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A small but growing number of physicians are asking patients to sign agreements pledging not to post negative remarks about them on Web sites that allow the public to rate medical encounters.

Finding the best way to fix our broken health-care system remains one of our major challenges. Dr. Charles J. Lockwood summarizes two competing approaches, one championed by Michael Porter, which revolves around integrated practice units (IPU), and one recommended by Alain Enthoven, which hinges on the use of large integrated health-care delivery systems (IHS).

While EIF is often a benign ultrasound finding, it may signal aneuploidy. An expert in maternal-fetal medicine explains how to interpret this "soft marker" and how to explain its significance to patients.

The looming health-care crisis will bring about a sea change in the practice of medicine, predicts this expert. He assesses whether specialized teams or a return to capitation will likely win out and gives tips on preparing your ob/gyn practice for an uncertain future.

After forceps delivery and fourth-degree laceration, patient sues for ineffective repair, suffers from incontinence, and the child has CP.