independent physician @independentMDs
Defending medicine against middle managers // creating independent physicians. (not medical advice) Joined July 2021-
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We’ve got to stop this hours game. The clinical are not equivalent. Will never be. Your 750 hours are not 150 more than NPs. That’s after 4 grueling years of med school. That’s after the academic shops to even get there. Comparing hours is playing their game.
We’ve got to stop this hours game. The clinical are not equivalent. Will never be. Your 750 hours are not 150 more than NPs. That’s after 4 grueling years of med school. That’s after the academic shops to even get there. Comparing hours is playing their game.
Welcome to the club (of being subject to punitive economic policies), tech bros.
Welcome to the club (of being subject to punitive economic policies), tech bros.
This is a great point re whole body screening. A real free market might solve it preemptively. A new type of (independent) PCP practice dedicated to managing incidental findings? Sounds crazy enough to work.
This is a great point re whole body screening. A real free market might solve it preemptively. A new type of (independent) PCP practice dedicated to managing incidental findings? Sounds crazy enough to work.
Physicians' draws to a community (big home, schools, etc), combined with non-competes, kept many malicious 'non-profit' hospitals staffed. I hope this change accelerates formation of independent physician groups.
Physicians' draws to a community (big home, schools, etc), combined with non-competes, kept many malicious 'non-profit' hospitals staffed. I hope this change accelerates formation of independent physician groups.
I completely agree with the incidental findings argument. But disagree with moderating a free market. If patients are allowed to get elective plastic surgery, it would be ridiculous to impose regulation to restrict them from elective imaging.
I completely agree with the incidental findings argument. But disagree with moderating a free market. If patients are allowed to get elective plastic surgery, it would be ridiculous to impose regulation to restrict them from elective imaging.
Replace 'homelessness' with 'healthcare'.
Replace 'homelessness' with 'healthcare'.
This is a trenchant analysis of reality for physicians in the modern "healthcare system."
This is a trenchant analysis of reality for physicians in the modern "healthcare system."
Where does she think this issue ranks amongst working class Americans? 1. Green texts 2. Border 3. Gutting middle class 4. Housing affordability 5. Healthcare crisis
Where does she think this issue ranks amongst working class Americans? 1. Green texts 2. Border 3. Gutting middle class 4. Housing affordability 5. Healthcare crisis
Why isn't there a similar database for administrators?
Why isn't there a similar database for administrators?
Physicians can't take free pens.
Never thought I'd see Medicaid and startup in the same sentence.
Never thought I'd see Medicaid and startup in the same sentence.
The fact that most A list actors are children of other A list actors is evidence that acting is obviously merit based.
Hospital board members should be voted in (and out) by taxpayers who reside in the community in which the hospital is located.
Imagine a business, with the following advantages, failing...... 1. Regulatory capture 2. Political control 3. Monopoly pricing 4. NO TAXES 5. Fixed demand 6. Government subsidies
An exchange between @DavidSacks and @Jason proves that, with enough cognitive dissonance, the intellectually inferior party can neutralize superior arguments.
This needs to be shared. #MedTwitter We need patients' just as much as they need us.
I'm confused as to why VCs are regarded as geniuses. It seems like they just invest nominal amounts in every company they find, and hope a few turn into unicorns. Am I missing something?
Remove all incentives to provide 'charity care' and then act surprised when these admin, who are barely qualified to run a car wash, do what you'd expect.
Remove all incentives to provide 'charity care' and then act surprised when these admin, who are barely qualified to run a car wash, do what you'd expect.
Would you rather -- Be called 'provider' exclusively with a 100k pay raise OR Everyone calls you a physician but no raise.
Physician reimbursement.
Physician reimbursement.
Kris Held,MD @kksheld
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Ruby Gadelrab @DivaBiotech
10K Followers 8K Following CEO and Founder of @M_Disrupt, Healthcare Executive #Genomics #DigitalHealth expert, ex VP Commercial Marketing @23andme, advisor, mentor.We’ve got to stop this hours game. The clinical are not equivalent. Will never be. Your 750 hours are not 150 more than NPs. That’s after 4 grueling years of med school. That’s after the academic shops to even get there. Comparing hours is playing their game.
750 hours of clinicals is too much?🤣🤣🤣 I had more than 750 hours of clincials in internal medicine and I’m an orthopaedic surgeon! At least go to 600 hours so NPs have the same amount of hands on training as @Petco dog groomers!
@independentMDs Strangely I would not hate this job tbh “Hey great news guys, we ruled out everything else, so benign cyst it is, congrats!!” Just ordering tests and delivering good news all day long? F yea count me in lmao
@independentMDs Balance is tricky, though the difference is ER ordering is physician-driven (we can hope 😅) and higher pretest probability for some issue being present - even if shotgun in a classical sense. As opposed to patient-driven shotgun screening for something even if no acute symptoms.
@independentMDs @drmainedawg I know. I am salty.
@independentMDs “Good morning, I am a Board-certified incidentalologist specializing in Ulysses Syndrome” xD
Speaking of paternalism. This is from your father who said radiologists will be obsolete. cnbc.com/2017/04/07/vin…
Just a wild amount of medical paternalism from a physician via @chrissyfarr's latest piece. Whatever this instinct is that suggests consumers can't be educated on their health, it needs to go away. Also, lol - the person here clearly hasn't even seen how these services work.
9000 followers nice. I’ll keep calling out the 💩
We are on the precipice of WWIII, middle class is being decimated, national debt nearing $40T, doctors haven’t been paid in months…
Women in sports continue to push new boundaries and inspire us all. But right now we're seeing that even if you're the best, women are not paid their fair share. It’s time that we give our daughters the same opportunities as our sons and ensure women are paid what they deserve.
@sgremminger You have an email job of no consequence, and your time is less than worthless lol
I stopped reading after his profile said health policy guy
I'm at the pediatrician office for a well child visit with my daughter. Appointment was 9:20. Vitals taken and paperwork filled out, but still waiting to see a doctor. Reason #30584 of why healthcare in the US sucks. Why can every other sector keep appts, but physicians can't?
@independentMDs Stupid to invest in hope. There, I said it.
@independentMDs Nowhere would anyone in clinical medicine ever hear these together. Or imagine it. Somewhere in B school they say “the customers are forced to use our service, brilliant. This’ll be like taking candies from babies” that’s the prob
@independentMDs Wanna get filthy rich? Be a Medicaid administrator!
I was pondering the other day the deep conversations many of us and Radiology have with terminal patients doing their paras and Thoras. Possibly the most meaningful medical interactions I've had. Any meaningful stories, thoughts from other rads? (I know, midlevels do most now…
One of the things I’ve enjoyed most about having our level of cash flow is being able to treat visiting guests to every meal when we host them in town. I can totally see how this would be even cooler at higher levels when applied to travel/vacations.
This is what I’m talking about. My practice is mostly complex vascular and lymphatic work but there is no better feeling than having a patient tell me they want me to always be their doctor, even if it’s after something as simple as a para.
@dr_cellini @KyleCooperMD The most grateful patient I ever had though was a woman dying of metastatic ovarian cancer in a small community hospital I worked at She refused to let anyone else do her weekly ascites drainage under ultrasound guidance
@KyleCooperMD I agree that there is a slight derogatory undertone in the fact that you will be dealing with the devil (mega hospital system admins)
@dr_cellini @KyleCooperMD Your steel case leap 2 or HM?
@independentMDs April fools you get to be called provider and you get a pay cut
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