Practice Management

How high taxes and the California Medical Board fuel the physician shortage

Physician

March 28, 2026

Picture this. You finish another long day caring for patients who need you. You head home exhausted but fulfilled. Then the worry creeps in. Will another complaint land on your desk tomorrow? Will your take-home pay cover the mortgage in this state? You love California. You trained here. You built your life here. Yet more and more of us are scanning job postings in Texas, Florida, or Arizona, not because …

How to spot artificial intelligence recruiters who target candidates from LinkedIn

Arthur Lazarus, MD, MBA

Physician

March 26, 2026

The rise of artificial intelligence-generated profiles means that by 2028, globally, one in four job candidates will be fake, according to research and advisory firm Gartner. Once hired, an impostor can install malware to demand a ransom from a company, steal its customer data, trade secrets, or funds. That is one side of the coin. Here is the other: the fake recruiter. I have been receiving emails from recruiters …

Independent medical practice: Why private clinics are essential

Marcelo Hochman, MD

Physician

March 24, 2026

Independent medicine is often described as nostalgic, a relic of a prior era in which physicians owned small practices and made decisions without corporate oversight. But independence is not nostalgia; it is infrastructure.

Today, nearly 75 percent of physicians in the United States are employed by hospitals, health systems, or corporate entities, according to the American Medical Association. In 2012, that number was closer to 50 percent. Private equity investment in …

AI bias in healthcare: When algorithms erase Black professionals

Seleipiri Akobo, MD, MPH, MBA

Physician

March 23, 2026

I was trying to be cool, so I recently joined a social media challenge with a simple prompt: “Create a caricature of me and my job based on everything you know about me.”

As a hospitalist, physician executive, and burnout architect, my digital footprint is deep. I talk about systemic health care reform, the psychology of exhaustion, and the structural “blueprints” needed to …

Criticism stings because doctors care deeply about their work [PODCAST]

The Podcast by KevinMD

Podcast

March 20, 2026

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Pediatrician and certified coach Jessie Mahoney discusses her article “Dealing with physician negative feedback.” Jessie validates the pain that comes with criticism, noting that it hurts not because physicians are weak, but …

The secret sauce of leadership trust in health care teams

All Levels Leadership

Physician

March 20, 2026

One of the true joys of leadership lies in building and leading an effective team. The sense of a shared vision and of all parts of the team striving in a coordinated fashion toward it is exhilarating. In contrast, we have all experienced what it is like when a team is struggling, with no common vision or shared effort. You might be wondering, “What is it that separates effective teams …

Physician financial risk: Balancing capacity and tolerance

Stanley Liu, MD

Finance

March 19, 2026

It keeps us up at night. We pay thousands to hundreds of thousands of dollars a year to protect ourselves from it. Our hospitals or practices have entire departments dedicated to managing it.

It is “Risk.”

Avoiding risk is an inherent part of modern medicine. Every day, we practice CYA documentation, ensure our patients sign informed consent forms, and do everything we can to minimize the risk that someone will sue us …

The hidden cost of long-term care policy for family caregivers

Gerald Kuo

Conditions

March 18, 2026

Every spring, millions of families across Chinese communities around the world travel back to their hometowns for Qingming Festival, often translated as “Tomb-Sweeping Day.” It is a centuries-old tradition of honoring ancestors. Highways fill with traffic. Families gather at gravesites to clean tombstones, burn incense, and leave offerings of food. On the surface, Qingming is about remembering the dead. But in many homes, the holiday quietly exposes a different reality: …

Why the Oregon National Primate Research Center is shutting down

Marge Peppercorn, MD

Physician

March 18, 2026

Update from Oregon Health & Science University:

Oregon Health & Science University clarifies that no decisions have been made about the Oregon National Primate Center at OHSU.

In February, the OHSU Board of Directors authorized the university president to enter discussions with the National Institutes of Health about the possibility of transitioning the ONPRC to a primate sanctuary.

The board passed a resolution to begin a six-month timeframe for the parties to develop …

The hidden math behind physician hiring costs and recruitment

Timothy Lesaca, MD

Physician

March 18, 2026

Most physicians know what they earn. Far fewer know what it costs to hire them or replace them. A colleague once told me in frustration, “It takes me two years to get my money back on a new hire.” I understood the frustration, but not the math. I thought of hiring the way many physicians do: salary, benefits, maybe a signing bonus. It seemed straightforward. It is not. Hiring a …

First-generation physician: Navigating the first attending contract

Sagar Chapagain, MD

Physician

March 14, 2026

I just signed my first attending contract.

