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Sunday
Mar202011

Falling In Love With Patients

By Pamela Wible MD

As Jill leaves, she always says, “I love you!”

Sometimes I whisper. Other times I scream down the hall: “I love you too!”

I think it’s illegal. Or risky. I’m supposed to contain my love, to practice professional distance. But why dissociate from myself or from those I care for? Why pretend to be reserved, restrained, aloof when I’m naturally warm, affectionate, friendly?

One day during med school I decided to break the rules, to celebrate my life without shame. And on that day I fell in love with myself and I gave myself permission to fall in love with my patients, to hug and kiss them, to sing and laugh with them, to look deep into their eyes, cry, and allow our tears to flow together.

On Valentine’s Day at my first job, I admitted an elderly man dying of heart disease. His wife–unable to bear the pain of watching him die–left his side. I could have left too, but it didn’t seem right to let this guy die alone on this romantic day so I sat with him, held his hand, and cried. A cardiologist, startled by my emotion, exclaimed, “You must be a new doctor,” then disappeared down the hall. Maybe old doctors don’t cry, but I don’t want to close my heart to the world.

Why is it unprofessional to love patients? Maybe love isn’t valued in a male-dominated profession. After all, love is not easily measured or reimbursed. Love is hard to control.

About: Pamela L. Wible, MD is a pioneer of community-designed medical practices who blogs at http://www.idealmedicalcare.org/blog/

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Saturday
Mar192011

59 Top Physician Blogs Worth Reading

While the majority of physicians haven't exactly embraced the rise of social media, here are some of the physician thought leaders who have.

The following blogs are not listed in any order but randomly placed in a general category. We've intentionally not linked to any blogs that have no recent posts and aren't currently active. If there's a blog that should be included in this list, please list it in the comments of this post.

Note: If you're looking for the blogs of our contributing authors, you can find links to them all next to their contributing authors bios.

Medicine & Specialties

These doctors write about outside interests, but their individual specialties tend to be their blogs focus.

  1. ExpedMed: On Wilderness Medicine if you're in to adventuresome CME.
  2. Uncommon Student MD: Student doctors in medical school and residency.
  3. Doctor Anonymous: Passionate about medicine and social media.
  4. Dr Helen: A forensic psychologist commenting on popular culture, politics and psychological issues.
  5. A Life In The Day Of A Basics Doc: This roadside doctor handles trauma and writes about his experiences. Sobering and riveting.
  6. Dr. Grumpy: This docs sick of patient shenanigans, the stupidity of insurance companies, and the daily insanity.
  7. Movin' Meat: This Pacific Northwest physician posts stories of ER drama and healthcare reform issues will make you think.
  8. Doc Gurley: A board-certified Internist physician and the only Harvard Medical School graduate to have been awarded a Shoney’s Ten-Step Pin for documented excellence in waitressing.
  9. A Life In The Day Of A Basics Doc: A a blow-by-blow account of accident scenes, including shattered glass and drunk drivers.
  10. MDOD: A collective of physicians from diverse specialties, all writing under pseudonyms, this blog shares case studies and humorous stories from work.
  11. 33 Charts: Bryan Vartabedian, M.D. blog focused on pediatric health and social media
  12. High Tech Surgeon: If you’re curious about the latest technology or the possibility of surgery performed by a robot, this blog is for you. Written by a general surgeon grounded in the practical applications of these innovations.
  13. Clinical Correlations: NYU Department of Medicine educational site inspiring both new and seasoned physicians alike that internal medicine is much more than a job.
  14. Cacoethes Cognitum: Group site who make a pastime of turning medical cases and discussions into medically irrelevant history lessons, philosophical rants, and displays of one-upsmanship.
  15. At Your Cervix: (Best Name) RN blog about your cervix and stuff.
  16. Respectful Insolence: A pseudonymous surgeon/scientist concerning medicine and quackery, science and pseudoscience, history and pseudohistory.
  17. Mothers In Medicine: A group blog by physician-mothers, writing about the unique challenges and joys of tending to two distinct patient populations, both of whom can be quite demanding.
  18. Bioethics Discussion Blog: Once a week or so, Dr. Bernstein offers a blog entry of varying interests, always in the world of bioethics.
  19. Docnotes: Health, technology, family medicine and other observations.
  20. The Dermatology Blog: All about skin care written by a dermatologist.
  21. Buckeye Surgeon: Ruminations by a non-academic general surgeon from the heart of the rust belt.
  22. Clinical Cases and Images: CasesBlog: This blog offers health news, updated daily, by a former Cleveland Clinic assistant professor of medicine.
  23. Doctor David’s Blog: Follow the musings of a pediatric oncologist.
  24. Dr. Deb: This lady is all business. She’s a psychologist specializing in trauma and depression and uses her blog for educating the public.
  25. Dr. Len’s Cancer Blog: Dr. Lichtenfeld is Deputy Chief Medical Officer for the national office of the American Cancer Society.
  26. Gruntdoc: A highly popular blog written by a doctor who once served in the U.S. Navy.
  27. RangelMD: Learn more about sickness with a dash of cynicism from this highly popular doctor’s blog.
  28. Aggravated Doc Surg: Takes on massive chunks of history to explain how the medical system ended up in such a mess. Posts are detailed and well-researched, but it’s the punchy writing that keeps you engaged.
  29. Retired Doc’s Thoughts: Although some entries focus on health care debates, the focus here is on internal medicine, endurance training, exercise and gerontology.
  30. Suture for a Living: Although this plastic surgeon is into ‘stitches’ in quilts as well as on bodies, the focus is more on medicine and health than on sewing.
  31. California Medicine Man: Medical issues in the news. California Medicine Man is a physician and assistant professor at UCLA.
  32. The Underwear Drawer: This is a personal online journals os an anesthesiology resident in Atlanta and “what happens next.”
  33. A Chance To Cut Is A Chance To Cure: Analysis on issues relevant to surgeons, from insurance to policy.

