How Big Medicine is hurting patients and putting small practices out of business

--------------------------------------------------------------- Here are classic practice management stories you missed on KevinMD. Thank you for your continuing readership. --------------------------------------------------------------- Sponsored job listings from Careers by KevinMD.com [OB/GYN opportunities](. Office-based practice (no hospital coverage), hospitalist, office-based practice with inpatient obstetrics, or gynecologic surgery with office-based practice. Mentoring program. [Physicians wellness program](. [Family medicine physicians](. Strong support from specialists to expand primary care. $220,000-$230,000 base salary. Productivity bonus incentive with no cap. [Quality work/life balance](. [OB/GYN physician](. Progressive 10 member physician group and 4 CNMs. Laborist coverage available in-house 24/7. Physician led organization with [physicians directly involved in decision-making](. --------------------------------------------------------------- KevinMD Plus: Sep 28, 2019 [How Big Medicine is hurting patients and putting small practices out of business]( Recently the CEO of a large health care network stated: “Market forces don’t apply to health care.” Of course, economic and political forces apply to health care. Big Medicine’s most powerful entities (insurers, hospitals, medical schools, pharmaceutical companies, pharmacies, and government agencies) formulate health care policy to enrich themselves at the expense of patients and […] [In medicine, maternal discrimination is real]( “Why did you wait to schedule this meeting until September, why not July or August?" Candidly, I replied, "I have a family and being on nights, spending those 90 minutes with them a day is very important to me." It was then, behind closed doors, in an office where he held all of the power […] [The patient-clinician relationship matters. To all of us.]( “The patient-clinician relationship is dead.” Those of us in health care hear this refrain constantly these days, coming at us from all angles. We feel it in the wall that goes up when we turn from our patients to our computer screens. We infer it in administrative meetings in which we are told once again […] [What doctors should learn from taxi drivers]( I love to travel. Last spring, I found myself on a plane headed for the Dallas/Fort Worth International Airport. I was on my way to attend a conference in beautiful Rockwall, Texas. After an uneventful flight, I took my bags, headed for the exit and asked the airport security where the designated space for Uber […] [Fixing burnout among hospitalists is a leadership challenge]( “Happiness is when what you think, what you say and what you do are in harmony.” - Mahatma Gandhi Burnout among physicians is at an epidemic proportion. National data suggests that more than 50 percent of our workforce is burned out, and this trend has been across the board from physicians in training to practicing […] [How social media can help or hurt your health care career]( We live in a time when social media isn’t just about sharing pictures or ideas with a close circle of friends and family. Between our Facebook statuses, our Twitter profiles and especially our LinkedIn pages, we are always public, all the time — no matter what your privacy settings may have […] [Residency and the path to equal parenting]( When my husband and I started parenting, our only explicit goal was to keep our son alive and healthy and growing. We read many of the usual books about pregnancy and the early childhood years. We did not read any literature on equal parenting. At that time there wasn’t any. In fact, if you had […] [The antidote to multitasking is mindfulness]( Mindfulness, my own personal word-of-the-decade, is the polar opposite of multitasking, which is not at all what it sounds like. Despite popular opinion, multitasking does not help you to get a whole bunch of different things done all at once. When you multitask, what you actually do is to switch your attention incessantly from one […] [3 ways your emotional armor is ruining your medical career]( There comes a time in a doctor’s medical career when the demands of caring for patients is too much. To survive medicine, doctors put on armor so we can go into the battlefield of medicine and do the work we do. The armor is the walls and barriers we erect to maintain a safe distance […] [3 tips from an attorney to avoid a medical malpractice lawsuit]( Twenty years of defending doctors and hospitals in medical malpractice cases has made me into a nervous patient. When you see the worst, you look for it. At least I do. That’s why when I was scheduled for a minor elective procedure, I was nervous. I set aside the day, canceling all of my depositions […] --------------------------------------------------------------- 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](