Measuring the extent, and effects, of doctor frustration

selected articles on trends, challenges and controversies in the changing world of medicine.

Posted Dec. 3, 2012

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It has long been assumed that the usual course for physicians coming out of residency is that they would work and buy into a small practice and stay there as long as they wanted, treating patients in the way doctors best know how. But with mounting business pressures on small practices, doctors are rethinking whether that model can still hold.

American Medical News has covered trends that have doctors both young and old thinking about whether they're better off working for a large organization. Older doctors are considering whether they should get out sooner than expected so they don't have to deal with more hassles. And younger doctors are worried about whether barriers are going to be put between themselves and their patients.

Doctors describe pressures driving them from independent practice

The number of physicians who hold a practice ownership stake is in decline, with nearly two of three expected to be in an employed position in 2013, according to an Accenture study. Doctors are saying the cost of autonomy increasingly is not worth paying. Read more

Will a “silent exodus” from medicine worsen doctor shortage?

Physicians say they are cutting back hours or retiring early because they're frustrated with mounting regulations, declining pay, a loss of autonomy and the unknowns of health system reform. That could mean the U.S. needs even more new doctors than expected to make up for a future shortage. Read more

Many young doctors worried about the future of medicine

A Physicians Foundation survey found that young doctors are optimistic about their futures — but they're not so high on the direction the overall health system is going. Most of the doctors are happy with their working situations and the relationships they have with their patients, but wonder whether institutional barriers will come between them and those for whom they care. Read more

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Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story

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American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story

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Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story

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Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story

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Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story

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How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story

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Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story

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Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

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