May soon be the only game in town, according to Dr. Wes:

It is clear that many doctors will increasingly become reliant on large healthcare systems to weather the economic impact of the threatened 10.1% Medicare physician pay cut in July, the ongoing unrealistic bureaucratic requirements for pay for performance measure documentation, the ongoing lack of tort reform, and increased work requirements by staff physicians to offset the upcoming resident work hour reductions from 80 to 56 hours per week.

On a separate note, I wasn’t aware that work hour restrictions were going to be so drastically cut. I’d be interested to see how hospitals are going deal with that.