I handed in my resignation. Change! Loss! I will miss the radiologists, the nurses, the cardiologists, nephrologists, neurologists, the women who work in the cafeteria, the maintenance guys, the women who clean the floors, the IT guys, the residents, my beloved secretary, and my wonderful hospitalist docs. This is the only place I’ve worked since I finished my residency, and the place I’ve spent many more waking hours than at home for the last 11 years. Everyone’s cell phone number is in my blackberry. This is where I learned to be a doctor and a boss, how to negotiate, how to hire someone, how to fire someone, how to run a meeting, how to make a presentation, how to be humbled by mistakes while still growing proud and strong. I know new adventures await me. I know I will make new connections and gain important skills, but it feels like leaving home.
Last October, I wrote about the process some healthcare organizations are engaging in to develop written compacts between physicians and the hospitals where they practice. The point of my post was that there are inevitably some generally accepted (but rarely articulated) expectations that the two parties have of each other, and it can be valuable to […]
So out in the varied land of hospital medicine, I have noticed something that I have no clear explanation for. It turns out there is often a gap in productivity between that of NP/PA providers and physicians. The range of the gap varies wildly – I just got off the phone with a HM group […]
In my previous post, I discussed the challenges associated with measuring hospitalists’ patient satisfaction scores. I noted that CMS never designed the HCAHPS survey to evaluate the performance of individual providers or groups; it is only valid for assessing hospital-level performance related to patients’ experience of care. I also reviewed some structural impediments that likely […]