What Is Your Sense of the Use or Overuse of Technology by Physicians?

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I think that one of the revolutions in medical care would be to go back to what's called secondary medicine. So primary care we understand that that's the first line physician, tertiary care we understand that that's complicated medicine, quaternary care this new term for super specialized medicine transplant, medicine and genomic medicine and all such of things.

When we talk about secondary medical care, secondary care is one of my medical school metric described it as a specialist who can practice in a power outage. So it's basically someone with specially knowledge understand diseases, sees people with unusual conditions all the time.

Who can see the patient first before other technology is applied, and maybe eliminate half the technology half the studies that need to be done because they'd say, oh yes, I see this all the time, here's what you need to do. And we see that interestingly, I saw a resurgence of that when we started doing E-consult.

So I as a generalist now can request the consult from a specialist that mail, by sending them an email, if you will that says, would you see this patient virtually and just look at the things that I have gathered. It requires the specialist trusting my physical exam and my skills that way in about 75% of the time they can answer me and say do this.

About 25% of the time they say, You know that's more than just an E-consult, I need to see the patient but that's applying that secondary medicine. It's letting that person with specialty disease smarts look at the pieces of the case and help me practice as a generalist.