Family physician, author, blogger, speaker, physician leader.

Recent Articles

February 2015 – Best articles for Physician Leaders

The best thing about Youtube and the internet is one can spend hundreds of hours learning from Malcolm Gladwell and set up a blog with his most interesting talks. I hope to meet Gladwell in person one day! In a talk in Connecticut, Gladwell spoke about how health insurance should be catastrophic care and health insurance should not cover the costs for having a baby (these costs are definable and predictable for 90 percent of deliveries and should be paid for out of pocket like we do other goods and services) but be available for unpredictable outcomes (i.e. emergency c-section, complication). Agree?   Health Care Vaccines and viruses! It’s not about the data! -> Doctors Learn to Talk Vaccines. AND Judgment calls – intuition, hard-work, a little luck, and courage when there the challenge in unprecedented and unknown. You don’t know what you don’t know. Trial by Ebola – How […] Read More »

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Deflategate, Antennagate, Human Nature, and Leadership Lessons

Leadership lessons are often a trial by fire. An unexpected discovery and problem and sometimes even a disaster occurs. Media pounces on the story. Someone caused the problem. How did others not see? Were they complicit? As the story unfolds, theories abound as the cause of the problem is not initially obvious or clear. Many premature conclusions. When there is no reasonable answer offered quickly, particularly in today’s 24/7 news cycle, it is human nature to assume something negative. Someone did something with malicious intent. Someone should have known. The problem should have been anticipated and prevented. The fact that it was not means someone was up to no good, was covering up, or acted deliberately towards this outcome. Even when an alternative explanation grounded in facts or science is offered, will it be enough to dispel this perception? Many of us want to believe that leaders are omniscient even […] Read More »

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Millennial Doctors More Tech-Savvy, But Not Better Doctors. Different Education. Different Challenges.

Are Millennial Doctors well trained for the 21st century? That was the question posed in NPR’s Millennial Doctors May Be More Tech-Savvy, But Is That Better? I believe how Millennials Doctors are educated may make them less adequately prepared than previous generations. This isn’t a reflection of medical education, but of education in general. Do the technological tools available prevent the engagement needed to develop deep learning and expertise of our future doctors? Do residency hour work restrictions prevent this learning as well? Dr. Amy Ho noted that “with modern technology, med school really wasn’t too hard… If you want to do the whole thing by video stream, you can,” she says. “I would wake up at 10 a.m., work out for an hour or so, get some lunch and then video stream for 6 hours and then go to happy hour. It actually was not that bad.” Is learning […] Read More »

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How to Make Primary Care Doctors’ Lives Better

Making primary care better for doctors currently in practice and attractive to medical students and residents is critical given the needs of our health care system. It also has been a major focus of the health care organization where I work. A few colleagues and I noticed that many primary care doctors still stayed later than others despite lowering patient panel responsibilities and the implementation of the nation’s most robust electronic medical record (EMR) where patient information is available and updated real-time 24/7. Interestingly, this cohort was the same group that stayed later even when we used paper charts and had larger panel responsibilities. With patients expecting more in quality and service, the more we could support primary care doctors in specific tangible ways to make their work more personally and professionally satisfying, the better they could care for patients. On my days off, I would observe my colleagues as […] Read More »

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Why Obamacare Will Make Americans Less Healthy and More Insolvent.

As people select health insurance during open enrollment, what many don’t realize is how the creation of the health insurance exchanges or health insurance marketplace via the Affordable Care Act aka Obamacare will ultimately result in Americans becoming less healthy and more insolvent. Let’s review the pros and cons. Although the Affordable Care Act aka Obamacare provided important benefits of expanding and ensuring coverage with preventive benefits, insurability of all regardless of prior medical conditions, and uncoupling health insurance from employment, it is the creation of the health insurance exchanges that will result in Americans becoming less healthy and more insolvent. In a few years, the annual ritual of open enrollment you and I take for granted and how we get care will be fundamentally different. Insurance Exchange Has Pros and Cons Allowing people to buy health insurance on a public exchange the same way we purchase airline tickets, cars, […] Read More »

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