Specialty Focus   
Volume VI | Issue 20                                                                                   
May 16, 2017  
        Practice specific news, analysis and commentary 
      for Florida's Medical Specialists
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

Nearly 1 in 3 Recent FDA Drug Approvals Followed By Major Safety Actions
Sydney Lupkin | KHN

The Food and Drug Administration is under pressure from the Trump administration to approve drugs faster, but researchers at the Yale School of Medicine found that nearly a third of those approved from 2001 through 2010 had major safety issues years after they were widely available to patients.

Seventy-one of the 222 drugs approved in the first decade of the millennium were withdrawn, required a "black box" warning on side effects or warranted a safety announcement about new risks to the public, Yale professor Dr. Joseph Ross and his colleagues reported in JAMA on Tuesday < 5.9.17>. The study included safety actions through Feb. 28.

The Physicians Keeping MLB's Athletes on the Field
Eric Oliver, in a 5.10.17 Becker's Orthopedic Review post, reveals the doctors for Florida's baseball teams as follows:

Miami Marlins
  • Lee Kaplan, MD, of University of Miami Miller School of Medicine, Medical Director
  • Daniel Kanell, MD, of Fort Lauderdale based Broward Health, Head Team Physician
  • Bryson Lesniak, MD, Associate Team Physician
  • Cliff Page, MD, of UHealth, Associate Team Physician
Tampa Bay Rays
  • James Andrews, MD, of Andrews Institute for Orthopaedics and Sports Medicine in Gulf Breeze, FL, Medical Director
  • Koco Eaton, MD, of St. Petersburg based Eaton Orthopaedics, Orthopedic Team Physician
  • Michael Reilly, MD, of St. Petersburg based Saint Anthony's Hospital,  Medical Team Physician
Not surprisingly the doctors on the Marlins and Rays medical staffs are all orthopods and/or sports medicine specialists. 
Mandating MOC to practice medicine is an appalling overstep of nonexistent authority
Carlos J. Cardenas, MD, President 
Texas Medical Assoc. | KevinMD

Maintenance of certification (MOC) for something as significant as the practice of medicine seems like a harmless enough idea. But for physicians across the country who dedicate thousands of hours to study, earn licensure, achieve board certification, and practice medicine, MOC is not only unnecessary but also a resource-consuming mandate that does nothing to improve patient outcomes and quality of care.

According to the American Board of Medical Specialty's (ABMS) own website: "Board certification is a voluntary process, and one that is very different from medical licensure ... Board certification demonstrates a physician's exceptional expertise in a particular specialty and/or subspecialty of medical practice." In other words, physicians who pursue board certification self-identify as professionals committed to ongoing learning and subject-matter mastery. The vast majority of Texas physicians willingly pursue and obtain their initial certification for just that reason.

Patients Who Drink Too Much
MD Whistleblower

When I am facing an alcoholic in the office, I do not advise him to stop drinking. Other physicians may advocate a different approach.  We live in a free society and individuals are free to make their own choices. I have decided, for example, not to own a firearm, ride a motorcycle or bungee jump as these activities are not only beyond my risk tolerance threshold, but are also activities that I have decided would not enrich my life. Many smokers, though addicted, enjoy the experience and are aware of the risks of this activity.

My responsibility as a physician is to inform and counsel, not to lecture or preach. I tell alcoholics with clear candor the medical risks they face if they decide to maintain this lifestyle.  I advise them that if they wish to aspire to sobriety, that I will refer them to appropriate professionals for treatment. I further inform them that in my decades of experience, very few alcohol addicts can quit on their own, despite their vigorous declarations that they can do so. Finally, I tell them that if they decide to venture on the difficult journey away from wine and spirits, that I will be there at every step to assist and encourage them. However, there is no hectoring or finger-wagging from me. No threats or intimidation - which never work anyway - just cold facts and honest predictions. The patient is then free to make his decision, as he is with any medical proposal.