The Incredible Shrinking Physician by Pat Conrad MD

Fellow physicians, do you feel yourselves shrinking?  You should.  After slogging through post-graduate training and years of private practice, you may have learned some ways to evaluate and treat patients that do not fit neatly into pre-formed, arbitrary whims handed down from the medical experts prowling state capitals, D.C., and lawyers’ offices.  And most of…

More Evil Administrators

This is from Maine, where I practiced for 18 years: Seven physicians — including four in the emergency department — are resigning from Maine Coast Memorial Hospital in Ellsworth. Hospital officials say the departures are due to changes the hospital is making to improve quality. But other physicians who have left in recent years say…

I’m The Problem by Pat Conrad MD

“Dude, go have a scotch and stop bitchin’,” our administrative coordinator counseled.  I replied, “Hell no, that is the column I’m gonna write tonight.  With bourbon.” While Bernie and the AAFP – worst rock group name ever? – work to commit medical economic alchemy and conjure up free health care for everyone, I’ve had the…

Bureaucracy Killed the Family Physician

Here is a nice summary in the Medical Economics magazine of why we are having such a shortage of family docs.  All of it, by the way, was predicted by me over the past 15 years with proof in this blog.  It is summarized as: Bureaucracy Red tape More bureaucracy Pay-for-performance Quality indicators Metrics More red…

The AAFP Continues Their Cluelessness

At the most recent AAFP yearly meeting, it was decided: Healthcare is a basic human right and there should be a “publicly funded universal primary care program,” according to resolutions adopted Wednesday by the American Academy of Family Physicians Congress of Delegates here. The healthcare-as-right resolution stated that the AAFP “recognize that health is a…

The Evil Hospital Administrator

I often rip on hospital administrators for many reasons.  One, there are too many of them. Two, they think they are more important than they are.  Three, they are getting too powerful.  Want an example?  Here is one from a lawsuit in California: The suits stems from actions taken Jan. 26, 2016, when the Tulare…

The Only Bright Light Out There by Pat Conrad MD

For decades, the American Academy of Family Practitioners has taken a leading role in selling out their members, those members’ patients and communities, and the state of U.S. health care in general.  I trained in family medicine at a very good residency, where I truly received an excellent education from some outstanding physicians, to whom…