Sheila Rege

355 posts

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Sheila Rege

Sheila Rege

@SheilaRegeMD

Physician and wanna be author. AMA Delegate from WA State. Health Policy Geek

United States Katılım Ocak 2016
278 Takip Edilen492 Takipçiler
Sheila Rege
Sheila Rege@SheilaRegeMD·
Just returned from a Council on Medical Education Meeting. The big question for healthcare is how we can thoughtfully integrate AI into clinical practice to improve patient care and reduce physician burnout. #HealthTech #MedEd #PatientCare
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AMA
AMA@AmerMedicalAssn·
AI is changing health care fast - but real progress needs physician leadership. The new ⭐️ AMA Center for Digital Health and #AI ⭐️ will guide responsible innovation so technology serves patients, not paperwork. Learn more: spr.ly/6012A40ZA
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Jennifer Bryan, MD
Jennifer Bryan, MD@jbryan522·
For the past three weeks, our family’s very special and normally super healthy dog, Sandi, that my mom helped pick out and name years before she herself passed away, has been fighting a very rare case of necrotizing fasciitis that is universally fatal without aggressive surgery and management. She comes home today due to the expertise and loving care of the team at @msstate_vetmed. Since there are not many positive stories out there about this horrible condition, I wanted to share the hope for some who might be looking for it that it can be beaten if caught early and also celebrate the homecoming of our little Mississippi miracle dog. Thank you @msstate!
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Sheila Rege
Sheila Rege@SheilaRegeMD·
🇺🇸 July 4th means more than fireworks — it’s about the frontline heroes who fought and built this nation together. Like those patriots, physicians work every day as a team — sacrificing time, energy, and sometimes more — to protect and heal our patients. #physicians #AMA
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AMA
AMA@AmerMedicalAssn·
Today is a sad and harmful day for patients and health care across the country, and its impact will reverberate for years. This bill moves us in the wrong direction. It will make it harder to access care and make patients sicker because the lifelines of Medicaid and CHIP are severed. That is unacceptable. spr.ly/60154mR2T
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Sheila Rege
Sheila Rege@SheilaRegeMD·
Physicians going on strike in Great Britain. The “pay review body” recommended raises but this was ignored. bit.ly/1xdLqU3 itv.com
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AMA
AMA@AmerMedicalAssn·
Omar Atiq, MD, immediate past president of @ACPIMPhysicians and Christopher Seder, MD, of @RushMedical discuss what patients need to know about lung cancer screening and prevention. spr.ly/6014NxPNg
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AMA
AMA@AmerMedicalAssn·
The FDA approved the first at-home cervical cancer screening tool, offering an accessible alternative to pap smears. This at-home version could make screening for cervical cancer even more accessible, especially for those who can't make it to an in person appointment. Learn more from @AndreaGarciaWan, #OurAMA's VP of Science, Medicine and Public Affairs. spr.ly/6017NvhuZ
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California Medical Association
Cutting Medicaid will have disastrous effects on our communities. Half of all births and up to 2/3rds of children in California are on Medicaid. Protect our families. Protect Medicaid. Support physicians' work to #SaveMedicaid at physiciansformedicaid.org.
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Dutch Rojas
Dutch Rojas@DutchRojas·
Here is a lesson America still hasn’t learned: Competition isn’t chaos. It’s the only way prices go down. When two gas stations sit across the street, the price per gallon drops. When five contractors bid for your kitchen remodel, your quote gets leaner. When ten physicians compete on price and quality? You finally stop paying $12,000 for a colonoscopy at a non profit with a chapel. Here’s the brutal arithmetic: Competition = lower prices Lower prices = lower margins Lower margins = fewer yachts for executives—but more access for patients You want affordable healthcare? You need less cartel and more capitalism. Fewer monopolies, more Marines. Because disobedience to corrupt systems isn’t rebellion. It’s duty. #healthcare
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Sheila Rege
Sheila Rege@SheilaRegeMD·
🩺💼 Big voices. Big decisions. The AMA House of Delegates meets soon to shape the future of medicine — from AI to access to advocacy.
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Dutch Rojas
Dutch Rojas@DutchRojas·
