What’s Your PMI?

It turns out that doctors employed by hospitals and corporations are much more dissatisfied on their jobs:

A national survey from analytics company Geneia found physicians who are employed by hospitals and corporations are more dissatisfied and burned out than those who work independently and in physician-owned practices.

Here is what they found:

  • 69 percent of corporate/hospital-owned physicians agree they are talking about work in a more negative way, compared to 51 percent agreement among physician/independent-owned respondents. That’s a plus-18 percentage point gap in opinion between ownership models.
  • Nearly all physicians — 96 percent — report they have witnessed or experienced physician burnout impacts such as cynicism, severe stress, dissatisfied patients and lower empathy for patients.
  • Physicians working in corporate or hospital-owned organizations were even more likely to witness or experience the negative impacts of burnout.
  • 57 percent of physician-owned/independents report lower empathy for patients as the result of physician burnout, compared to 72 percent of corporate/hospital-owned physicians, a gap of plus-15 percentage points

This is good information to know.  I guarantee they didn’t even talk to DPC docs which would have blown this out of the water (You have to pay to search the search.  Ummm….not).

Here is my favorite part:

In October, Geneia revealed that its Physician Misery Index has climbed to nearly 4 out of 5, and in response, has called on all health IT companies to involve physicians in the design and implementation of health technology products and to measure physician satisfaction.

WTF is a PMI?!? You mean they have translated our disgust and misery, as a physician, into a data point!  This has got to stop. Is this a joke? Is sounds like it.

“Hey bro, what is your PMI?”

“2.3. You?”



“I know, right? Hoping to break 4.5 by January.”

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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]