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21 June 2005 Annals of Internal Medicine Tip Sheet

Annals of Internal Medicine is published by the American College of Physicians. These highlights are not intended to substitute for articles as sources of information. For an embargoed copy of an article, call 1-800-523-1546, ext. 2656, or 215-351-2656. Leave fax or e-mail and article topics.

Physicians Performing Independent Medical Exams Can Be Liable for Damage

Physicians performing independent medical examinations (IMEs) for a third party, such as an employer in disability dispute, still owe some legal duties to the patient, even in the absence of a traditional physician-patient relationship (Perspective, p. 974). A commentator reviews judicial rulings, outlines four potential duties the IME physician may owe to the patient, and discusses actions that IME physicians can take to limit liability.

"Provider Power" is a Key Factor in U.S. Rising Health Care Costs

In the third of a four-article series on the high and rising health care costs in the United States, a commentator discusses how the strong U.S. health care provider market of physicians and hospitals keeps prices and quantity (numbers of visits and procedures) high. The interaction of this "provider power" and the rapid dissemination of new technologies, he says, explains why health expenditures are higher in the United States than in other developed countries and why the expenditures are growing so fast (Medicine and Public Issues, p. 996).

NIH Conference on Management of Menopause-Related Symptoms

Statement of a state-of-the-science conference is available online now.

Evidence-Based Practice Centers: Results, Lessons Learned, Challenges.
---A 12-Article Supplement to Annals of Internal Medicine

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