Healthcare & Medical Issues

These blogs are focused on healthcare, managment and how it all works (or doesn't).

  1. Life As A Healtcare CIO: Life in the world of healthcare IT, supporting 3000 doctors, 18000 faculty, and 3 million patients
  2. MD Whistleblower: When not performing colonoscopies, this physician is tacking big issues in the medical field through his blog. His passion for high-quality medicine is evident in the consideration with which he composes each post.
  3. Not Running A Hospital: Advocate for patient-centered care, eliminating preventable harm, transparency of clinical outcomes, and front-line driven process improvement.
  4. DB's Medical Rants: Will Pay for Performance improve medical care? Do physicians need to be trained in emotional intelligence? An educated opinion formed by years of hands-on experience.
  5. Health Care Reform In America: Dr. Kenneth Fisher on problems that make health care so outrageously expensive.
  6. Bad Science: Dr. Goldacre is an award-winning broadcaster and medical doctor who specializes in tearing apart dodgy scientific claims made by “scaremongerers.”
  7. Doctor & Patient: An IVF specialist who believes in information therapy and runs the world's largest free patient education library.
  8. Fixin’ Healthcare: Dr. Newberry is a physician, former Dean of College of Medicine and Academic VP & Provost at MUSC in Charleston, SC (retired) and currently at Nutritional Health Centers in Greenville & Spartanburg, SC.
  9. Health Care Renewal: A variety of doctors contribute to this blog, which is focused on health care renewal.
  10. KevinMD.com: Join the hippest, most happening doctor on the Internet today as he tackles health care issues from the lens of a primary care provider.
  11. Medical Humanities: This blog, written by a slew of medical personnel, focuses on the intersection between medicine and the arts.
  12. DB’s Medical Rants: Dr. Centor contemplates medicine and the health care system in this interesting blog.
  13. MD Whistleblower: Get it while it’s hot! Dr. Kirsch enjoys writing about controversies in the doctor-patient relationship. When he’s not writing, he’s “performing colonoscopies.”
  14. Notes from Dr. RW: Learn about strange happenings in the medical world, including the interface between medicine and politics, from this blog.
  15. The Covert Rationing Blog: Learn about healthcare rationing in America from Dr. Rich, a former professor of medicine.
  16. Wachter’s World: Dr. Wachter is MD is Professor and Associate Chairman of the Department of Medicine at the University of California, San Francisco. He also writes this highly popular blog for and about doctors and their environments.

Physician blogs around the world

Docs blog everywhere. Here are some great blogs from down under, across the pond, and elswhere.

