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_115761625 The Medscape Physician Compensation Report puts primary care physicians at the bottom of the heap, with a median earning of less than $200,000 per year in 2014. What if the largest insurer of older Americans took those numbers to heart and decided to give primary care a pay raise of 25 percent, in recognition of and better support for ...

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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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shutterstock_173798813 My daughter was born, three months premature, during my third year of residency.  Following a harrowing three months in the NICU, we joyfully welcomed her home. After eight blissful but isolating weeks, I was eager to return to the wards. I happily reunited with colleagues and patients, but I also deeply missed being home. During quieter moments, I daydreamed about stroking ...

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shutterstock_228580378 I have written previously about some “aha moments” that I have had as a clinician, when something that I knew was coming seemed to arrive with a thud in my own practice. I had another one of those moments a couple of weeks ago. I was finishing up with a new patient, and had explained to him and his wife my assessment ...

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