The Doctor Crisis


Book Description

Calming fears, alleviating suffering, enhancing and saving lives -- this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward -- amidst jarring changes in our health care system -- is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.




The Passive Income Physician


Book Description

Even the best and brightest doctors lack a financial education. And that's why so many high-income earners eventually face a career crisis. Now there is a remedy for medical and other veteran and aspiring professionals-and it does not require predicting or investing in the stock market. THE PASSIVE INCOME PHYSICIAN is the story of a former U.S. Navy veteran who became an emergency medicine physician only to realize his profession was causing personal harm. Thomas Black MD found a solution for his career dissatisfaction by trusting a passion for real estate investing that he'd nurtured while in residency. His transformation from ER doctor to the founder of an asset management firm with over $40 million in holdings is one part memoir, one part whistle blower-over 50 percent of America's doctors report -burn out--and a generous portion of financial makeover expert. You'll learn how to rethink your plan for an abundant future. In various financial market interviews, the author has said his mission is to help other professionals get their money on track. -Real estate investing is my passion because it is also my salvation. It is not enough to be 'rich.' Wealth is freedom. It gives us choices and removes a lot of stress.- THE PASSIVE INCOME PHYSICIAN reveals how well-paid professionals waste money by investing in common but unreliable paper assets. The book also provides evidence-based solutions for expanding net worth. 1 Critical Failure 2 A Zeal for Excellence 3 Rejecting Inexperience 4 Flawed Thinking 5 First House 6 Buying in Houston 7 Follow Your Heart 8 What's the Catch? 9 Family Owned 10 To Manage or Not To Manage 11 No Turning Back 12 Rolling It Over 13 Managing Assets 14 Class Action 15 Mass Appeal: A Cautionary Tale 16 Life in Storage 17 Decreasing Risk 18 Satisfaction: Retiring Old Ideas




Physician Crisis


Book Description

This book is the first volume to individually dissect and explore the reasons physicians are leaving medicine. It lays out potential solutions to many of the problems, which will result in a happier practicing physician. Chapters begin with the nature of the problem, and go through a physician's life cycle on the job, from medical school through post-grad and onwards. Chapters will also cover issues as a practicing physician and how to help alleviate these problems. The book ends with potential solutions to the issue of physician burnout. Physician Burnout: Why Doctors Are Leaving Medicine and How to Fix It is a must-have resource for practicing physicians, healthcare providers, and healthcare management. It is also a great resource for medical school students and those looking to get into the healthcare field.




America's Uninsured Crisis


Book Description

When policy makers and researchers consider potential solutions to the crisis of uninsurance in the United States, the question of whether health insurance matters to health is often an issue. This question is far more than an academic concern. It is crucial that U.S. health care policy be informed with current and valid evidence on the consequences of uninsurance for health care and health outcomes, especially for the 45.7 million individuals without health insurance. From 2001 to 2004, the Institute of Medicine (IOM) issued six reports, which concluded that being uninsured was hazardous to people's health and recommended that the nation move quickly to implement a strategy to achieve health insurance coverage for all. The goal of this book is to inform the health reform policy debateâ€"in 2009â€"with an up-to-date assessment of the research evidence. This report addresses three key questions: What are the dynamics driving downward trends in health insurance coverage? Is being uninsured harmful to the health of children and adults? Are insured people affected by high rates of uninsurance in their communities?







Plague Years


Book Description

In 1992, Dr. Ross A. Slotten signed more death certificates in Chicago—and, by inference, the state of Illinois—than anyone else. As a family physician, he was trained to care for patients from birth to death, but when he completed his residency in 1984, he had no idea that many of his future patients would be cut down in the prime of their lives. Among those patients were friends, colleagues, and lovers, shunned by most of the medical community because they were gay and HIV positive. Slotten wasn’t an infectious disease specialist, but because of his unique position as both a gay man and a young physician, he became an unlikely pioneer, swept up in one of the worst epidemics in modern history. Plague Years is an unprecedented first-person account of that epidemic, spanning not just the city of Chicago but four continents as well. Slotten provides an intimate yet comprehensive view of the disease’s spread alongside heartfelt portraits of his patients and his own conflicted feelings as a medical professional, drawn from more than thirty years of personal notebooks. In telling the story of someone who was as much a potential patient as a doctor, Plague Years sheds light on the darkest hours in the history of the LGBT community in ways that no previous medical memoir has.




Taking Action Against Clinician Burnout


Book Description

Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.




Canary in the Coal Mine


Book Description

One doctor's courageous fight to save a small town from a silent epidemic that threatened the community's future--and exposed a national health crisis. When Dr. Will Cooke, an idealistic young physician just out of medical training, set up practice in the small rural community of Austin, Indiana, he had no idea that much of the town was being torn apart by poverty, addiction, and life-threatening illnesses. But he soon found himself at the crossroads of two unprecedented health-care disasters: a national opioid epidemic and the worst drug-fueled HIV outbreak ever seen in rural America. Confronted with Austin's hidden secrets, Dr. Cooke decided he had to do something about them. In taking up the fight for Austin's people, however, he would have to battle some unanticipated foes: prejudice, political resistance, an entrenched bureaucracy--and the dark despair that threatened to overwhelm his own soul. Canary in the Coal Mine is a gripping account of the transformation of a man and his adopted community, a compelling and ultimately hopeful read in the vein of Hillbilly Elegy, Dreamland, and Educated.




Physician Well-Being During Sustained Crisis


Book Description

An anthology of essential essays on physician well-being during sustained crisis




From Physician Shortage To Patient Shortage


Book Description

This book contains five chapters based on papers that were prepared for the Cornell University Medical College Second Conference on Health Policy held in New York City on February 27-28, 1986, plus an introductory chapter and a summary of the discussion written by me as chairman and editor. The title, From Physician Shortage to Patient Shortage: The Uncertain Future of Medical Practice, underscores two of the major changes that are operating to reshape the U.S. health care sector.