It should feel like pure celebration. Mostly, it does. But it is also a moment that forces reflection. For first-generation physicians, the hardest part of the journey often is not medical school or residency. It is learning how to navigate what comes after, inside systems we were never born into.

You are just as capable, compassionate, and prepared as anyone else. You have worked harder …

The health care credentialing gap: Why top-down hiring fails

Jasmin Chui

Conditions

March 13, 2026

For many years the health care industry has operated under the “prestige” hiring model. We have been led to believe that to solve the crisis of patient safety and quality, we basically need more of the “top-tier” talent and specialists for MDs, more PhD-level nurses, and highly credentialed execs.

But we are now in the first quarter of 2026 and the data tells a different story. In spite of record spending …

How to master a new health care leadership role [PODCAST]

The Podcast by KevinMD

Podcast

March 11, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Intensivist Cristin Mount and business operations lead Steve Lettrich from All Levels Leadership discuss their article “A 6-step framework for new health care leaders.” The authors address the common challenge where clinicians …

Predictive staffing in health care: Solving the nurse burnout crisis

Lori Runion, MBA

Conditions

March 6, 2026

The way hospitals traditionally staff is burning out nurses and killing patients.

A single call-in or unanticipated census spike creates heavier patient loads for front-line nurses. Research published in the Journal of the American Medical Association found that surgical patients have a 31 percent increased likelihood of death within 30 days in hospitals with 8:1 nurse-to-patient ratios, compared to those with the optimal 4:1 ratio.

Further, when nurses were asked why …

Administrative workforce stability: the new clinical metric for 2026

Rihan Javid, MD

Physician

March 6, 2026

In 2025, the health care industry faced a crisis that has quietly reshaped how providers think about care: administrative workforce shortages. Clinics struggled to fill roles like medical billers, schedulers, and revenue cycle specialists, with vacancies lasting over 30 days in many cases.

The impact was tangible:

Slower billing cycles.
Operational inefficiencies.
Less time for clinicians to spend with patients.

The real differentiator for high-performing practices was a surprisingly human …

Systemic failure in professional environments: the myth of protection

Tiffiny Black, DM, MPA, MBA

Physician

March 4, 2026

There are moments when professional boundaries collapse under the weight of something more fundamental: our shared humanity.

You do not have to be a physician to recognize when a system has failed at its most basic level. You only have to be human.

What happened to Alex Pretti is not solely a tragedy confined to one profession, one agency, or one moment. It is a systemic rupture, one that exposes a dangerous …

Health care credentialing is broken: How to fix the staffing crisis

Marc Ayoub, MD

Physician

March 2, 2026

Imagine a world-class anesthesiologist at a major hospital in Manhattan. She is fully credentialed, board-certified, and has been saving lives at that facility for 5 years. On her day off, she wants to pick up an extra shift at a surgery center 3 blocks away that is currently short-staffed and desperate for help. Logic says she should be able to walk in, show her “Ready-to-Work” status, and start. Instead, she …

Unpaid on-call shifts are driving doctors into early retirement [PODCAST]

The Podcast by KevinMD

Podcast

March 1, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Internal medicine physician Corinne Sundar Rao discusses her article “Physician on-call compensation: the unpaid labor driving burnout.” Corinne argues that the term “call” is a euphemism used to extract free labor from …

Physician tax strategies: Why your tax bill is so high and how to fix it

Logan Foltz, MD

Finance

February 27, 2026

If you are frustrated by your high tax bill, you are not alone. I have spoken with many doctors who experience sticker shock when they see their total annual tax liability after completing residency. Stories in the media, such as The Atlantic’s recent study on billionaire taxes, about how rich people avoid taxes only fan the flames. It is no surprise, then, that one of the most common financial …

Modern technology must revolutionize the archaic physician job search [PODCAST]

The Podcast by KevinMD

Podcast

February 23, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Practicing anesthesiologist and the physician co-founder of Marit Health Rob Anderson discusses his article “Why can’t finding a doctor job be like Zillow.” Rob shares his personal journey through divorce and house …

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