Give It Up, Christine Sinsky MD!

The funny thing about this blog is that we have touched on so many issues that the same ones and the same people keep coming again and again.  This is what Dr. Conrad wrote back last January:

Christine Sinsky, MD coauthored a 2015 Mayo study that found: physician burnout had risen 15% since 2011, to 54%. There was also a corresponding decline in reported satisfaction with work-life balance. Dr. Sinsky recognizes that this burnout rate is the result of increasing time spent documenting, EHR’s, and loss of control “to government regulators and third party payers.” And now for the fun part.

Sinsky says, “It’s a cumulative effect of well-intended efforts adding up to a burden of work that no one anticipated.” Well-intended by whom, exactly, the sellouts at the AMA? And why is any credit given for good intentions, when those of us on the receiving end of this garbage absolutely anticipated the results? In what sounds like a parody from the old Placebo Journal, “the AMA has created a series of online tutorials – which Sinsky calls “transformation toolkits”—designed to help practices operate more efficiently and enable physicians to gain more control over their workday. Many of the tutorials focus on ways doctors and practices can save time, such as renewing all of a patient’s medications once a year, or spreading documentation and data entry among members of a care team.” She suggests straight-faced that doctors “reengineer” their days to “create a lot more room in their day for enjoyment.”

Yeah, I laughed at this stuff too. That’s when I tried to find out who Christine Sinsky MD was.  Here is what I said:

So, who is Christine Sinsky? It turns out that she is a member of the Board of Trustees of the ABIM Foundation and a director of the American Board of Internal Medicine. This is the same organizations found to be corrupt by Wes Fisher MD. Interesting.  How is it that someone can be so high up in the the AMA, the ABIM and the ABIM Foundation? Is this one, big, good old “boys and girls” club?  What am I missing here?

Yup. She has made a ton of money off our backs (with things like the MOC) but now she wants to help us?  The newest joke of an attempt comes in Medical Economics’ article Fighting Burnout at Three Levels. In the piece, Sinsky states that physicians “highly resilient” as a group and emphasizes, “If this group is struggling, the environment must be particularly problematic.” Yeah, and YOU HELPED CREATE THIS ENVIRONMENT!!

Here are more of her delusional thoughts:

  • She believes that most primary care practices can save three to five hours of patient care every day by reengineering the way work is done.
  • For larger medical systems, she recommends their newest module, called the Organizational Foundation for Joy in Medicine, which makes plain that what’s good for physicians is good for the bottom line, as well: “A more engaged, satisfied workforce will provide better, safer, more compassionate care to patients, which will, in turn, reduce the total costs of care,” the module notes.
  • “This is a solvable problem. I wouldn’t be devoting my work life to this topic if I felt it was futile.” She believes that by pairing solid data that asks the question “Is this a wise use of the societal investment in the training of physicians?” with resources, tools and innovations like those at the AMA and others cropping up because “the medical community is at the breaking point,” will help advance the conversation.

Dr. Sinsky, you go ahead and keep devoting your work life to this topic. You say that only 20% of your weekly hours are devoted to patient care so go ahead and sit at your desk or go to meetings for the other 80% trying to rack your brains for the solution. You won’t find one unless you take my advice and take the government and the insurers out of the equation. Boop. It’s solved.  Until then you will continue to litter these throwaway magazines with your incredibly stupid ideas that continuously fail.  But I bet you don’t care because it keeps you in the position of AMA’s Vice President of Professional Satisfaction and your paycheck will be just fine.  How much?  Well, it turns out it is impossible to figure out.  See Dr. Wes’s newest blog. 

This whole thing (and Dr. Sinsky) stinks.

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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] 

  10 comments for “Give It Up, Christine Sinsky MD!

  1. SP
    November 26, 2017 at 5:09 pm

    Is “sinsky” a cute nickname for “sinister”?

  2. Martha Oreilly
    November 23, 2017 at 3:42 am

    Please everyone tell the ABIM to go to he’ll next time they threaten to list you as not board certified. Does anyvothernprofesdional accreditation mysteriously vanish on 12\31? Accountants? Lawyers? Real estate agents? Nurses? Then why are we as doctors such g*********d sheep! Stop feeding the beast. change your bylaws or Move to another right to work state or stop complaining about MOC.

  3. Perry
    November 22, 2017 at 10:06 am

    With “friends” like the AMA, ABIM, ACP and AAFP who needs enemies?

  4. Steve O'
    November 22, 2017 at 8:17 am

    This is an old system of recruiting from within the ranks. She’s a kapo, a prisoner in a prison camp who was assigned by the guards to supervise forced labor or carry out administrative tasks. Also called “prisoner self-administration”, the prisoner functionary system minimized costs by allowing camps to function with fewer paid camp personnel. The system was designed to turn victim against victim, as the prisoner functionaries were pitted against their fellow prisoners in order to maintain the favor of their overseers. If they were derelict, they would be returned to the status of ordinary prisoners and be subject to other kapos. Many prisoner functionaries were recruited from the ranks of violent criminal gangs rather than from the more numerous political, religious and racial prisoners; those were known for their brutality toward other prisoners. This brutality was tolerated by the camp guards and was an integral part of the camp system. Kapos were spared physical abuse and hard labor, provided they performed their duties to the satisfaction of the paid guards. They also had access to certain privileges, such as civilian clothes and a private room.
    Here, now. Beat and betray others like yourself, and you get rewards. It’s a cruel way of controlling people that’s as old as civilization itself.
    Is it nice to call fellow physicians kapos? No, not nice at all. But is it true? Well, yes.

    • RSW
      November 26, 2017 at 3:06 pm

      Great description of Dr. Sinsky and her fellow travelers.

      Anyway to ge this thread to her? I’m sure she’d love to get the feedback.

    • SP
      November 26, 2017 at 5:08 pm

      totally agree with you. the only way out is to break the chains of bondage and realize that our “prison” status requires our consent. If you are “too busy” to get involved then prepare for a life of subservience.

  5. Steve O'
    November 22, 2017 at 8:08 am

    One should pay close attention to the fact that the phrase Joy in Medicine is a trademark of the American Medical Association, and should be written as Joy in Medicine™ I am not kidding. Look at the link above to “Organizational Foundation…” You can’t say Joy in Medicine™ without the AMA. Otherwise you can be sued.
    You can say “Just run me over with a steamroller please.” That is not trademarked.

    • Perry
      November 22, 2017 at 3:46 pm

      “Just run me over with a steamroller please.”

      Closer to the truth…

  6. RSW
    November 22, 2017 at 7:34 am

    She is the face of evil.

  7. HJR
    November 22, 2017 at 6:58 am

    F-ing A.

Comments are closed.