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We sit down with Tod Stillson, a family physician and entrepreneur, to discuss how physicians can regain control of their careers in a system designed to push them toward traditional employment. Tod shares …
How big business and government are shaping physician careers [PODCAST]
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 …
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 …
Most medical school students are being seriously compromised in their future medical careers
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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 …
Why are hospitals cornering doctors with this legal trap? [PODCAST]
“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 …
Hospitals should recognize and address administrative harm
“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 …
Navigating stipend offers: a resident’s question
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 …
Physicians: What you don’t know about money and practice success will shock you
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 …
The surprising struggles of retirement no one warned you about
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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 …
Don’t let the SECURE Act devastate your legacy [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 …
Money dysmorphia: Why you feel like you’ll never have enough [PODCAST]
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 …
The legal trap every doctor needs to know before signing a contract
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We sit down with W. Ben Utley, a certified financial planner specializing in helping physicians navigate the unique financial challenges of their careers. We explore how doctors can break free from the pressure …
Doctors, stop chasing wealth: How to find true happiness beyond the paycheck [PODCAST]
When a physician signs on at a new hospital, a signing bonus is often included in the compensation package. This bonus can range from a small perk to a significant percentage of income, and its structure can be either straightforward or confusing. The signing bonus is one of the items in a physician’s compensation contract that can be negotiated, although some give-and-take is often involved. For example, in some situations, …
The secrets of physician signing bonuses
“Give every man thy ear, but few thy voice; take each man’s censure, but reserve thy judgment.”
— William Shakespeare.
In the dynamic world of business, the landscape is littered with tales of success and failure. However, a recurring narrative that I see repeated over and over and that ensnares many novice entrepreneurs is the misleading promise that “you can strike it rich or be successful with all ventures.” This piece of …
The truth about entrepreneurship: What no one tells you about business success
As a physician, I spent years training to care for patients, only to realize by the time I completed my education that I wasn’t truly in control of my career. Like so many of us, I had been funneled into a rigid system that pushes physicians toward employment with large health care systems rather than allowing for independent practice or entrepreneurial ventures. It felt like I had been herded—herded by …
Systemic collusion: How big business and government herd physicians into traditional employment
In today’s health care ecosystem, patient retention has become a $3 billion dollar issue for health systems, with patient leakage (also known as patient keepage) at its core. Despite efforts to keep patients within their networks, a significant portion continue to seek care elsewhere, leading to financial losses. Interestingly enough, physical therapy proves to be key in improving patient retention, as recent data shows that rehab-related leakage is the number …
How health systems can combat a $3B+ patient retention issue
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In this episode, neurosurgeon Leon Moores delves into his book, All Physicians Lead: Redefining Physician Leadership for Better Patient Outcomes. He challenges the traditional view of physician leadership as limited to formal titles, …
Why all physicians are leaders [PODCAST]
In today’s financial landscape, it is imperative for women in medicine to take charge of investing their own money. Physicians face a myriad of disadvantages when it comes to wealth building. The average medical student will be saddled with an average of $200,000 in student loan debt. The nature of prolonged medical training puts physicians at another disadvantage, with a high debt-to-income ratio until their mid-to-late 30s, causing them to …
Empowering female doctors: How investment education can combat burnout and build wealth
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Join us as we explore two compelling case studies featuring Jon Appino, the driving force behind Contract Diagnostics. In the first, three interventional radiologists, earning over $700k but under-compensated by market standards, sought …
Physician collective negotiations: Securing fair compensation [PODCAST]
An excerpt from All Physicians Lead: Redefining Physician Leadership for Better Patient Outcomes.
I Googled the term “physician leadership” and got 183,000,000 hits in 0.45 seconds. There are seemingly endless courses and programs devoted to developing physician leadership, and there’s no shortage of attention to the topic.
Almost uniformly, however, the books and courses approach the topic from a similar angle. Physician leadership is often viewed as something that occurs when …
Why every physician is a leader
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