;

  • Changes in compensation;

  • Call schedule is too burdensome;

  • Lack of business control;

  • Lack of clinical autonomy; and

  • The tyranny of noncompete clauses.

This article offers a discussion where you might want to share ideas on this volatile subject

6. What's Killing Us? The 4 Deadliest Diseases

This Medscape One-on-One between Eli Adashi, MD and Tea Collins, Executive Director of The Non-Communicable Diseases (NCD) Alliance, discussed the importance of the new global initiative against four major NCDs that are responsible for 60% of deaths worldwide: cancer, diabetes, cardiovascular disease, and pulmonary disease.

5. I'm Struggling to Live on $160,000 a Year: MD Lament

Whereas most Americans would consider a $160,000 income a fortune, many physicians find it a challenge to live on that amount. Why can some manage easily while others are struggling to pay the bills?

4. Updated Influenza Vaccine Recommendations Issue

New for the 2011-2012 season is a more-permissive influenza vaccination recommendation for persons with egg allergies. The CDC Advisory Committee on Immunization Practices now recommends that people who have experienced only hives from consuming eggs can receive the trivalent inactivated vaccine intramuscularly as long as they are treated by a healthcare provider who is familiar with the potential manifestations of egg allergies and can be observed by a healthcare professional for at least 30 minutes after receiving each dose. Live-attenuated influenza vaccine should not be used in these patients. Read the full CDC commentary.

3. FDA Approves New Drug for Type 2 Diabetes

In May, the US Food and Drug Administration approved linagliptin (Tradjenta™) for improving blood glucose control in adults with type 2 diabetes, either as a stand-alone or in combination with other therapies.

2. Doctors' 5 Worst Financial Mistakes

Physicians do their best to manage their money and investments wisely, but a few common mistakes keep cropping up. Are you guilty of any of these?


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