Momentum remains in favor the flow of physicians to employed positions. Is this wisest path for physicians? That is unknown and likely depends upon the particular circumstance. Either way, independent physicians are an increasingly shrinking, yet curiously heterogeneous group. Independent practices vary in size, composition and philosophy. The impact of size (from solo to very large) and composition (primary or specialty care, single or multispecialty and physician demographics) is relatively ...

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shutterstock_152633582 When I was growing up, I thought that doctors had it made. About three months into med school I realized how wrong I was. Question: "Hi professor, what part of the chapter do I focus on?" Answer: "Everything." My text books would be out of date by the time I finished them. Just as I learned where they kept supplies in the hospital it ...

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shutterstock_233166463 "Knowledge is power." The words of Sir Francis Bacon still ring true almost 400 years later. For the most part, knowledge can provide the power to change lives, change communities and change the world. People born in adverse conditions can potentially improve their circumstances with a degree from higher education, and it is why the first college degree in a family ...

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shutterstock_161671763 I was at an orientation luncheon prior to my first week of medical school when my new classmate turned to me and asked, "So why did you decide to go back to school?" "Back" to school? In the eyes of this then-23-year-old future doctor, I must have appeared older than I was supposed to be. She was right. I was a little ...

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Practicing the art of medicine is my passion.  Whether I am translating poignant patient cases into prose for public education, providing informative commentary on current mental health news to the media, or speaking to students in a lecture hall, the art of medicine takes many forms. Recently, I was invited to present a TEDx Talk.  TEDx is an independently run event celebrating Technology, Entertainment and Design.  I chose to use ...

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shutterstock_193958318 If it weren’t for social media, I would not know that internal medicine physicians are challenging the ABMS Maintenance of Certification (MOC) requirements and the ABIM.  I became encouraged by their efforts and fascinated with details of the ABIM’s finances.   If you’ve been a board-certified physician for at least three years, you should know about MOC.  According to the American ...

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In a recent Forbes editorial, conservative commentator John Goodman argues that the Texas Medical Board is sending the state back to “the middle ages” because they are trying to limit the practice of medicine in the absence of a face-to-face, doctor-patient relationship. He believes that telemedicine should have an unfettered role in health care -- diagnosis and treatment should be available to anyone who wishes to share their ...

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shutterstock_176941343 asco-logo Facebook is a remarkable thing. I use it for private matters -- to keep in touch with family and friends from long ago. Because of it, I’ve reconnected with people from every stage of my life, as far back as third grade to high school to college and beyond. One of the ...

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shutterstock_189396983 Out-of-context quote of the day: “We have no malls and no Walmart.  Recruitment is nearly impossible.” These astonishing statements were made by Elizabeth Nelson, a nurse practitioner in Nebraska.  She was not talking about teenage summer jobs.  She was not talking about professional Walmart greeters, addicts of cheap stuff made in China who want an employee discount, or people who really like Cinnabon.   ...

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shutterstock_246706588 Did you know that you are a “telemedicine provider”? No? I can’t blame you for not knowing, but you are, and always have been. Well, maybe not always, but certainly since Alexander Graham Bell invented the telephone. Better yet, you provide free telemedicine services. Here is an idea: on the home page of your practice website, you should add a big ...

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