An excerpt from Physician Employment Contracts, The Missing Module: A comprehensive introduction to physician agreements written for doctors. Professional liability or “malpractice” insurance protects a physician and the employer from claims related to the negligent practice of medicine. Two common types of professional liability coverage carried by major insurance companies are “claims-made” ...

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Can you let things roll off your shoulders? Are you the tough, no-nonsense, tell-it-like-it-is, stand-your-ground type? Do you show up to work no matter what? Has no one ever seen you cry at work? Are these things resilience? We nurses openly divulge the issues that make us leave the bedside, even amid a vast shortage of nurses. Professional organizations report these issues, and academic, and research institutes aggregate data for a convenient ...

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I would like to explore a typical American health care experience through a different lens: energy. Upon entering a hospital, I would see bright lighting and hear the gentle hum from ventilation. If I were to get an MRI, this requires significant energy often supported by fossil fuels. For blood work, there would be medical waste generated from my stick. While grabbing a quick bite to eat in the hospital cafeteria, ...

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I think we can all agree that women have a lot more hoops to jump through when it comes to contraception. If a woman wants to go on the pill, she has to go through the bureaucratic process of seeing a doctor and getting a prescription. This is why I am so happy to see Alexandria Ocasio-Cortez and Ted Cruz agreeing to support a bill ...

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I had the distinct pleasure working with family physician colleagues in Sweden recently. It was a similar experience to a trip I made to Britain about five years ago that I also wrote about. I got to spend some time watching one of my colleagues care for her patients in her surgery (they use the same description of a clinic as the British). I got to spend some time watching ...

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The day of solo practitioners is coming to an end. In its place will be gaggles of gastroenterologists and flocks of physicians. Mega practices are becoming the norm in American medical care.

Here’s a few pictures of this trend, somewhat dated (they only go through 2015) but still quite revealing.

The figure below illustrates the distribution of primary care physicians in the U.S., from June 2013 ...

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When the paramedic calls in and says "transporting non-emergent …" I think of this wonderful story. I was once "deposed" by the state medical board to speak on behalf of a friend who had been charged with "unprofessional behavior," because he missed an abnormal lab that resulted in a patient having unforeseen (but non-lethal) complications. It was really a systems issue, but somebody thought my friend needed to be made an ...

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Health care reimbursement in the U.S. is frighteningly complex. We have federal payers, like Medicare; state/federal payers, like Medicaid; private, for-profit insurance companies, like Aetna; private, not for profit insurers, like many local Blue Cross Blue Shield networks. Oh yes, and we have private insurance companies managing reimbursement for many Medicare and Medicaid recipients. This complexity comes with costs. Doctors and hospitals need to hire armies of people to process bills ...

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The World Health Organization describes universal health coverage -- a system coupling health care access with financial protection for all residents -- as the “single most powerful concept that public health has to offer.” The goal of universal care is to give all people the equal opportunity to enjoy the best health possible. I wholeheartedly endorse universal health care, though not a single-payer system like "Medicare for all" because there is ...

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Jill Ladkin was already having a terrible autumn. It began with a seizure that put her in the hospital with what seemed like scores of unfamiliar physicians attending to her state of health. The brain scan revealed a mass in the lining of her brain, a location usually signifying a benign tumor; but, given her seizure, the tumor was hardly what you would call a harmless growth. The surgeon had a theory of what ...

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