I've often given doctors too little credit when it comes to business decisions. But, in an op-ed published at Reuters, physician Ford Vox argues otherwise. He notes that doctors, indeed, have tremendous business sense:

How can anybody say that doctors don’t have business sense, when not only do most American physicians forge their way in small private practices, but new doctors lay their cards on the table every year? The competitiveness of ...

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Originally published in MedPage Today by John Gever, MedPage Today Senior Editor Many hospitals that spend relatively little per patient deliver good-quality care, researchers said. Medicare data indicated that hospitals in the highest quartile of per-patient cost for initial treatment of pneumonia or congestive heart failure (CHF) did not have markedly lower readmission or risk-adjusted mortality rates than hospitals in the lowest ...

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Primary care's woes have been well documented, especially on this blog. Pressure on reimbursement, combined with rising bureaucratic impediments to the doctor-patient relationship, are both causing primary care physicians to retire early, or seek another career path. But what about on the other side of the spectrum, namely, newly graduated primary care doctors? Well, they're no dummies, as it's obvious to them how difficult it is to practice primary care in a traditional ...

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Originally published in HCPLive.com by Owen Dahl and Altamash Rahman “Her MA is very rude, uncompassionate. Dr. ABCD doesn’t return phone calls. They’re not helpful and not good with following up with the care plan for patients. We’re new seeing this doctor, but will never go back. I would not recommend this practice at all!!!!!!” How would you handle a comment like this when ...

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Dr. Barth Green co-founded Project Medishare, which has worked in Haiti for two decades. He led the first team of U.S. physicians to Port-au-Prince after the earthquake and, together with the University of Miami’s Global Institute, spearheaded the development of a 240-bed tent hospital that is now the country’s largest functioning urgent care hospital. His group is working with the U.S. government to establish Haiti’s first rehabilitation hospital. Green ...

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I am very blessed. The hospital where I practice, while concerned with patient satisfaction, does not worship at its altar. That is, so far our administrators seem to understand that people will occasionally be angry or unsatisfied, and that such dissatisfaction is within the realm of real life. We still have people storm out of the emergency department, prattling on about lawyers and lawsuits, promising to go to another hospital in ...

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Are hospitals victims of hospitalists' success? Interesting observation from cardiologist Dr. Wes, writing in Better Health. He notes that hospitalist services are so busy that they are limited in the number of patients they see. That's similar to the caps many medicine programs have on their residents. Who, then, takes care of the patient? It won't be the primary care doctor, who has divorced himself from inpatient care (besides, as a ...

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I just finished rotating at a community hospital where one of the most interesting things I’ve enjoyed is stopping by the Doctor’s Lounge. I can always count on a getting coffee there and hearing some good conversation – doctors asking for input on interesting cases, laughing, sharing stories, both personal and professional, and catching up on each other’s busy lives. In fact, I ran into an old friend of mine ...

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A recent editorial in the Boston Globe addressed the dearth of primary care physicians. The piece concluded: “Federal funding for new residency slots should follow reforms that address the underlying reasons - principally money - that lead doctors to choose to specialize.” Money is certainly important. But there is another obstacle to attracting primary care doctors that is more subtle, though perhaps equally important. Consider the following story. Recently I had ...

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Every now and then, I read and enjoy a book, but only later fully appreciate it as its lessons and insights slowly become apparent. Judging by the number of times I’ve said, “That reminds me of Gawande’s observations about ___” over the past month, The Checklist Manifesto is one such book. In this short, deceptively simple volume, Atul (who I count as both friend and inspiration) discusses the history ...

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