shutterstock_126729563 I head to work at my new locums job on the California coast. Summer 2015 is going to be a great one, I think to myself. I make the turn into the hospital parking lot, and a rusty old Trans Am cuts me off. I slam on the brakes to the soundtrack of screeching tires. Geez, I think to myself. It’s ...

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shutterstock_229830739 I recently read an article written by a human physician about her personal feelings and other people’s reactions to her decision to quit practicing medicine. The author frames the article around how her choice was made after she recognized how detrimental her career was to her own health. The irony of a doctor abandoning her profession because it was causing ...

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Pamela-Wible-Keynote-Speaker--640x480 I recently delivered a keynote in St. Louis to 600 health care leaders from a health system with 20 hospitals, 600 clinics, and 30,000 employees. They told me not to be afraid of the 12-foot-tall version of myself following me around stage. No problem. I’m one of the few people who has never been frightened by public speaking. The larger the audience ...

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Many times I have been approached to tell my story of being part of a physician family. Where would I begin? How does one cover respect, love, trust, commitment, resilience, frustration, loss and longing in one brief message? It isn’t done. I’ve decided to give you as brief an overview as I can, then, if there seems to be interest in any particular aspect, I can expand on that element ...

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15.03.05 Clinical Trials Cover Small An excerpt from Clinical Trials: How Successful Doctors Navigate the Constantly Changing Medical System to achieve Financial Well Being. There is a common assumption that following a successful medical career, the logical next step is to sail off into the sunset and enjoying a life of luxury. This may be the case for some, ...

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shutterstock_194126468 I took ten years off to play in rock bands before I applied to medical school. So when, at 31, I found myself drowning as I drank from the fire hose of medical school information, I knew I had to make a change. I discovered the concept of high-yield and it seemed like the answer to my prayers. It is a simple ...

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shutterstock_144006859 A loyal reader alerted me to news of a lawsuit brought by an obstetrician in South Carolina who is suing a hospital for suspending his privileges. He had performed a cesarean section while sitting on a stool because he had a foot fracture secondary to diabetes. Several witnesses said that the doctor "had been unable to properly view the ...

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shutterstock_213079855 I noticed that my writing and conversations with others convey far less emotion than usual.  My reserve for tolerating stress had reached maximum capacity, which I realized upon my first day back at work from vacation three weeks ago as exhaustion immediately erased any sense of relaxation from my trip.  Perhaps I should have requested two weeks off instead of one?  Either way, ...

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I would think that when physicians decide where to set up practice, there are things that they would want to think about other than how much money they’ll make.  Yet if one reads Medscape’s current list of the best and worst places to practice, it would appear that money trumps everything else (although Medscape said it also considered factors like “cultural attractions”). What Medscape apparently did not consider ...

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shutterstock_124482742 The insurance company insisted that they would be saving money in the end.  So they sent the PA (physician assistant) to my patient's house.  They didn't take into consideration that I was just there a week before.  Or that I made home visits on a regular basis.  In fact, they didn't even inform me about the appointment. My patient later told me ...

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