Before starting your own practice, do these 3 things first

--------------------------------------------------------------- Here are the stories you missed on KevinMD. Thank you for your continuing readership. --------------------------------------------------------------- Sponsors [Clinician burnout in health care]( Over 470 clinical staff participated in our 2019 clinician burnout survey. Read about their perceptions of clinician burnout and how their organizations are working to tackle it. [See the results](. It is an acceptable practice for doctors to [end a patient relationship]( under most conditions, but some situations may [require additional steps]( or delay of the termination. The pressure is on to [enhance office efficiency and improve patient care]( -- all while increasing practice revenue. But your plate is full and your staff is stretched. [What can you do?]( [Quickly notifying hospital staff]( of emergency situations can be a big challenge. See how Yale New Haven Health issued an emergency notification to all 20,000+ employees within eight minutes! [Read the case study now](. [Navigate your way to better communication across the health system](. Is your team on the best path to expert clinical communication? Streamline workflows, improve care collaboration, and reduce readmissions with one easy-to-use platform. [Keep reading](. --------------------------------------------------------------- KevinMD Plus: Jul 15, 2019 [Before starting your own practice, do these 3 things first]( If you’re a young doctor reading this, chances are you are employed by someone else. Your paycheck may come from a hospital system or a group of other doctors, but you’re not your own boss. This may be working out just fine for you: I hope you are happy and have a well-balanced work and […] [The conundrum of dual physician households]( Two incomes are better than one, right? As we all know, the answer isn’t clear cut. If we have to actively “work” to generate income, we have to balance exchanging time for money. Nothing comes for free. When you throw in a tax system to convolute matters, certain households are actually punished for going into […] [The art of off-label prescribing]( Some drugs are used for indications beyond their original FDA approved ones that make complete sense. I mean, if old seizure medications help nerve pain, it might be reasonable to try new ones for the same purpose if everything else fails. Sometimes the broader use of a medication leads to additional FDA approved indications. One […] [Why is the toilet seat the gold standard for germs?]( Google that phrase, and you will come up with lots of hits. The following is a partial list of things that have been found to have more germs than a toilet seat: Kitchen cutting boards, sponges and sinks, refrigerators, spatulas, pet food bowls, clean laundry, smartphones, electronic tablets, computer keyboards, carpets, faucet handles, handbags, can […] [How can data analytics to improve the care and outcomes of cancer patients?]( I want to share some thoughts about artificial intelligence, or as I prefer to call it “data analytics.” Fundamentally: How can we capture the capability of analytics to improve the care and outcomes of cancer patients? And more importantly: How can we harness this technology to help bring back the human touch in cancer care? […] --------------------------------------------------------------- [Thousands of physicians are browsing this job board](. They love its selection of over 12,000 openings across the U.S.. [Physicians are finding opportunities they almost missed](. --------------------------------------------------------------- [Welcome to the new normal: practices of 500 physicians or more]( The day of solo practitioners is coming to an end. In its place will be gaggles of gastroenterologists and flocks of physicians. Mega practices are becoming the norm in American medical care. Here’s a few pictures of this trend, somewhat dated (they only go through 2015) but still quite revealing. The figure below illustrates the distribution of […] [Why medical writing is essential to medicine]( I wasn’t as happy as I expected to be when I walked out of the hospital on my last day in medical school. But then again, there was little to celebrate — my last few patients had terminal cancer, a stroke, and end-stage liver disease from alcoholism. I signed off my patients to my resident, […] [The pros and cons of being a part-time physician]( “Burnout” has been a buzzword circulating in the medical community quite a bit lately. The World Health Organization has just recognized the term as an official medical diagnosis as part of ICD-11. One moment you’re graduating medical school, full of hope and excitement for residency. The next moment, you’re overly stressed and working insane hours […] [The line between family member and personal doctor]( I, like many physicians, am the only doctor in my extended family. To say that they are proud is probably an understatement. I’ve been a practicing physician for seven years now and yet my grandmother each time I see her greets me with, “There’s my doctor grandson.” I have worked quite hard to get to where […] [Treating schizophrenia with long-acting injectables]( It happens all too often. You have not been taking good care of yourself. You don’t eat, you sleep poorly, and you neglect your medical health. Over months or sometimes years, you begin to isolate yourself from your friends and family. You can’t seem to hold a job. You lose interest in once pleasurable activities. […] [These are the best investments physicians can make]( Much of the personal finance blogosphere directed at physicians spend time discussing spending money. And for good reason. Physicians have a spending problem. While I am all about educating people about their personal finance shortcomings, it is also important to find balance in life. Some things in life are worth the money because they provide happiness […] [MKSAP: 23-year-old woman with painful lumps on her legs]( Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 23-year-old woman is evaluated for 2 weeks of painful lumps on her legs. The lumps persist for several days and make it difficult for her to go to work as a waitress. She is a college student in Ohio where […] [Fads in medicine and in personal finance]( If my medical training taught me one thing, it was how to recognize the destructive nature of fads. They pervade our health care system. Most center around medicine, vitamins, and herbals. Though there also is no shortage of treatments and procedures that become popular very quickly and flame out over decades. Although one would think […] [Why you’re an unhappy physician]( Health care is a tough job to work in — whether you are a doctor, nurse or any other professional. We are dealing with matters of life and death, our patients expect (and deserve) the best from us, and we always have a hundred-and-one things to do at the frontlines of medicine. I remember reading […] [Do after-hours call centers send too many children to the ER?]( A large number of pediatric practices these days use after-hours call centers for parents who have questions about a sick child. I’ve been looking around to find some data about how common this is, but my sense is that the majority of pediatricians use them. There is no question these call centers make life easier […] --------------------------------------------------------------- If a friend sent you this email and you want to subscribe, go to [KevinMD](. --------------------------------------------------------------- 345 Hudson Street New York NY 10014 USA [Unsubscribe]( | [Change Subscriber Options](