Primary Care and Burnout

The above is from Medical Economics.  It shows that the highest percentage of burnout was in primary care. They list the causes as: too many bureaucratic task, too many work hours, increased computerization of practice and insufficient compensation.   Hmmm, now what would fix all this?  I wonder?

I feel bad for my colleagues with “death row syndrome”.  I really do.  They are brainwashed into thinking they have no control.  How do I know?  Look at what they think will help fix all this (bottom right of image):

  • Provide…..
  • Slash…..
  • Greater respect from….
  • More positive attitudes from….

I don’t need to finish the sentences to make my point.  Every “fix” they call for is EXTERNAL!  They depend on others to GIVE them something. That will never happen.  It is only fixed by TAKING CONTROL BACK and doing it yourself.


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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] 

  2 comments for “Primary Care and Burnout

  1. Judith Harvey
    November 17, 2018 at 12:07 pm

    Our office wants to fix burnout by hiring scribes. Also, some idiot in our community decided that the physician has to place orders into the EMR. All of them. It would be so much easier if the EMR was tweaked to flow more like a paper chart.. have a screen pop up allowing a touch to labs desired rather than changing the screen and searching. All I’m asking for is something as sophisticated as , say ,the Grand Theft Auto programming.

  2. Kurt
    November 14, 2018 at 5:12 pm

    You have to be careful about DPC because not all geographic areas can support this.
    Where they have too many people sucking off the government teat won’t work. They won’t give up their beer and cigarettes to pay yer’s fee.
    And though hospitalists are coming to rural areas they’re not there yet. Covering the office and the hospital is a bit much but I though most DPC people don’t do hospital anymore.
    The above is where I disagree with Doug. Choose the wrong area with too many poor people and your DPC will fail period.
    That said, I agree to all of the advantages except one has to be extra careful of where they setup shop. Get in the right place and you’ll reap the benefits. The problem is students aren’t bothering to try this because there are better, more lucrative specialties to pursue. I was originally recommended to anesthesia but I tried surgery and got fired for arguing with an attending. (I didn’t hit the guy mind you) I said, “Screw it.” I can make a living doing FP and switched. Was gratifying for 24 years but now biding my time for 34 and a half months until Medi-care age and retirement. FP is the worse mistake anyone can make as a career unless they
    get in the ground floor of DPC in the right area. Problem is there is risk involved doing that.
    I’ve seen Pri-care Drs. names in bankruptcy notices in the papers before and I knew danged well it wasn’t because they lived lavish lifestyles.

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