My best friend, and ex medical partner, texted me about the following:

The hospital has moved all the OB and Peds doctors into one large room. Took away their offices. Each works in a 5 by 5 cubicle. All docs leaving. Hiring mid levels.

Yup.  One doctor is fighting to put her diploma on the cubicle wall but, alas, was rejected.

Well, the plan is working.  The administrators always wanted to pay less and are doing whatever they can to accomplish this.

  • Remove physician offices.  Check.
  • Force doctors who have a backbone to leave. Check.
  • Have midlevels replace doctors. Check.

It is just so sad.

And how about the cubicle concept?  Where did I see that NOT work before?  Oh, yeah, the movie Office Space.

TPS reports = Quality Metrics

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  4 comments for “Cubicles

  1. Dave Mittman, PA, DFAAPA
    May 3, 2016 at 12:57 pm

    From a dreaded “mid-level”.

    How do you examine a patient from a cubicle? I don’t understand this. I can understand taking away your medical assistant, or even sharing an exam room which yes, we “mid-level” have had to endure but how do you do an exam in a cubicle?

  2. Dr(Lucky)Phil
    May 3, 2016 at 9:00 am

    Wow, looks like Dr Doug’s privatised medicine has come home to roost.

  3. Sir Lance-a-lot
    May 3, 2016 at 7:20 am

    Ha ha. I’ve always said that in spite of all the problems of working in Medicine, at least it’s still got two things going for it: You can go to work in your pajamas, and you get a real office.

    I’m glad, at the least, that the doctors are retaining their self respect and leaving.

    Personally, I’m frantically trying to come up with some other way to make a similar amount of money, but I haven’t found it yet (sorry, Doug, but I think I’m way too burned out to do DPC).

  4. Thomas Guastavino
    May 3, 2016 at 6:02 am

    The move to mid-levels is inevitable for any one of a number of reasons. Fighting it is useless. Moving just prolongs the inevitable. Other the becoming a mid-level yourself there are three options.
    1) Get out
    2) Super-specialize, especially surgical
    3) Take MBA courses so can manage the mid-levels

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