  1. Angry Doc: Angry Doc is anonymous, but he is located in Singapore, and his interests and opinions have garnered a large following over the years.
  2. Practice What I Preach: Thoughts on writing and parenting from a child psychiatrist and writer.
  3. Bad Medicine: This UK blog focuses on…yep, bad medicine; but, in a totally engaging way.
  4. Bagga’s Blog: Dr. Paul Baggaley is a Christian family doctor from Perth, Australia with an interest in obstetrics and pediatrics.
  5. Doctor Bloggs…The official online diary of Nasty Gnome Party: A highly political medical blog colored by a great British humor lens and focused on the British National Health Service (NHS).
  6. National Death Service: UK NHS horror stories drip from this “gotta watch this train wreck” blog.
  7. Nip/Fuct: ‘Dr. Vegas,’ located in the UK, tags himself as a “greedy doctor looking for job satisfaction.”
  8. The Jobbing Doctor: Follow this UK general practitioner who works in a “large industrialized conurbation outside of London.”
  9. The Junior Doctor: This junior doc is training somewhere in the UK and “loving it.”

Ok... Some nonclinical physician blogs too.

Although these physicians are practicing clinical medicine, their outside interests seem to take front stage on their blogs.

  1. Freelance MD: Only the most awesome physician lifestyle community on the web.
  2. Zdogg MD: Slightly Funnier Than Placebo - Zdogg's a hospital physician and purveyor of fine medical satire.
  3. In My Humble Opinion: This blog is deeply personal. A primary care physician who shares what’s in his heart regarding medical reform and the future of the profession. 
  4. Academic Life in Emergency Medicine: Emergency medicine doc at SFGH with an academic niche posting on technology and how it can transform the landscape of medical education.
  5. The Doc's Almost Wife: A nursing student, engaged to an orthopedic surgery resident. Posts discuss illusive life balance, meeting prospective office partners, and miscellany.
  6. The Heart Is A Lonely Hunter: Tales From the training of a physician.
  7. Musings of a Dinosaur: if you want great writing and humor that makes you snort your coffee up your nose, this is the blog for you.
  8. Notes of an Anesthesioboist: Combine a specialist with an oboe and this is what you get.
  9. Suture For A Living: A plastic surgeon in Little Rock writing about medicine and surgery as well as sewing and quilting.
  10. The Blog that Ate Manhattan: A "Gyno-Food Blog" which focuses on both.
  11. The Doctor Is In: Dr. Bob is a Christian doctor who has a very popular blog.
  12. Physician Law: Regulatory and transactional health care attorney blogs legal.
  13. Medical Spa MD: Physicians in non-surgical cosmetic medicine.

Ok, if you're a math guru you can see that there's more than 59 blogs here, but round numbers always smack of contrivance and we hate that.

Think there's a physician blog that should be included in this list? Please add it as a comment. (Blogs that fit in this list only please.)

Friday
Mar182011

International Medical Corps Jobs

Emergency response volunteers, internships and fellowships from International Medial Corps.

The International Medical Corps has a number of nonclinical physician jobs listed on the Freelance MD jobs site.

Listings include:

  • Emergency response volunteers
  • International Emergency Medicine Internships
  • Harbor-UCLA / IMC Emergency Medicine Fellowship in Global Health
  • Volunteers to help with the IMC website
  • Emergency Medicine Specialist, Afghanistan
  • Emergency Medicine Specialist, Haiti

You can see all of the listings and learn more here: http://jobs.FreelanceMD.com

Friday
Mar182011

Join Medecins Sans Frontieres?

Want to have an exciting new job with Medecins Sans Frontieres?

We've just had a new opportunity posted on our non-clincal physician jobs site that's worth a post here as well.

Here's part of the emal we received:

I'm taking this opportunity to forward you an email from our friend and colleague Sebastian Spencer.  Sebastian is an emergency physician working for Doctors Without Borders/Médecins Sans Frontières (MSF) in Brussels, and he is looking for a replacement for himself in a fabulous position with MSF.

Below is a description of this job opportunity for an emergency physician with interest and / or experience working in the field of international emergency medicine to work for MSF as their Emergency Care Advisor in Brussels, Belgium.  The job involves at least 4 months of international placement / field work outside of Brussels with MSF, and administrative/development work in Brussels.  There is also an opportunity to work separately but concurrently for nearby hospitals in Belgium, Germany, France, Netherlands or the UK (as several in that office already do).

Please feel free to contact Dr Spencer about this truly exciting opportunity for emergency physicians, IEM fellows and others interested in IEM, and please distribute this to your elists of interested EM and IEM physicians.

Here's more about the opportunity. You can find the listing and how to apply here at http://jobs.freelancemd.com, our physician job board.

Click to read more ...

Friday
Mar182011

Do Physicians Need a "Personal Brand"?

