Practice Management
Physician compensation secrets: 2024 MGMA DataDive insights [PODCAST]
How physicians can get started in digital health and health care innovation
In the rapidly evolving landscape of health care, the urgent need for innovation has never been more critical. As a physician, you are uniquely positioned to drive transformative changes that can improve patient outcomes, enhance care delivery, and reduce costs. However, despite the opportunities, stepping into the realm of digital health and health care innovation can seem daunting.
The importance of understanding the imperative for innovation in health care
Health care systems …
How to navigate stipend offers [PODCAST]
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We dive into navigating stipend structures for final-year medical residents with insights from Jon Appino, the CEO of Contract Diagnostics. He shares expert advice on what to consider when evaluating stipend offers, understanding …
Essential negotiation tips every physician should know [PODCAST]
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We dive into the essential skills every physician needs to master in contract negotiation. Internal medicine physician Miguel Villagra offers practical advice on navigating the complex clauses and legal language, sharing key strategies …
Behavioral finance: your mood and your money
Dr. Peter Onorato, an accomplished anesthesiologist, found himself at a crossroads. With a lucrative career and a substantial income, he was eager to grow his wealth. Like many high-income earners, Peter believed he could outsmart the market. Despite his wife’s concerns, he decided to invest over $300,000 in a tech startup after several days of online “research” and hearing from several colleagues in the doctor’s lounge about the expected 25-30 …
How better physician leadership can benefit our health care systems
All physicians are leaders, not just those with designated leadership titles, such as department chief, chief medical officer, or CEO. Leadership – i.e., influencing behavior to achieve a desired result – is foundational to the role of doctor.
But we aren’t routinely trained as leaders. More critically, as brand-new physicians, we aren’t explicitly told we are leaders. Typically, we think a “physician leader” is someone who has been promoted to an …
Sick and tired of practicing medicine? Burnout, disappointment, and low income you can’t seem to overcome?
Noticing the local physicians who practiced in your area, stayed for two years or so, and then moved to a “different place to practice” (cover story—meaning they never made enough income to stay in practice in your area) involves thousands of physicians across our nation annually, which has led to the physician attrition crisis today. Not enough money or income is most often the cause.
You may not know that you …
Leveraging your medical career for long-term wealth building
As physicians, we spend years mastering our craft—learning how to diagnose, treat, and care for patients. But there’s another area that demands mastery if we want to secure our futures: wealth building. The truth is, despite the high earning potential that comes with a medical career, far too many doctors retire with less than they imagined. Why? Because earning is one thing, but building sustainable wealth that lasts is an …
How big business and government are shaping physician careers [PODCAST]
Why the RVU system makes attaining the quadruple aim laughable: a deep dive into a broken health care model
The quadruple aim represents an ambitious, holistic vision for the future of health care: improving population health, enhancing the patient experience, reducing per capita costs, and improving the work-life balance of health care providers. While many health care systems have adopted this framework, the widespread use of the relative value unit (RVU) system fundamentally undermines these goals. Far from facilitating the quadruple aim, the RVU system creates a chasm between …
Most medical school students are being seriously compromised in their future medical careers
The mythical belief that almost 100 percent of medical school students have accepted over the last century—that one can practice medicine without the need for a business education—has contributed not only to the crisis in health care and the physician attrition crises we see today, but also to the rapid disintegration of private medical practice in our nation.
The confusion covertly introduced into medical students’ minds stems from the missing segment …
Why are hospitals cornering doctors with this legal trap? [PODCAST]
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We sit down with Dennis Hursh, a health law attorney with decades of experience representing physicians in their interactions with hospitals. Dennis shares eye-opening stories of how hospitals use restrictive contracts and aggressive …
Hospitals should recognize and address administrative harm
“Administrative harm is destroying American medicine” is the title of a provocative article published in the July 13, 2024, issue of KevinMD by Arthur Lazarus, MD, MBA. He references business entrepreneur and billionaire Michael B. Kim, who said: “Leadership without ethics is a body without a soul.” As examples of administrative harms, Dr. Lazarus cites “unrealistic staffing models, burdensome regulations, out-of-touch administrators, lack of frank feedback to leaders, and …
Navigating stipend offers: a resident’s question
“I’m in my final year of orthopedic surgery residency and will do a one-year fellowship (I finish July 2026). I’m in the early phases of talking to potential employers, many of which say they could offer a stipend as I finish my training. Do you have any advice on how a stipend should be optimally structured?”
