PracticeLink Magazine

FALL 2018

The career development quarterly for physicians of all specialties, PracticeLink Magazine provides readers with feature articles, compensation stats, helpful job search tips—as well as recruitment ads from organizations across the U.S.

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Practice l ink.com F A ll 2018 41 T E C H N O T E S mytpmg.com Chesapeake | Norfolk | Virginia Beach | Suffolk Hampton | Newport News | Williamsburg | Yorktown Gloucester | Urbanna | West Point After Hours Care • Allergy • Immunology • Audiology • Cardiology • Central Laboratory • Clinical Research Cosmetic and Reconstructive Surgery • Dermatology • Endocrinology • ENT • Otolaryngology Family Medicine • Internal Medicine • Geriatric Medicine • Gastroenterology • General Surgery Colorectal Surgery • Hospitalist • Imaging and Breast Center • Nephrology • Neurology • Nutrition Services Obstetrics and Gynecology • Ophthalmology • Orthopedics • Spine • Sports Medicine • Foot and Ankle Pain Medicine • Pediatrics • Physical Therapy • Fitness • Procedure Suite • Psychiatry and Behavioral Medicine Pulmonology • Rheumatology • Sleep Health • Urology • Weight Loss Medicine Administrative Staff Support Leadership Positions Available Leadership Positions Available Administrative Staff Support Administrative Physician Owned and Operated Leadership Positions Leadership Positions Available Physician Directed Quality Care Shareholder Status Available Physician Directed Quality Care Physician Physician Directed Quality Care Physician Accountable Care Organization Leadership Positions Available Accountable Care Organization Accountable Care Organization Autonomy of True Experience Care Contact John Bryant, MD 757.232.8794 Career Opportunities Available population that tends to believe that early screening is always a good thing. The u SPS t F recommendation also made it seem like breast cancer screening should never happen before the age of 50. It didn't consider the risks and benefits of screening from an individual patient's perspective and experience. In 2016, the u SPS t F updated their recommendations to include the following Grade C recommendation: "The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms." This recommendation is difficult for patients and physicians to manage because it's hard during a 10- to 15-minute office visit to truly explain and understand the patient's risk, context and values. Enter the WCM BSD app, a collaboration between Weill Cornell Medicine and Memorial Sloan Kettering Cancer Center. WCM BSD is a tool to help patients and their physicians decide how often they should have screening mammograms performed. Some of the key questions the app is designed to answer include: • Should you have screening mammograms in your 40s or wait until you are 50? • Should you have a mammogram every year, or every other year? The app also helps patients see their own personal risk of breast cancer and learn the benefits and harms of screening mammograms. After a patient enters responses to a series of 11 questions, the application displays the patient's overall risk factor as a pictograph. This type of visual representation is much easier to understand than percentages or statements, such as "your chance of developing breast cancer in the next 5 years is 0.7%." The app also explains what a screening mammogram is and how it is performed. An important part of the app is the "benefits and harms" section. The general public has a good understanding of the benefits of screening mammograms, but often

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