Only if you want to stand out from the crowd, and successfully build your reputation and patient base.

I have the pleasure of going to Chicago in few weeks to attend the Society of Interventional Radiology's annual scientific sessions, and to help facilitate a workshop for physicians on marketing.  While I know that "marketing" is not a new concept to most, the point I'm going to be making about how they, the physician, are the most integral part of the marketing equation, may be.  Shifting their perspective from only looking at what they do, to who they are and how they do things, may be a challenge.  But for docs who (perhaps for the first time) are recognizing the increased competition in the marketplace and the need for marketing to "keep up", it is a message they need to hear.

And why should they care?  Why worry about "brand"?  If you think about your overall goal as a professional, it truly is about growth.  For my IR crowd the bottom line is about leveling the playing field with other docs/specialties that have been marketing themselves longer and have a much higher comfort level with it.  It is about increasing referrals, increasing the number of desireable procedures that the IR docs perform, and establishing a solid patient base for future referrals and procedures.  For anyone, it is about developing a reputation that makes people want to work with you, that allows them to trust you, and gives them an expectation of quality and delivery that meets their unique needs. Creating your brand helps you do this.  And I'll tell you why.

I recognize that the word brand has a bit of a negative connotation for many people... it somehow feels fake, or superficial.  But the first thing that should be understood is that developing your own personal brand is not about creating a contrived image or slick packaging covered in snappy slogans.  It is not an artifical veneer that you put on yourself to disguise or change what's within.  Quite the contrary, your brand is about creating a relationship with others, in a way that is authentically you and connected to your core values.  It is about how you visibly express those values, and the consistency with which you demonstrate them in your work.  Your brand is about building relationships that are based on trust.

Recognize however, that your brand is only as strong as how others perceive you.  Perception of your value is key.  Your brand - what you bring to the table, your "whole package" - exists in the mind of others, based on who they've known you to be and what they've known you to do.  It is a factor of both two things:  your competence (what you do) as well as your character (who you are).  Recognizing this is critical.  How can you create the perception you want others to have of you?

In their book,  "Be Your Own Brand:  Achieve More of What You Want By Being More of Who You Are", experts David McNally and Karl Speak talk about the specific things that you must have to truly build your brand and create the perception of value you need to be successful.  For them, there are three core elements to your brand:

  1. You need to be distinctive:  where you decide what you stand for (your values) and you commit to act on them.  You recognize your unique value (based on your skills, experience, expertise, values, and point of view), and know what sets you apart.  You capitalize on that, not by selling yourself, but by connecting with others based on your unique value.

  2. You need to be relevant:  where you have figured out who your customers are (referring docs?  hospital admin?  patients?), and what their needs are.  You move out of your world and into theirs... you figure out what's in it for them, and how your unique value meets their needs.  Start asking yourself, what do they want?  need?  value?   expect?  ... and then connect those thing to your unique strengths and abilities.  Being both distinctive and relevant in the eyes of others that count, is truly what ignites a personal brand.

  3. You need to be consistent:  where you meet the needs of your customers, and you do that again and again and again.  This is the hallmark of a solid brand - every time you meet someone's expectation of you, you build your brand and you build trust and confidence in the relationship.  Consistency is established by the dependability of your behavior, and this builds your track record and reputation.

Improving Your Perceived Value:

Traditionally, many physicians have only focused on their competence, or what they do.... their skills, their services, their technical knowledge and expertise.   And truly, it is the basis for any brand relationship (you can't build a reputation if you don't have the comptence to back it up).  It is the fundamental reason why you will be in the professional relationship with someone else.  However, it is recognized in the competitive marketplace that one's competence is only the baseline expectation that others have of you. It is required, but likely it will be perceived by others as fairly similar to your colleagues (even as much as you would argue that!).  Standing out also requires bringing in the elements of your character that people perceive about you.

Your character is really comprised of two things:  your standards (how you do things) and your style (the way you interact and communicate with others).  Your standards are what drive the way you deliver your skills/services.  They tend to set you apart from others - e.g., are you known as a meticulous, perfectionist?  or someone who has a high tolerance for ambiguity? ... no matter what they are, they are based on your values, and highly influence how others perceive you.  Importantly, your standards cannot only be lip-service - until you demonstrate them on a regular basis, people will not be completely bought into your brand.  They will not fully trust that you do what you say you do.  For example, if you want to be perceived as committed to excellence, what are your quality standards and how do you demonstrate them?  Recognize that people cannot see your intentions, only your actions, so delivery of your standards is critical.

