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'Disruptive Physician'
Needs a Better Definition

Elyas Bakhtiari, Managing Editor

When I used to hear the term "disruptive physician," I pictured an angry doctor berating a nurse for no reason or a surgeon throwing a scalpel across an operating room. But that was before I spoke with Gil Mileikowsky, who paid a high price for attempting to expose a flaw in the healthcare system. It's a familiar story to physician whistleblowers, and the disruptive label can, when abused, be a potentially powerful weapon for hospital administrators looking for a leverage or, in some cases, revenge. [Read More]
  December 4, 2008

Editor's Picks
Is 80 hours still too much?
Not everyone was happy when resident work hours were limited to 80 hours per week in an attempt to improve safety, but the Institute of Medicine this week suggested further limitations might be necessary. While the new recommendations don't reduce overall working hours for residents, the report says no resident should work longer than a 16-hour shift, which should be followed by a mandatory five-hour nap period. The committee also called for better supervision of residents and enforcement of work restrictions. However, these relatively minor changes could add another $1.7 billion in new costs to cover patient care during mandatory nap times and shift changes. [Read More]
Cleveland Clinic discloses doctor industry ties
There have been sporadic movements toward mandatory disclosure of doctor ties to drug and device makers in the last year, and I've predicted several times that more are on the way. But for the most part, the move toward transparency has been voluntary and organic. Some drug companies have begun to voluntarily disclose these relationships, and now Cleveland Clinic will become the first medical center to openly report its doctors' ties to industry. It's a good move, and hopefully more openness and transparency will follow. [Read More]
The doctor will see all of you now
Are group visits an answer to the physician shortage? The concept has been around for a while, but apparently more doctors are trying them out. The downside is you're seeing several patients at once, so you can't give an individual the same attention you normally would. But if the patients all have a similar condition—diabetes, for instance—group visits can be a time saver and more profitable. A Harvard Vanguard survey found that 77% of patients who attended a group visit said they would do it again, and only 5% were against the concept. [Read More]
Patients still rely on word of mouth, referrals
Despite transparency initiatives and pushes for greater healthcare consumerism, most patients still rely on traditional methods—word of mouth and physician referrals—to pick a new healthcare provider, according to a study by the Center for Studying Health System Change. In 2007, for instance, only 11% of Americans looked for a new primary care physician, and only 11% of those used online provider information to make the decision. Most decided based on recommendations from friends and family. [Read More]
Business Rx
Attract Physicians in Today's Competitive Environment:
Competitive compensation packages and flexible practice structures are essential to attract today's physician. To be successful, leaders must create a practice that appeals to the career goals and practice styles of a changing physician work force. [Read More]
Physician News
Commentary: Don't even bother with Web-based doc-rating systems
Slate - December 3, 2008
Economy cuts into cosmetic procedures
USA Today - December 2, 2008
Do photos help doctors see patients better?
Wall Street Journal (subscription required) - December 2, 2008
Doctors file bias suit over loss of privileges at Hudson, FL, hospital
St. Petersburg Times - December 3, 2008
Audio Conferences/Webcasts
January 6, 2009: Service Line Strategies Workshop 2009: Women's Health
December 16, 2008: What Your Practice Is Worth: Calculating Fair Market Value
On Demand: 5 Ways to Hospital-Physician Quality: Goals, Incentives, Dialogue, Infrastructure, Data
From HealthLeaders Magazine
What's Your Brand?
HealthLeaders November 2008
That’s what your patients want to know. But hospitals are discovering the same old differentiators aren’t good enough anymore. Is YOUR organization ready to deliver on its brand promise? [Read More]
PhysicianLeaders Forum

Web-based Patient Education Works: Contributor Charles E. Morton, III, MD, recounts his early success with switching from seminars to a web-based program for pre-, peri-, and postoperative patient education programs. [Read More]
Audio Feature

What's the New Medical Staff Model? Richard Sheff, MD, chair of the Greeley Company, discusses how many hospital leaders are trying to reinvent more effective medical staff models. [Listen Now]
Sponsor PhysicianLeaders

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

Improve patient satisfaction, CAHPS scores, and quality with the strategies and tools in Physician Entrepreneurs: The Quality Patient Experience.
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.
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