Recently, I took a few minutes to fill out a survey on physician burnout.   A slew of studies offer estimates of physician burnout of up to 50 percent.  In my field of primary care, the documentation and regulatory burdens may cause the number to soar even higher. I am rounding out my fifth year in a busy suburban private practice and I am not burned out.  These questions moved me to ...

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The key to staying on time in a busy clinic and to finish the day unscathed is to be in battle mode from the get go. The ten rules outlined below will help you to achieve that goal. 1. Make sure your bladder is empty, and that you are well hydrated. This goes without saying. You don’t want to finish the day with ...

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Since the Department of Transportation (DOT) requires an annual checkup, and getting a yearly physical is generally a smart way to take care of one’s health, it’s a wonder why many truck drivers tend to avoid their yearly exams. Are they tired of the long waits, which may seem like more time spent away from home and family? Do they fear that the stress of their jobs, and perhaps ...

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“Doctor, how would you like your schedule template?” As a hematology/oncology physician in a non-profit hospital group, I am reimbursed by wRVU. This is the standard mechanism of reimbursement for large multispecialty groups and academic centers. In this scenario, the more wRVUs you make, the more you get paid. However, there are only so many hours in the day. One of the first decisions each doctor makes when joining a group ...

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Let me post a question that neither I nor readers can answer: How much of what I do during the course of a day directly benefits patients? Perhaps, I don’t want to really know as I would be dismayed at how much of my effort benefits no one. Ask a nurse who works on a hospital ward, how much of his or her effort is directly applied to patient care. I would ...

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Have you ever wondered why your computer often shows you ads that seem tailor-made for your interests? The answer is big data. By combing through extremely large datasets, analysts can reveal patterns in your behavior. A particularly sensitive type of big data is medical big data. Medical big data can consist of electronic health records, insurance claims, information entered by patients into websites such as PatientsLikeMe and more. ...

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So stated one of our children in their autobiography assignment for school.  I kept reading, curious what would come next. “My dad usually stays home and cleans up, and takes care of the pets.” I thought for a moment.  “That’s very good, honey, but do you think you could write something else about Dad?” I suggested.  “He does other stuff too, add some more nice things.” “OK, how about … ‘And he takes ...

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It’s a tale of two health systems: the VA and Kaiser Permanente. The U.S. Department of Veterans Affairs, Veterans Health Administration (VA) is a mission-driven health organization, serving our nation’s veterans. A patient population of 8.9 million, led by David Shulkin, MD. An early leader in health technology adoption. The VA has faced serious issues; however: long patient wait times (deadly long in some cases) and high physician turnover rates. Kaiser Permanente ...

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I've discovered a new condition called "Cadillac Health Care Syndrome." Those afflicted are relatively healthy people who have numerous diagnoses, take multiple medications and have frequent surgical procedures because they have excellent health insurance with little to no out-of-pocket expenses. Risk factors include early retirement, lack of hobbies, jobs with paid sick days, excessive television watching and overuse of the Internet to investigate symptoms. It has been widely assumed that better ...

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An excerpt from The Power of Moments: Why Certain Experiences Have Extraordinary Impact. Reprinted by permission of Simon & Schuster, Inc. Defining moments shape our lives, but we don’t have to wait for them to happen. We can be the authors of them. What if a teacher could design a lesson ...

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