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Here are the classic practice management stories you missed on KevinMD. Thank you for your continuing readership.
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KevinMD Plus: Mar 2, 2019
[5 reasons you should put physicians in charge of hospitals](
Putting physicians in charge of hospitals seems like a no-brainer, but it isn’t what usually happens. A study published in Academic Medicine states that only about four percent of hospitals in the United States are run by physician leaders, which represents a steep decline from 35 percent in 1935. In the most recent 2018 Becker’s […]
[The evolving definition of doctor](
Doctor: (from Latin docere “teach” Greek phusikḠepistá¸mÄ “knowledge of nature”) a specially trained and skilled person who holds an advanced medical degree and is licensed to practice the healing arts. My definition of doctor keeps evolving. As a child, I was cared for by FPs who helped set bones, suture skin and fight infections […]
[Working in the ER on holidays](
As I prepare to go into work for another string of night shifts, I become aware that this is just another holiday that I will be working. It’s the Fourth of July, not a major holiday as is designated by any scheduler, so no credit will be given to those of us who work today. […]
[Stop treating doctors like school children](
As more doctor pay is being tied to patient satisfaction and “outcomes,” a recent Forbes article argues that “It’s only a matter of time before physicians will see the bulk of their compensation tied to quality measures.” To prepare for this pay-for-performance apocalypse, the article cites Medical Group Management Association (MGMA) CEO Haylee Fischer-Wright, MD, […]
[Converting your 401(k) to a Roth IRA after residency or fellowship](
Many residents and fellows will contribute to a 401(k) or 403(b) over the course of their medical training. They should be commended for saving for retirement on just a resident’s income. Often, newly-minted attendings wonder what to do with these 401(k)s or 403(b)s from their training hospitals. In particular, they wonder whether they should convert […]
[The momentum effect is causing you to stay in your job](
We have all heard of the one more year phenomena. Financially independent people, such as myself, hit the wall of fear. Although we have enough, we persist in our W-2 day job for no reason. There are many explanations for our persistence. Yet none of them adequately account for why it is so hard to shake our indentured servitude once […]
[Embrace the gift of criticism](
“Yes, you are like that,” said my husband one night as I was lamenting criticism I had heard about myself that day. “I am?” I asked, shocked, a little hurt, and angry. “You are, “ he replied. “Everyone who knows you knows this.” Gulp. No one likes to hear criticism. Our lives are so busy, […]
[How perception can affect your financial situation](
An interesting phenomena recurs when I work with physicians to makeover their finances. They almost never believe that overspending is the problem. They believe the reason their credit card balance is growing, and their large monthly income isn’t enough to pay their expenses can’t be due to their own choice to overspend. They always have […]
[Don’t throw the E&M baby out with the bath water: the proposed CMS changes](
By now everyone has heard that the Centers for Medicare and Medicaid Services (CMS) has proposed to dramatically change the way physicians get paid for evaluation and management (E&M) services in the office as part of the proposed 2019 Physician Fee Schedule Rule. In fact, as of the end of July, CMS has received over […]
[A private equity primer for physicians](
“My group has been approached by a private equity company. It sounds like a great deal! Any questions I should ask?” Whether it be through one on one discussions or through the Physician Side gigs group, I’ve found myself having this conversation with increasing frequency. Part of the reason for that is because I find it […]
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