Responding to subpoenas and other demands for records and testimony.

Being served with a subpoena can be an intimidating event for a physician. This article provides a point-by-point guide to responding to subpoenas and other demands for records and testimony.

Physician control of health care delivery in the managed care environment.

Managed care is a part of nearly every physician's practice. Physicians need not, however, lose control of their practices. By taking predetermined risks, physicians can maintain control over the quality of medical care, the manner in which that care is provided, their incomes, and their futures.

OSHA knocking on doctors' doors.

New regulations by the Federal Occupational Safety and Health Administration require every medical office to train staff, offer hepatitis vaccinations, and impose universal precautions. An "occupational exposure control plan" is required of every office.

SBME overhauls health care delivery structure.

SBME requires office manuals and additional paperwork, and limits dispensing of drugs and medical equipment. Multispecialty facilities with physicians and other health care professionals are permitted in the same professional corporation, with private investors funding the company.

The feasibility of physician unions and collective bargaining.

The increasing control of third-party payors over independent physicians through the use and management of practice parameters and utilization management protocols along with significant fee reductions has led to frustration and disappointment for many physicians. In response, some physicians are seeking solutions to balance the inequities. One action that has been suggested is the formation or assimilation into trade unions or organized labor. This report will explore some of the significant legal issues.

Physician hospital organizations: through lawyers' eyes.

A physician hospital organization may be a necessary step in the evolution of health care. However, many important decisions must be made in addressing the competing requirements of hospitals and physicians in the original design of the organization.