Midlevel Encroachment And Its Effect On The Next Generation Of Doctors

The growth of midlevel providers has been explosive compared to physicians. This growth has lead to many young physicians, residents, fellows, and med studies worried about what their future holds. Midlevel providers can provide wonderful access to patient care. I know many amazing midlevel providers who I have worked with in the past. This article is not here to be a bashing echo chamber to hate on midlevels.… Read the rest

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COVID-19 Effects And The Financial Changes To My Practice

COVID-19 has affected us all negative in many ways. For this post I would like to take a step back and talk about the financial implications on my practice. In the post COVID-19 shut down, we have seen a huge drop in patient visits and income. We are not alone. It appears that many practices or groups nationwide are cutting salaries, having layoffs, or cutting back hours.… Read the rest

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Why Doctors Stay Employees Rather Than Owners

In 1980, almost 80% of physicians owned their practice or were partners in their practice and effectively co-owners. In 2016, that number dropped to almost 45%. Each year, it seems that another 3-5% of doctors choose to become employees rather than owners in their practice. The trend away from physician ownership in practices is quite disturbing. Without ownership, we are at the mercy of administrators or other physicians telling us how we are going to practice medicine (to a certain degree).… Read the rest

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The Growth Of Administrators In Health Care

I’ve recently seen a graph that was pretty jarring to say the least. The graph below has been copied in many different articles in the past years. The main claim in this graph is about explosive growth of administrators in health care positions. The growth of administration has increased since Medicaid and Medicare came into effect. However, I cant help but wonder how much of the growth is overblown or real.… Read the rest

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Abandoning Academic Medicine For Private Practice

It’s no secret that physicians in private practice often times make more money than their colleagues in academic medicine. For hospitalist, the difference in pay can be greater than $100,000 a year! However, taking a job in academia is not all about income. There are many benefits that academic medicine gives to doctors that private practice jobs can fall short on.… Read the rest

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