Your style tends to be the piece that most people think of when they think of "brand".  It is your personality, and often has a strong, emotional connotation for people.  For example, people may see you as friendly, easygoing, strong, aggressive, etc.  It can carry a heavy weight for people when deciding when/how they want to work with you.  While style is only the tip of the iceberg when it comes to your overall brand, it is the most visible to others.  As such, it can be used as an important navigational aide when it comes to figuring out how you want to be perceived.  The good news is that there are many things you can do to strengthen your skills in this area.

In my work coaching physicians we often do a lot of skill development in this area, and here are my top 5 suggestions for improving your brand by enhancing your "perceived value": 

  1. Become an expert communicator.  Your ability in this area is one of the key factors that affects how you are perceived by others.  The greatest skill you can have in order to instantly and significantly improve your communication skill is to understand other person's point of view.  Do this through collaborative listening, where you pay attention (no multi-tasking while someone's talking to you!), clarify what you think you heard, and ask for more detail.  Poor listening is the key ingredient in many communciation breakdowns.  If we don't listen and clarify, we are likely to misunderstand the facts, which can have negative results.  You can also improve your communication via the use of open and positive body language - e.g., keeping arms relaxed, making eye contact (not "glazing over", but genuine eye contact), leaning into the speaker, but maintaining appropriate physical space/distance.  Managing your assumptions when communicating is also critical - be aware of any assumptions you bring into the conversation, and try to double-check them with the other person (e.g., I've assume XYZ, is that accurate?").  Good communication is often sabotaged by too many unconfirmed assumptions. 
  2. Be congruent to build trust.  Congruence = Integrity.  "Walking your talk" allows people to see that there is no gap between your intent and your behavior.  Inner congruence to your belief system and your principles (which is an essential part of your brand), inspires trust in relationships.  People see you as strong, solid and dependable, they know what to expect and it validates their confidence in you.
  3. Have a consistent professional presence.  There is power in your professional presence - it is an inherent part of your style and your brand.  Do you have the ability to make a good first impression and keep it?  People will start to see you in this way, and reputation follows.  Small things can make a huge difference: e.g., respecting other peoples' time as well as you own, demonstrating body language that shows you are comfortable in professional situations, making good eye contact and demonstrating interest in others, being organized and in control of what you present, smiling appropriately and using professional language, keeping a professional distance until it is appropriate to be more familiar.  Your professional behavior needs to follow you in all avenues:  in-person, over email, on the phone, and online ... you must be consistent.
  4. Be honest and transparent in your intent.  This is about establishing a balance.  Being transparent, or clear and truthful in your dealings with others does NOT mean that you have to "lay all your cards on the table" with others.  It means that you are transparent with appropriate information and with what you're trying to accomplish.  When people perceive you this way, there is no fear of hidden agendas or having to second-guess you.  There is no misunderstanding (whether unintentionally or not) your intent.  Bottom-line:  figure out what is appropriate to share in each situation, and do so with truthfulness and authenticity.  Err on the side of disclosure vs. keeping things hidden.  People will appreciate it, and trust in your relationships will increase rapidly.
  5. Deliver the results you promise.  The best thing that you can do to establish a new relationship and build trust with a customer is to deliver results.  It gives you instant credibility and  demonstrates that you can add value and perform, and live up to your brand.  If you can do this consistently, you build trust, or what the experts call "brand equity".  Every time you deliver you create a deposit into this account.  The best way to ensure that you deliver is by doing two things:  1)  clarifying "results" up front and managing expectations from the get-go - sometimes people deliver but don't get the response they expected because they didn't take the time up front to establish clarity... don't assume that you know what "results" mean to the other person!, and 2)  ask yourself whether the commitment is realistic - you must make sure you always  underpromise and overdeliver.  To do it the other way around is the quickest way to blow your credibility and to diminish your brand.

For some, the points above are second nature.  There are people out there that are inherently gifted in these things.  But physicians - as a group! -  have not traditionally been on the higher part of the bell curve in this regard, which is understandable.  Medical school doesn't choose you for your ability to relate to others - you get chosen because you excel academically, and then are taught to be technically skilled.  Unless you were lucky enough to have a mentor that was good at these things, no-one was teaching you how to relate to your patients, colleagues or staff in a way that built these skills.  Continued individualistic practice keeps many physicians limited in their ability to build these skills and perform to their highest capability.  Many don't understand why they have such a difficult time keeping patients happy (even though their technical skills are excellent), or why they tend to have conflict after conflict with peers.

