Practice Management

Why evidence-based management may be an effective strategy for stronger health care leadership and equity

Physician
July 4, 2025

In the current complex health care landscape, health care leaders are frequently challenged to make management decisions that are effective but also equitable. Numerous leadership transitions are occurring in Canada’s health care systems because of leadership failures. In British Columbia, multiple health care leaders were replaced in the first half of 2025. David Eby, British Columbia’s Premier, declared, “The anxiety that I have is that the people who see the …

Read more…

Why health care leaders fail at execution—and how to fix it

Policy
July 4, 2025

Health care leaders don’t have a vision problem. We have an execution problem.

Over the last two decades, I’ve seen countless strategic plans crafted with care, insight, and bold ambition. Mission statements get refreshed. Core values are realigned. Retreats are held. Vision decks are created and shared from the C-suite to the frontlines. And yet — within weeks — most of those plans fade into the background.

The problem isn’t poor leadership …

Read more…

Healing the doctor-patient relationship by attacking administrative inefficiencies

Policy
July 3, 2025

I have a great doctor. I’ve enjoyed his approach to providing care so much that I was greatly distressed when, at my last visit, he told me he was thinking of retiring early. While I consider myself fortunate to have a positive and dependable relationship with my doctor, fewer people now relate to that sentiment than before.

Gallup recently reported that America’s trust in professionals has declined, with overall trust …

Read more…

5 blind spots that stall physician wealth

Finance
June 29, 2025

Many of the physicians we work with are highly disciplined, generous with their time, and deeply committed to their profession. They spend years in training, work demanding hours, and carry an enormous sense of responsibility. Yet even with strong incomes and responsible habits, many still feel uncertain about their long-term financial picture.

The problem is not how much they earn. It is that income alone is not a strategy.

Physicians face unique …

Read more…

Combating physician burnout with a coaching leadership style [PODCAST]

Podcast
June 27, 2025
YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Family physician and certified executive leadership coach Lisa Herbert discusses her article, “From burnout to breakthrough: How a coaching culture transforms health care.” Lisa shares her personal journey with physician burnout, a …

Read more…

The most overlooked skill in medicine: contract negotiation

Finance
June 26, 2025

As an early career physician, transitioning from residency or fellowship into attendinghood, or even just contemplating a job change, can feel both exciting and overwhelming. There’s the thrill of stepping into your first “real” job, finally earning a salary that reflects the years you’ve invested. But alongside that excitement often comes anxiety: About finding the right fit, navigating unfamiliar systems, and negotiating a contract you may not fully understand.

Amid all …

Read more…

What if medicine had an exit interview?

Conditions
June 20, 2025

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 …

Read more…

First impressions happen online—not in your exam room

Social media
June 16, 2025

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 …

Read more…

How locum tenens work helps physicians and APPs reclaim control

Policy
June 16, 2025

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, …

Read more…

Mastering medical presentations: Elevating your impact

Physician
June 15, 2025

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 …

Read more…

Marketing as a clinician isn’t about selling. It’s about trust.

Physician
June 15, 2025

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 …

Read more…

4 traits every new attending physician needs to thrive

Conditions
June 13, 2025

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 …

Read more…

Why would any physician believe that the practice of medicine will become less abusive for them in the future?

Physician
June 9, 2025

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 …

Read more…

ADVERTISEMENT

Navigating fair market value as an independent or locum tenens physician [PODCAST]

Podcast
June 5, 2025
YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

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 …

Read more…

How kindness in disguise is holding women back in academic medicine

Conditions
June 1, 2025

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 …

Read more…

Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

Podcast
May 30, 2025
YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

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 …

Read more…

The business lesson new doctors must unlearn

Finance
May 29, 2025

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 …

Read more…

9 proven ways to gain cooperation in health care without commanding

Physician
May 29, 2025

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 …

Read more…

Breaking the cycle of sacrifice: from medical martyrdom to purposeful healing [PODCAST]

Podcast
May 28, 2025
YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

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 …

Read more…

Boost patient satisfaction with the power of fragrance

Physician
May 26, 2025

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. …

Read more…

48
pages