I have never been the director of any professional group. I have, however, been directed. As such, I have a few tips for those who are directors and administrators. I give you my physician satisfaction system. It is arranged in no particular order. In every physician break room or lounge, there should be a wall for photos of girlfriends, boyfriends, children, spouses, parents, dogs, cats, horses, boats, new shotguns or whatever ...

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The daughter of the patient walked out of the room livid.  She was convinced that the nurse had no business taking care of patients.  She seethed as she recounted all the supposed injuries and mistakes that had occurred.  I took a deep breath and paused for a moment, trying to collect my thoughts. The daughter didn't know that I had watched this same nurse successfully perform CPR on a man the ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. In December, I concluded a 13-year term on the board of directors of the Rhode Island Quality Institute (RIQI). RIQI was formed in 2001 to “to significantly improve the quality, safety, and value of health care in Rhode Island.” For much of its ...

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A few months ago I went to visit my brother in San Francisco. My sister-in-law picked me up from the airport with my four-year-old nephew in the backseat. Shortly into our car ride from the airport, my nephew says out loud, "My leg hurts.” I replied, “I'll check it when I get home.” To which he retorted, “No, I want a doctor to check it.” “I am a doctor,” I shouted out. He ...

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Dear Fizzy, MD: Your article on part-time physicians “ruining” medicine really struck a chord with me.  That you, as a mother and a wife, chose to prioritize your wholeness and family above career is commendable. I applaud your courage to chart your own course in the face of a work culture that undermines your wellbeing while at the same time, expects you to deliver health and healing to others ...

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I could wallpaper a rather large wall with my diplomas, certificates, awards, and licenses.  Each gilded slip of paper demarcates a moment in the last 20 years when I finished, graduated, certified or did any one of many steps required to become a board certified physician. Yet, after all of the sleepless nights, deferred self-care and catastrophic debt -- after all this -- 3 years ago I sat at my ...

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Did you see this recent post on MedPage Today?  “Burnout: Is Medical School the Staging Area? Burnout prevention starts in medical school.” The article describes important new work at the University of Chicago Pritzker School Of Medicine to improve medical student resilience.  It’s great to see medical schools addressing burnout and equipping students with valuable coping mechanisms. As the post states, “One way to do this is to induce a ...

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So, you’ve finished all your job interviews and think you’ve found a perfect fit. Graduating from residency is exciting, but did you get any training on what it all means to sign on the dotted line? Below is a quick and dirty run-down of the contracting process from an industry insider. 1. Non-compete clauses. Non-compete clauses are not just a big med phenomenon; they are part of contracts in many different clinical settings. ...

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“Words are, of course, the most powerful drug used by mankind." - Rudyard Kipling I read Drs. Dhand’s and Carbone’s post with great interest: Physicians are not providers: An open letter to the AMA and medical boards. I began writing a comment; it turned into an essay. I support Drs. Dhand and Carbone in this endeavor. The word "provider" diminishes the people who cure, treat, and heal, whether they're physicians, nurses, nurse ...

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The fact that primary care is undervalued by Medicare and other payers has been long understood to be driving the precipitous decline in the numbers of new physicians choosing primary care internal medicine or family practice, and a growing exodus of established primary care physicians. Efforts to address this undervaluation have traditionally been to, 1) bump up the payments (relative value units) for the office visit codes traditionally billed by primary ...

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