When we started medical school, the deal seemed pretty simple: learn the science, take care of people, and build a career you could be proud of. The path felt straight, the incentives felt clean, and most of us believed that if we worked hard and did the right thing, the system would more or less support us.
Nobody stood at the podium and said, “By mid-career, you’ll be judged by RVUs, …
Why moral injury in medicine isn’t a personal failing
Let’s start with a simple truth: Medicine is hard.
It’s hard for doctors, and it’s hard for patients. The headaches of today’s health care ecosystem—endless paperwork, shrinking appointment times, and the ever-present shadow of insurance approvals—can make it feel like the heart of medicine is slipping away.
Lost in the system
For years, I practiced in the traditional insurance-based model. I loved being a doctor, but I found myself spending more time on …
Why more doctors are choosing direct care over traditional health care
I often find that many doctors come to me with doubts and are grappling with the idea that they don’t know how to manage the business aspects of their private practice. However, in working with them, most come to the realization that the truth is that the skills required to run a successful medical practice are not as foreign as they may think. In fact, they are deeply rooted in …
Integrating clinical expertise with business acumen for private practice success
As I approach 25 years of practicing medicine in the same community where my parents dedicated 50 years to their medical careers, I’ve been privileged to develop lasting relationships with individuals who have entrusted me with their health care. The continuity of care and community connection is exactly how many of us envisioned our medical journeys, and for that, I am so thankful!
I recognize the importance of legacy. The profound …
The direct care model’s win-win for patients and physicians
What guides and directs your decisions in your private practice? As the physician owner, it should be your choices and decisions, made without influence from third parties. That is physician autonomy.
In 2012, an article by E. J. Emmanuel and S.D. Pearson defined physician autonomy as “the freedom to determine both the conditions of practice and the care delivered with the principal goal that care decisions are aimed at promoting the …
Breaking free: the power of physician autonomy in patient care
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