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Career Concerns

PCPs Make More Money for Hospitals than Specialists

For the first time, primary care physicians (PCPs)–family physicians, general internists, and pediatricians—surpassed specialists in hospital revenue generated, according to a new survey by Merritt Hawkins. This may give PCPs a...

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Why I Left Academic Medicine

A medical student who thinks he wants a career in academic surgery asks, “You were deep into academic medicine and walked away from chairman, program director, etc. Why?” [Background: For over 23 years, I was a full-time...

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The “Second Victims” in Nursing

Tears rolled down my face as I came across an article written 2 years ago. A veteran pediatric nurse took her own life several months after administering a fatal overdose of an electrolyte to an infant. After investigations and...

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Unnecessary Pre-Op Tests & Evidence-Based Guidelines

Another paper on the subject of unnecessary preoperative laboratory testing appeared not long ago. A group from the University of Texas Medical Branch looked at more than 73,000 elective hernia repairs in the National Surgical...

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A Look at Suicide Among Physicians

Mental illness appears to be an important comorbidity for physicians who complete a suicide, according to findings from a data review. After assessing postmortem toxicology data, researchers observed low rates of medication...

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New Rules for Paying MDs Proposed in NY

New York City’s Health and Hospitals Corporation (HHC), which runs 11 hospitals in four of the five boroughs of New York, is negotiating a new deal with the union representing some 3,300 salaried physicians. The corporation...

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Burnout Rates Among U.S. Physicians

Burnout appears to be more common among physicians than other working class adults in the United States, according to survey results. Among physicians, 37.9% had symptoms of burnout and 40.2% were dissatisfied with work-life...

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The Truth About Lying to Patients

A recent survey published in Health Affairs found that 20% of nearly 2,000 physician respondents said that “they had not fully disclosed mistakes to patients for fear of being sued” in the past year. When I first heard about...

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Top 10 Physician Burnout Triggers

It happened again. I was talking to a particularly sick patient recently who related another bad experience with a specialist. “He came in and started spouting that he was busy saving someone’s life in the ER, and then he didn’t...

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