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Miniseminar: The urge to merge: Practice amalgamations
P160
Scientific Sessions - - Wednesday
Otolaryngology H e a d a n d N e c k Surgery August 1997
10:30 AM to 12 NOON Room 104 MINISEMINAR: THE URGE TO MERGE: PRACTICE AMALGAMATIONS RICHARD WAGUESPACK, MD (moderato0, RANDE LAZAR, MD, IRA PAPEL, MD, MIKE PAPSIDERO, MD, LEE EISENBERG, MD, and WILLARD B. MORAN, MD, Birmingham, Ala., Memphis, Tenn., Owings Mills, Md., Cleveland, Ohio, Englewood, N.J., and Edmond, Okla. Physician practice amalgamation is an accelerating phenomenon, driven by a perceived need to consolidate in an increasingly managed environment. On one end of the spectrum are practice mergers and formation of independent practice associations (IPAs). At the other end of the spectrum are regional management service organizations being created "from the ground up" that absorb smaller single-specialty practices for the purposes of integrated management and, ultimately, going public. In between these extremes are
physician practice management companies that purchase single-specialty or multi-specialty practices for stock or cash and manage them. Examples are PhyCor and MedPartners. Panelists will include physicians who will discuss the formation and operations of the following otolaryngology entities: (1) a statewide IPA, (2) a practice owned and managed by a PPMC, and (3) a regional MSO. In addition, a practice manager will provide the perspective from an administrator' s view.
10:30 AM to 12 NOON Room 102 MINISEMINAR: A PRACTICAL APPROACH TO VERTIGO STEPHENG, HARNER, MD (moderator), JOEL A. GOEBEL, MD, and NElLT. SHEPARD, PhD, Rochester, Minn., St, Louis, Mo., and Ann Arbor, Mich. Vertigo is a common complaint facing the practicing otolaryngologist on a frequent basis. Patients with vertigo are challenging; however, the practitioner can do a few basic things to make the diagnosis and management more efficient. The three participants will present some of their ideas regarding history-taking, physical examination, laboratory evaluation, and management. Management approaches will include medical, surgical, and rehabilitation approaches. Efficient utilization of resources and avoidance of unnecessary diagnostic and therapeutic modalities will be emphasized. Some of the practical tips include: (1) organization of paperwork, including the questionnaire, before the visit; (2) key points to be obtained during history-taking; (3) three
new office tests of vestibular function; (4) practical posture and gait training; (5) when to obtain electronystagmography, rotary chair testing, and platform testing; (6) signs and symptoms of aphysiologic sway; and (7) the decision between medical management, surgical management including chemical labyrinthectomy, and exercise or a rehabilitation program. GOALS: (1) Practical approach to the diagnosis of the patient with vertigo (2) Management of patients with vertigo (3) Indications for referral for diagnostic or therapeutic purposes
Scientific Sessions - - Wednesday
Otolaryngology H e a d a n d N e c k Surgery August 1997
10:30 AM to 12 NOON Room 104 MINISEMINAR: THE URGE TO MERGE: PRACTICE AMALGAMATIONS RICHARD WAGUESPACK, MD (moderato0, RANDE LAZAR, MD, IRA PAPEL, MD, MIKE PAPSIDERO, MD, LEE EISENBERG, MD, and WILLARD B. MORAN, MD, Birmingham, Ala., Memphis, Tenn., Owings Mills, Md., Cleveland, Ohio, Englewood, N.J., and Edmond, Okla. Physician practice amalgamation is an accelerating phenomenon, driven by a perceived need to consolidate in an increasingly managed environment. On one end of the spectrum are practice mergers and formation of independent practice associations (IPAs). At the other end of the spectrum are regional management service organizations being created "from the ground up" that absorb smaller single-specialty practices for the purposes of integrated management and, ultimately, going public. In between these extremes are
physician practice management companies that purchase single-specialty or multi-specialty practices for stock or cash and manage them. Examples are PhyCor and MedPartners. Panelists will include physicians who will discuss the formation and operations of the following otolaryngology entities: (1) a statewide IPA, (2) a practice owned and managed by a PPMC, and (3) a regional MSO. In addition, a practice manager will provide the perspective from an administrator' s view.
10:30 AM to 12 NOON Room 102 MINISEMINAR: A PRACTICAL APPROACH TO VERTIGO STEPHENG, HARNER, MD (moderator), JOEL A. GOEBEL, MD, and NElLT. SHEPARD, PhD, Rochester, Minn., St, Louis, Mo., and Ann Arbor, Mich. Vertigo is a common complaint facing the practicing otolaryngologist on a frequent basis. Patients with vertigo are challenging; however, the practitioner can do a few basic things to make the diagnosis and management more efficient. The three participants will present some of their ideas regarding history-taking, physical examination, laboratory evaluation, and management. Management approaches will include medical, surgical, and rehabilitation approaches. Efficient utilization of resources and avoidance of unnecessary diagnostic and therapeutic modalities will be emphasized. Some of the practical tips include: (1) organization of paperwork, including the questionnaire, before the visit; (2) key points to be obtained during history-taking; (3) three
new office tests of vestibular function; (4) practical posture and gait training; (5) when to obtain electronystagmography, rotary chair testing, and platform testing; (6) signs and symptoms of aphysiologic sway; and (7) the decision between medical management, surgical management including chemical labyrinthectomy, and exercise or a rehabilitation program. GOALS: (1) Practical approach to the diagnosis of the patient with vertigo (2) Management of patients with vertigo (3) Indications for referral for diagnostic or therapeutic purposes