Neil H. Baum, MD

Neil H. Baum, MD

Tulane University School of Medicine, Louisiana State University Medical School, Vanguard Communications Group

New Orleans, Louisiana

Neil H. Baum, MD, is a Clinical Professor of Urology at Tulane Medical School in New Orleans, Louisiana. He is also a retired urologic surgeon. Additionally, Dr. Baum serves as the Medical Advisor to Vanguard Communications Group. Dr. Baum is the author of Marketing Your Clinical Practice - Ethically, Effectively, and Economically, which is in its 4th edition, has sold over 175,000 copies, and has been translated into Spanish. He also wrote The Complete Business Guide to a Successful Medical Practice, which was published in 2015. Dr. Baum was the columnist for American Medical News for more than 25 years. Dr. Baum also wrote the popular column, “The Bottom Line,” for Urology Times for more than 20 years. He is a requested speaker each year to the Practice Management Seminar for the American Urological Association (AUA), where he discusses techniques for making urology practices more efficient and more productive. He has written more than 9 books on practice management and over 250 peer-reviewed articles on various urologic topics. Dr. Baum is also the medical advisor to Vanguard Communications Group.

Disclosures:

Talks by Neil H. Baum, MD

Improving Your Urology Practice: Addressing Financial Toxicity

Posted by | Feb 2021

Grand Rounds in Urology Contributing Editor Neil H. Baum, MD, Professor of Urology at Tulane Medical School in New Orleans, Louisiana, discusses financial toxicity and how urologists can help their patients navigate the stress associated with medical expenses. An estimated 40% of newly-diagnosed cancer patients will deplete their assets within two years after diagnosis. The compounding stress over direct and indirect costs of cancer treatment can ultimately lead to financial toxicity. Patients at higher risk of financial toxicity include those with advanced stage cancer, minorities, low-income patients, and patients receiving chemotherapy and radiation therapy, among others. Similarly, other factors in a patient’s life, such as whether cancer will impact their ability to continue working, whether they are the primary breadwinner, and their level of health insurance coverage, can increase financial stress. Dr. Baum advises urologists to ask their patients if the costs will be a burden and direct them to a financial navigator, such as a hospital social worker. Urologists can also help patients by offering pricing transparency, connecting them to cancer support groups, and even asking pharmaceutical companies for reduced cost medications.

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The Future of Medicine: At-Home Testing

Posted by | Jan 2021

Grand Rounds in Urology Contributing Editor Neil H. Baum, MD, Professor of Urology at Tulane Medical School, examines the burgeoning field of at-home testing, outlining its pros and cons and discussing its urologic application. At-home testing has become increasingly attractive during the pandemic as patients are able to minimize their possible exposure to COVID-19. It is also more convenient for patients and less expensive than lab testing, the latter being particularly important for uninsured Americans. Dr. Baum notes that some test providers offer telemedicine support to review test results, but also cautions that it is important not to over-promise, as not all at-home tests are FDA-approved and not all types of tests can be run with a small blood sample. Additionally, some home tests require patient history or necessitate a doctor to explain the results. The most familiar types of at-home tests include those for pregnancy or genetics, but there are now a number of new tests available such as IBS or celiac testing, BRCA-focused genetic testing, and fructose and lactose intolerance. For urologists, at-home testing for hematuria workup, semen analysis for infertility evaluation, UTI diagnosis, urine biopsy for PSA, screening for bladder cancer, and follow-up hormone testing are all on the horizon. Dr. Baum concludes that at-home testing is a proactive approach to patient care that further improves telemedicine.

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The Myth of Multitasking

Posted by | Jan 2021

Grand Rounds in Urology Contributing Editor Neil H. Baum, MD, Professor of Urology at Tulane Medical School, discusses the pitfalls of multitasking. He outlines the illusory thinking behind multitasking and its impact on productivity, and then offers solutions. Dr. Baum notes that multitasking often causes people to feel as though they are accomplishing more in a shorter period of time, but the opposite is actually true. Not only does multitasking decrease the quality of work performed, it also creates a vicious cycle: stress levels increase, which increases cortisol levels leading to impeded cognitive functioning, thereby further increasing stress. Dr. Baum notes that it takes approximately 25 minutes to refocus after an interruption, meaning doctors can lose up to two hours a day by multitasking. This ultimately creates unnecessary financial cost and contributes to feelings of burnout. Dr. Baum advises that physicians practice “unitasking,” or working on a single task at a time, take short breaks between tasks, and reduce distractions, especially during patient visits. He concludes by sharing several technology solutions, such as wearable sensors and free apps, that can help block out disruptions.

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Advocating for Your Patient

Advocating for Your Patient

Posted by | Jan 2021

Grand Rounds in Urology Contributing Editor Neil H. Baum, MD, Professor of Urology at Tulane Medical School, discusses how to and why one should advocate for patients following a denial of coverage by an insurance company. He explains why insurers deny coverage for mediations, services, durable medical goods, and treatments, noting that even if a rejection is successfully appealed, the process adds weeks or months to the reimbursement. Dr. Baum shares a success story of going the extra mile for a patient and the lessons he learned from that experience. He highlights the value of pursuing these cases, particularly the most egregious rejections. While appealing a rejection will not always be successful, he contends that nothing provides as much satisfaction as advocating for one’s patient.

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Finding a New Perspective with Locum Tenens

Finding a New Perspective with Locum Tenens

Posted by | Jan 2021

Grand Rounds in Urology Contributing Editor Neil H. Baum, MD, Professor of Urology at Tulane Medical School, presents the benefits of locum tenens, a contractual arrangement in which a physician works temporarily in another practice. These work assignments vary in duration and serve several purposes, including to fill vacancies in communities without urologists or to offer a break for a full-time urologist and/or those working in rural communities, who are often on-call 24/7. For doctors, locum tenens can decrease stress and lower the risk of burnout, as well as allowing them to gain experience by working with a new patient population in a different hospital or clinical setting. Semi-retiring urologists may use locum tenens as they transition, and newly-minted practitioners may use such assignments to determine the best practice fit for a permanent position. Dr. Baum touts the financial benefits: such as paid living expenses and travel costs, and possible stipends while on assignment. Additional perks include focusing on clinical work sans office politics, business responsibilities, or paperwork. He concludes with a review of the contract details, drawing attention to key areas such as compensation and malpractice coverage, as well as exclusions like health insurance and retirement.

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