professional practice gap

if you want to get to San Francisco, one of the first things you need to know is, where are you now?  this implies that you are paying attention to details before you get behind the wheel!

I'm just kidding. But seriously it's very helpful when you identify what is wrong with the way physicians are practicing medicine before you try to fix it. Otherwise you will get stuck in the routine of bringing in "good speakers" who entertain but don't really help you change anything.


there are easy ways to develop a professional practice gap and sometimes the work is more involved. If there is a new treatment, probably nobody knows about it, but you think they should. Boom! There is your practice gap.


Maybe the gap is little more complex. You aren't getting your patient population's blood pressure under control as well as you would like. In my practice, about 70% of the patients had the most recent blood pressures below 140/90. We wanted that number closer to 90%.  We had these numbers because of our electronic medical record, one of the few times I was actually happy that we had it.

What do we need to teach in order to close that gap? Well, probably lots of things. Our medical assistants need to know the proper procedure for blood pressure, including letting the patient empty a full bladder before the measurement. Our physicians need updates on current treatment recommendations. They need to know about some of the new drugs available. They need to know some of the newer techniques regarding measurement of exotic things like aldosterone. It would help if they had some talking points for patients who are "just stressed this week and let's recheck next time". And so on.