𝗧𝗵𝗲𝘆 𝗰𝗮𝗹𝗹 𝗶𝘁 𝗵𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲. 𝗕𝘂𝘁 𝗶𝘁’𝘀 𝗿𝗲𝗮𝗹𝗹𝘆 𝗮 $𝟰𝟳 𝗺𝗶𝗹𝗹𝗶𝗼𝗻 𝗹𝗼𝗯𝗯𝘆𝗶𝗻𝗴 𝗰𝗮𝗺𝗽𝗮𝗶𝗴𝗻 𝗱𝗶𝘀𝗴𝘂𝗶𝘀𝗲𝗱 𝗮𝘀 𝗰𝗮𝗿𝗲. UnitedHealth, CVS, Elevance, Cigna, and Centene, The Five Families, aren’t in the healing business. They’re in the control business. They own the plans. They own the PBMs. They own the doctors. And they own Congress. While independent physicians fight AI algorithms for basic approvals, these corporations rake in $30 billion in profit and block every reform bill that threatens their grip. This isn’t inefficiency. It’s design. Every denial, every delay, every “prior authorization” is a feature, not a bug of a system rigged by law, built by lobbyists, and enforced by silence. Medicine didn’t break. It was hijacked. #InsurerRigged
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Sheila Rege
Sheila Rege@SheilaRegeMD·
Carrots have never tasted this good!
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Sheila Rege
Sheila Rege@SheilaRegeMD·
@dmorris345 @drdanchoi Without Medicare payment reform, most practices and hospitals won’t be able to cover costs. Shocking that physician payments have not even kept up with inflation.
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david morris
david morris@dmorris345·
@drdanchoi The doctor we just hired for our practice has been out of residency 5 years She said only 2 of 8 residents in her class are still practicing full time. The others are telemedicine, part time, or quit altogether That’s insane after wasting their entire lives to become a doctor
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Dan Choi, MD, FAAOS
Dan Choi, MD, FAAOS@drdanchoi·
Disagree that MD shortage is due to lack of training spots. Burned out physicians trying to leave clinical practice is truly at an all time high. Key is to look at why attending physicians after all those grueling years of training (med school, residency, fellowship) are trying to exit clinical practice after reaching “the promised land.” You’ve finally made it! All those late nights as a pre-med, sacrifices made away from friends and family in residency, tens of thousands of patient care hours spent to hone your craft and expertise. Finally getting to practice clinically as an attending is supposed to be the light at the end of tunnel. Another issue is that most graduating physicians are choosing to become employed instead of entering private practice (not by choice necessarily. most physician jobs available today are employed positions post ACA driven massive healthcare consolidation and death of private practice) which imo can be exacerbating MD shortage. Incentives of employed physicians vs private practice physicians can be very different. Employed physicians are evaluated on RVU/productivity KPIs and work hours usually designed to be more predictable, similar to shift work. Patient referrals “belong” to a health system and physicians are more so representing a corporate entity’s brand. Patients referrals as an employed physician are basically guaranteed as health systems have bought up most PCP practices in a community. But in private practice, referrals are never guaranteed and much harder to come by. Your reputation, availability, ability to take care of patients, and affability determine your survival in private practice. You’re more incentivized to be on 24/7 and you never say no to a ER consult or to any referring physician who wants to send you a patient. “Thank you for the interesting consult!” always. When 80% of physicians used to be in private practice working for themselves and building up their own brand & reputation in a community, the impact of any MD shortage in past may have been more blunted. To see young attendings trying to leave clinical medicine is one of many symptoms of a sick and broken healthcare system that has been overrun by corporate medicine. Medicine is a profession with physicians at their best and patients benefiting most when physicians maintain their autonomy. Restoring physician independence through restoration of physician access to capital and physician viability will do much to cure MD shortage.
Brittani James, MD@DrBrittaniJ

Don’t buy this for a minute. The MD shortage is manufactured by Congress. It exists because of corruption. The number of residency training spots is capped by Congress under the Balanced Budget Act of 1997. While medical schools have increased enrollment to address physician shortages, the number of residency slots—required for graduates to become licensed physicians—has not grown proportionally due to a lack of federal funding for graduate medical education via Medicare. This bottleneck disproportionately affects underserved areas, including inner cities and rural communities, where physician shortages are the worst. Let’s talk about it 🧵

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