HealthLeaders Media PhysicianLeaders - August 7, 2008 | The New Doctor-Patient Relationship View as a Webpage | Subscribe for Free
The New Doctor-Patient Relationship
Elyas Bakhtiari, Managing Editor

Physicians have a lot to deal with in today's increasingly complicated and bureaucratic healthcare system—reimbursement cuts, new technologies, quality measures, insurance contracts, compliance, pay for performance. Unfortunately, that sometimes leaves little time to focus on the most important piece of the puzzle: the patient. [Read More]
  August 7, 2008

Editor's Picks
Study: Resident work limitations aren't effective
Policy that limits resident work hours to no more than 80 a week hasn't resulted in more sleep for residents or fewer errors as was intended, a new study found. However, burnout has dropped from 75% to 57%. Preventing residents from working 100 hours or more seems like a reasonable safety measure, and burnout and depression are serious issues in the physician work force. But a lot of physicians seem to disagree. They view the heavy workload as a rite of passage and argue that the 80-hour limitation doesn't allow for proper training. [Read More]
The lottery
A family doctor in Ontario is overloaded and overworked. He has to cut his caseload to avoid "assembly-line service," so he assigns each of his patients a number and holds a lottery. The 100 patients he randomly selects will have to find care elsewhere. That is, if they can find another physician during the severe primary care shortage. It sounds like a scene from some sort of dystopian novel, but it's a real news story. Doctors are increasingly dropping patients or turning some away from their practice because of the shortage, and random selection avoids the appearance of cherry picking. [Read More]
Too few geriatricians
I've been writing about compensation levels for geriatricians recently, so I was very interested when I heard this NPR segment during my drive home this week. The problem: The current system doesn't value cognitive-based care that focuses on prevention, so geriatricians are some of the lowest paid physicians. The result: The number of geriatricians has dropped 22% from eight years ago, and the shortage is getting more severe at a time when their services are in higher demand. [Read More]
Boston adds a doctor referral service
Boston's city health department is launching a telephone referral service to connect residents with primary care doctors who are accepting new patients. The idea came out of a task force charged with addressing primary care access in the city. Mayor Thomas M. Menino is intent on luring more doctors to Boston and is exploring additional ideas, such as subsidized housing for physicians in new research buildings. [Read More]
Business Rx
Three Key Concepts to Put in Your Quality Plan
A successful quality improvement plan will integrate that philosophy into ongoing practice procedures and policies, patient satisfaction, and staff member recognition. [Read More]
Physician News
Physician to open concierge medical practice in Mequon, WI
Milwaukee Journal-Sentinel - August 5, 2008
Doctor insurer seeks rate cut
Baltimore Sun - August 1, 2008
In era of pills, fewer psychiatrists doing talk therapy
ABC News - August 7, 2008
Florida International University medical school flooded with aspirants
Miami Herald - August 7, 2008
September 17: Physician Practice Staffing: Five Strategies to Become the Employer of Choice
August 19: Recruiting Today's Physician: Competitive Compensation Packages and Practice Structures
On Demand: OR Overhaul: 5 Surgical Site Improvements Every Leader Should Make Today
On Demand: Service Line Strategies Workshop 2008: Neurosciences
From HealthLeaders Magazine
The Hospital
of the Future

HealthLeaders July 2008
Sure, your organization offers sophisticated, compassionate care. But the patients of tomorrow will want much more than that. Here's how some hospitals are creating facilities for a new vision of healthcare. [Read More]
PhysicianLeaders Forum

Retail Clinics Attract Investors: As healthcare costs continue to rise, and overcrowding plagues doctors' offices and emergency rooms, retail-based convenience health clinics are quickly proving to be more of a mainstay than a fad. In fact, these clinics are expected to produce more than $4 billion in revenues within the next three years. [Read More]
Audio Feature

Revitalizing Physician Leadership: Craig Sammit, MD, MBA, president and CEO of Dean Health System in Madison, WI, discusses his two-year effort to identify and develop more physicians for leadership roles within the organization. [Listen Now]
Sponsor PhysicianLeaders

Contact Lisa Brown, Director of Integrated Sales, at or call 781.639.1872.
Resources From HealthLeaders Media

Learn how to harness the power of a large organization, either by expanding the practice or partnering with hospitals, private investors, or other physician groups, with Physician Entrepreneurs: Strength in Numbers.
Read about the latest business strategies to help you grow beyond traditional practice models in Physician Entrepreneurs: Going Retail.
Start marketing your practice or refine your existing marketing program with Physician Entrepreneurs: Marketing Toolkit, a new HealthLeaders Media book that combines expert tips with marketing samples, tools, forms, and checklists that will help grow your practice.
Find practice-management ideas in The Doctor's Office, a monthly newsletter.
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