In my last blog post I discussed how harmful physician “thought leaders” can be when they are dismissive of the value of other specialists’ care. I must have touched a nerve because a passionate discussion followed in the comments section. It seems that physicians (who spend most of their time engaged in clinical work) are growing tired of the leadership decisions of those who engage in little to no ...

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It is an oft-recited paradox that Americans like the men or women representing them in Congress while hating Congress as a whole. In fact, respect for Congress is near all-time lows. In what has to be seen as a bad sign for the medical profession, people’s attitudes towards physicians are beginning to look downright Congressional. Most Americans like their doctors, with surveys showing that the majority report being completely or very ...

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The quality-measurement enterprise in U.S. health care is troubled. Physicians, hospitals, and health plans view measurement as burdensome, expensive, inaccurate, and indifferent to the complexity of care delivery. Patients and their caregivers believe that performance reporting misses what matters most to them and fails to deliver the information they need to make good decisions.
Thus begins a recent editorial in the New England Journal of Medicine. It was accompanied by ...

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shutterstock_172067600 It seems everywhere you look in health care today; some consultant is telling you that "less" is actually "more."  Less care leads to more quality.  Less expense brings better outcomes.  Nurse practitioners with less training are more cost effective.  Fewer work hours for residents builds a safer hospital environment. Never in our entire history have we gotten so much for so little. Arshya ...

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shutterstock_116767843 Meaningful. Having a serious, important, or useful quality. You know this word because you want it to define your life. Nearly all of us, at some point, will seek a more meaningful existence. Most wish our jobs were that way too. Meaningless. Having no purpose or reason. Ouch. We don’t want anything to do with that. Meaningless makes us question what in the ...

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medpagetodayFrom MedPage Today:

  1. President Promotes ‘Patient-Powered’ Genomics Project. Imagine if physicians could select a personalized cure for a particular patient's cancer in one easy step.
  2. Match Not to Blame for Low Resident Salaries. Resident salaries are low, but it's not the match's fault.
  3. Mixed Results for Obamacare Tests in Primary-Care ...

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Many physicians I know are struggling to make ends meet while making several hundred thousand dollars per year. Despite growing incomes, their savings rates remain extremely low due to ever increasing expenses. What they do manage to save, they turn over to professional money managers. How does this happen? Why are some of the smartest, hardest-working and most responsible members of our society unable to create real wealth? The answer is ...

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freedom formula An excerpt from The Freedom Formula for Physicians. Get the last copy of your pay stub. What is your year-to-date compensation? What is your annualized compensation? Hint: Take your current compensation and multiple it by 12, divided by the number of months already compensated. For example, using an end-of-the-month May check, multiply the amount by 12 divided by 5. Get the ...

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There is a scene in the movie, The Matrix, in which the main character Neo is offered a choice between the red pill and the blue pill.

This is your last chance. After this, there is no turning back. You take the blue pill -- the story ends, you wake up in your bed and believe whatever you want to believe. You take the red pill -- you stay in Wonderland, and I ...

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A medical student asked to speak to me about a month ago at the Philadelphia College of Osteopathic Medicine, where I am an Instructor of family medicine. He has been very active in our school’s Primary Care Scholars program and community health outreach activities. “Dr. Chan,” he said, “I am so torn. I really love primary care, but I am so worried that I won’t be able to get my ...

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