Dear lawyers: You got it right. Your operations make sense. I know this is wrong for me to say -- doctors and lawyers are often at odds with one another -- but I have to tip my cap here. I have this unsettling feeling that -- from a professional standpoint -- your billing practices make sense. And the way you do your documentation also makes sense. Your delegation and hierarchy make ...

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We primary care physicians hate data. Taken on their own, numbers are benign, but when we hear the word "data," physicians are reminded of a litany of related issues that make our lives far more difficult: checkboxes. Regulatory compliance. Prior authorizations. Unnecessarily complicated payment schemes. By virtue of our training and the principles that guided the decade we spent obtaining our degrees, we are empiricists by nature. It's sad to think ...

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Three years ago, I had a massive, life-changing event. It passed with little notice; it was beyond banal and happened while eating sushi with a colleague in a landlocked state. Here I am with a young patient at the direct primary care practice I opened in Kansas City, Kansas, after residency. We were in our last year of residency (he in internal medicine, myself in family medicine) and had realized that we ...

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The first time I was asked to provide a bio — in this case, it was to appear on my residency's website — I wasn't sure what to include. It was supposed to be short, not really an autobiography or memoir and it was supposed to make our program look approachable, impressive and balanced. I gave a quick summary of my background, my education, my interests, why I picked the ...

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