They left quietly. Logged their last note. Disconnected their badge. Maybe cleared out a drawer, maybe not. And just like that, another clinician walked away from medicine. No exit interview. No debrief. No conversation about what led up to that final decision. Just silence.
In most professions, when someone resigns, leadership wants to know why. What worked? What didn’t? What could we do better next time? But in medicine? We barely …
If you’re a physician or practice owner, here’s a challenge: open a browser and Google yourself. Now ask a trusted friend or family member—ideally someone who fits your ideal patient profile—to do the same. What do they see?
Do you show up in the top three listings?
Are there recent reviews with 4+ stars?
Does your website look current—or like it hasn’t been touched since 2012?
For most patients, that quick glance is all …
Burnout isn’t a weakness—it’s a warning sign.
I recently spoke with a nurse practitioner looking for a lifestyle change that could give her more balance without stepping away from medicine.
“I love caring for patients,” she told me, “but I don’t even recognize my life anymore. My schedule runs me, not the other way around.”
For her, locum tenens wasn’t a detour but a lifeline. Within months, she regained control of her time, …
As health care professionals, we are constantly immersed in data, intricate details, and complex ideas. Whether presenting at grand rounds, sharing research at conferences, or explaining treatment plans to patients, your PowerPoint slides can either amplify your message or obscure it in a deluge of information.
Let’s be clear: Effective communication is not merely a desirable trait; it is a clinical necessity. Communication …
Most of us didn’t go into medicine thinking about branding or strategy. We went into it to care for people. That was always the goal.
If we want to reach more of the patients who need us, we have to look at how we’re showing up. If we want to build a practice that’s sustainable and aligned with who we are, it matters. It’s not about selling. It’s about connection.
That starts …
When I conduct therapy for doctors after residency, I am supporting new attending physicians as they navigate one of the most intense and disorienting transitions of their careers. These early attendings often arrive feeling untethered. They’re rediscovering who they are, working through long-ignored anxiety, stepping into their authority, and trying to build lives that don’t begin and end with medicine.
When I talk about what makes a new attending “successful,” I’m …
The perpetuation of the increasing abuse of physicians across our nation has reached a level now that is essentially unrepairable. The Medical-Industrial-Economic Complex (Deep State of Medicine) has been the aggressive predator of the medical profession for decades. It is not by chance that the planning for the takeover of health care and the medical profession came into being decades ago.
Older physicians have seen and experienced all the tactics that …
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Health care attorney Dennis Hursh discusses his article, “What independent and locum tenens doctors need to know about fair market value.” Dennis explains why understanding fair market value (FMV) is crucial for …
Sexism in the workplace is often associated with overt hostility, harassment, insults, discrimination, or intimidation. But what about the subtler, seemingly well-intentioned behaviors that can still hinder women’s advancement? Our study explores benevolent sexism (BvS) in academic medicine and how it may quietly limit women’s careers, even in environments committed to gender equity.
What is benevolent sexism?
Coined by Glick and Fiske in 1996, benevolent sexism refers to attitudes that appear …
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Shane Tenny discusses his article, “Navigating your 457 plan: key steps for physicians changing jobs.” He provides crucial advice for physicians, particularly those with non-governmental 457(b) plans, on how to manage these …
When graduating residents and fellows begin their careers as attending doctors, there is a wealth of financial advice out there. Grow into your salary slowly. Don’t buy a house right away. Get disability insurance. Plan ahead for the tax bomb that always takes attendings by surprise during that half-trainee/half-attending year.
Today, we won’t discuss any of those. We’ll focus instead on a business lesson that you must unlearn …
You’ve probably had this experience. You ask someone—nicely—to do something that clearly needs to be done. And they don’t. Or they nod, walk away, and nothing changes. You’re not trying to be difficult. You’re just trying to keep the team moving, the patients safe, and the wheels from coming off.
But in medicine, authority doesn’t guarantee compliance. Respect doesn’t guarantee follow-through. And asking once—no matter how reasonable—doesn’t guarantee action.
So the question …
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Pediatrician and certified coach Jessie Mahoney discusses her article, “What if we stopped sacrificing ourselves to practice medicine?” She explores the pervasive culture of martyrdom and self-sacrifice within the medical field that often leads to physician burnout and a deep yearning for …
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I have previously blogged about identifying your practice’s UVP or unique value proposition. This is based on differentiating your practice from others in the community or the region. According to an article in the Wall Street Journal, workplaces are pumping fragrances into offices to make the offices smell better. The article focused on real estate properties in Manhattan trying to lure renters back to the workplace after the pandemic. …
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Cardiologist Stanley Liu discusses his article, “5 steps to ride out a non-compete without uprooting your family.” He shares his personal experience of being bound by an 18-month, 20-mile non-compete clause after …
If you are working as an independent or locum tenens physician, there’s a good chance you’ve found yourself wondering: Am I being paid fairly for my time and expertise? Unlike employed physicians, whose compensation is often shaped by established benchmarks and internal HR formulas, independent and locum tenens doctors are frequently left to navigate negotiations on their own—often with limited information.
Understanding what constitutes “fair market value” in this context is …
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Pediatrician and certified coach Jessie Mahoney discusses her article, “Why physicians find negotiating challenging—and what they can do to negotiate better.” She explores why negotiation often feels stressful for physicians, linking it …
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Management consultant and author Roger A. Gerard discusses his article, “10 ways health care leaders sabotage their own success—and how to stop.” He identifies common, often unintentional, ways health care leaders undermine …
Hospitals are facing unprecedented financial pressures, with staffing shortages and shrinking margins. Revenue cycle teams are stretched thin, and hospital leaders and health care professionals must continue to find ways to reduce costs and improve financial health.
One often overlooked opportunity to improve financial stability is denials management, which includes prevention strategies. Although hospital leaders and revenue cycle managers recognize denials as a significant issue, their lack of visibility to the …
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In medicine, heroism is often framed in dramatic, high-stakes terms: the code blue that saves a life, the pediatric cancer patient who returns to their family disease-free, or the impossible aneurysm that is successfully clipped by the neurosurgeon. But not all heroics come with a life-altering intervention. Sometimes, the most courageous act in a physician’s day happens in a conference room, during a faculty meeting, or after rounds—when someone chooses …
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