Stipend secrets: Navigating your final year of residency
As you approach the final stretch of your …
Physicians: What you don’t know about money and practice success will shock you
All physicians understand that the gradual disintegration of private medical practice in our nation is already happening and that our government continues to take complete control of health care and the medical profession by any means possible. Physicians in medical practice (both employed and independent) are reaching a level of intolerable strain imposed by fee restrictions and medical practice mandates, among other challenges.
All of these issues result from one core …
The surprising struggles of retirement no one warned you about
It took me forever to retire—three years or so. It took so long that my nurses got tired of bringing me purple cakes decorated with whipped cream stethoscopes, but I did it. Now, a few years later, I can tell you that the things I worried about were not the ones that gave me trouble.
I had mostly agonized about money—had we saved enough to last us the rest of our …
Don’t let the SECURE Act devastate your legacy [PODCAST]
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We sit down with Freddie Rappina, a financial advisor, chartered financial consultant, and accredited investment fiduciary, to explore how the SECURE Act and SECURE Act 2.0 have changed the landscape of retirement and …
Money dysmorphia: Why you feel like you’ll never have enough [PODCAST]
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In this episode, we dive into the emerging trend of money dysmorphia—a distorted perception of one’s financial situation that’s affecting people across all income levels, especially younger generations. Our guest, Shane Tenny, a …
The legal trap every doctor needs to know before signing a contract
Are hospitals crazy?
I suspect many physicians would answer “yes” to that question without much contemplation. I have always assumed that, although hospitals are profit-driven and therefore likely to have very different priorities than physicians who care about patients, the institutions can be relied upon to have some semblance of reasonableness.
Lately, however, I have been forced to reconsider my position. For decades, I have represented physicians in their various interactions with …
Past Week
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Do you think the needle is moving in health care?
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The U.S. Food and Drug Administration is talking when they should be listening
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What the death of UnitedHealth CEO reveals about our broken health care system
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American tears and allyship: Who is at your table?
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The future of orthopedic care: Embracing the ASC-urgent care model
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The impact of digital health tools on preventing chronic disease: a public health revolution
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Past 6 Months
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If you are pro-psychiatry, should you be anti-RFK?
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Restoring compassionate pain care: a call to action
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Is the Goldwater Rule hindering us?
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Do you think the needle is moving in health care?
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How one ER’s choice changed my son’s life forever
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Ways that one can succeed in dermatology residency: words of wisdom from a program coordinator
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Recent Posts
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How primary care could transform our health system [PODCAST]
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Navigating Goodhart’s Law dilemma and the future of AI in medicine
-
A wake-up call for dementia detection: the urgent need for precision tools across health care
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SIBO and IBS: the hidden link keeping millions in pain
-
How Medicaid expansion could transform health care in Georgia [PODCAST]
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How physicians can win support for AI—and better patient care
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Past Week
-
Do you think the needle is moving in health care?
-
The U.S. Food and Drug Administration is talking when they should be listening
-
What the death of UnitedHealth CEO reveals about our broken health care system
-
American tears and allyship: Who is at your table?
-
The future of orthopedic care: Embracing the ASC-urgent care model
-
The impact of digital health tools on preventing chronic disease: a public health revolution
-
Past 6 Months
-
If you are pro-psychiatry, should you be anti-RFK?
-
Restoring compassionate pain care: a call to action
-
Is the Goldwater Rule hindering us?
-
Do you think the needle is moving in health care?
-
How one ER’s choice changed my son’s life forever
-
Ways that one can succeed in dermatology residency: words of wisdom from a program coordinator
-
Recent Posts
-
How primary care could transform our health system [PODCAST]
-
Navigating Goodhart’s Law dilemma and the future of AI in medicine
-
A wake-up call for dementia detection: the urgent need for precision tools across health care
-
SIBO and IBS: the hidden link keeping millions in pain
-
How Medicaid expansion could transform health care in Georgia [PODCAST]
-
How physicians can win support for AI—and better patient care
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