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Business of Medicine

Negotiating a Hospital/Physician Employment Agreement

As every young physician reads the dollar figure in their first employment agreement, he or she inevitably thinks the same thing—“this is low.”  This thought is immediately followed by the belief that the employer is unlikely to...

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Affordable Care Act: Glitches Beyond the Websites

Now that the government shutdown is over, it’s time to focus on the Affordable Care Act. Many have written about website sign-up difficulties including the apparent mother of all the bad ones, healthcare.gov. Here are some...

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Should Resident Work Hours Be Capped?

Blogging at his site “Adventures in Emergency Medicine,” Dr. Sam Ko says resident work hours should be limited to 40 per week. Via Twitter, I warned him that I would rebut his assertion. Without any data or...

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One Step Closer to Third-World Medicine?

In a post 2 weeks ago, I discussed why elderly patients don’t get out of bed and walk when hospitalized. You can read it here. I wrote that a major reason that staff does not have time to walk patients is that they are too...

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Why Won’t the AMA Stop Asking For Dues?

Today I received another dues notice from the American Medical Association (AMA). For a mere $420.00 per year, I can become a member. Over 10 years ago, I dropped out of the AMA because it seemed to be run by a bunch of old guys...

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Most Docs Practice Defensive Medicine

You may have missed this when it first appeared. Experts from Harvard and the University of Southern California say assumptions made by some analysts that defensive medicine is not an important facet of the high cost of...

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