An IDWeek 2013 poster presentation quantified clinician fatigue with the finding that Boston-area primary care physicians were more likely to prescribe antibiotics for ARIs at the end of the day than when they were fresh on the job in the morning.
Clostridium difficile colitis can be cured by having patients swallow capsules brimming with other people’s concentrated stool. Inexpensive, effective, and readily available. This could be an enormous opportunity for primary care (if the FDA approves it).
This is an opportunity for primary care to help avert a public health catastrophe. Physicians need to take ownership over this issue and demand more time for URI patients—E&M criteria do not capture what is lost when these visits are viewed simply as “Level 2 Office Visit, CPT 99212.”