But, the good news is that these things can be learned and practiced.  You can become experts in these "soft skills", the things which are now understood as what distinguishes the top performers from everybody else (true across industries and geographies - see Daniel Goleman's work on Emotional Intelligence).  They can truly be what sets YOU apart from your peers, and an inherent part of both your standards and your style.  They can set your personal brand apart.

How do you build these skills?  Find a mentor - someone you know that excels at these things, and learn from them.  Model their behavior and ways of interacting/communicating - see if you can can become more comfortable doing it.  Or, work with someone like me - a coach who is skilled at helping docs enhance these skills and attain higher levels of performance and professional fulfillment.  Or, do it yourself - do your own self-guided learning through books, readings, exercises, and practicing new skills. See if it starts to make a difference for you and how you are perceived.  I guarantee it will.

Thursday
Mar172011

Physician Investing: The Current Market Aftershock

You've heard the term "The Lost Decade in Stocks" which refers to the period from 2000-2009 when the US stock market had a negative rate of return. Many investors have simply given up on stocks, but long periods of negative returns have happened before.

Watch this excellent video from David Booth of Dimensional Fund Advisors. He goes through the past several decades of stock returns to put this in perspective:

There are several big points to take away from this:

  1. There can be long stretches of time when stocks perform poorly but that does not predict future returns.
  2. Long term discipline really means LONG TERM. That does not mean next month or next year. It means your entire investing lifetime.
  3. Just when things look the worst is when the expected future returns of stocks is the highest but it's not guaranteed.
  4. Returns after you take into account inflation matter a lot more.
  5. A well diversified portfolio avoids investing in just one asset class since no one knows which asset class will experience a "lost decade" next.

In my opinion this long term discipline is the biggest value an investment advisor provides to you--as long as the advisor acts in your best interest and charges reasonable fees.

Thursday
Mar172011

Do You Regret Anything About Your Medical Training?

What do you regret about your medical training or specialty selection?

Anything?

One thing I regret is not taking advantage of the Masters degree in Health Administration program at my medical school. At the time, I was focused solely on medicine and on being a doctor. I didn’t think the business side of medicine was all that important. In fact, I didn’t consider the business side of medicine at all. 

I regret that.

In a recent Medscape discussion physicians of different specialties discussed individual and collective regrets. 

More than a few doctors regretted their choice of specialty. Pathologists seemed very unhappy with their choice because of the job market and the future of healthcare. An ER doctor regretted not choosing a surgical career. Several General Practitioners regretted choosing Primary Care.

However, many doctors were more concerned with what they did or didn’t get during their training. Gastroenterologists and ophthalmologists cited the lack of training in the business side of medicine as a gap to be filled. 

Research has found that fewer than half of graduating medical students in the U.S. receives adequate training to understand healthcare system strategic approach and the economics of practicing medicine.

In a recent article in the New England Journal of Medicine two University of Michigan physicians recommended that healthcare policy be added to Medical School Curriculum.

“'Medical student and resident education has to include instruction on how healthcare systems function -- especially with the advent of complicated national healthcare reforms,’ University of Michigan physicians said.”

“Without education in health policy and the healthcare system, physicians are missing critical tools in their professional toolbox,” said co-author Matthew M. Davis, MD, associate professor at U-M in Pediatrics and Communicable Diseases, Internal Medicine and Public Policy.

The U-M Medical School has added an elective course in healthcare policy. Davis notes that it is enrolled to the maximum. 

But is there time for this information to be integrated into medical school and post-graduate training, each already overflowing with information? How can this curriculum be integrated with clinical instruction and permeate educational training without jeopardizing other topics?

Three years after I graduated from medical school I went back to school and got a business degree. However, going back to school requires a huge investment of time and resources that many of us are already short on. Most of the skills needed to succeed in the corporate world are already inherent in a doctor or cultivated by the discipline, dedication, drive and desire it takes to become a doctor. The business degree alone isn’t going to put you on the fast track to success.

What is the best way for doctors to appreciate and understand the business side of medicine? It’s important for the success of a clinical doctor who needs to market and oversee a practice. It’s important as we move into the realm of changes due to health reform and doctors must take leadership roles and be able to effectively negotiate their future employment situations. It’s important for the success of a doctor who is working in the non-clinical world in the financial sector or in a marketing, sales or management role.

What do you think?

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