"Nothing makes me sadder, Rachel, than when I lose one of my colleagues to a concierge practice or to a cosmetic boutique or a medical spa, or they become a physician-burnout coach, which we desperately need, because those opportunities give them that autonomy."
-Dr. Kavita Patel, Primary Care Physician, former director of policy for the Office of Intergovernmental Affairs and Public Engagement under Obama.
You know what? Me too. I read this and felt a deep familiarity.
We need primary care doctors actually being primary care doctors. As Guy Culpepper, MD stated, there really isn't any replacement.
But can you really blame them?
--> Administrative burdens
--> Coding risks that come with audits and penalties
--> Pressure to see more patients
--> Increased Expectations
--> Decreased Reimbursement
You can't expect a farmer to keep going out in the rain and pelting hail to tend to a crop that's half planted and riddled with disease when someone offers him an umbrella and a job that pays twice as a good in town.
Everyone has a solution. Go all in on cash pay. Work for someone who claims to be better. Suck it up. Work harder.
I used to be the General Counsel for one of the greatest multi-specialty clinics in the state (Austin Regional Clinic: ARC) and I saw first-hand how these PCPs struggled, adapted, powered their way through, formed strategic alliances, and they are still standing. ARC was formed by Dr. Norman Chenven, an amazing PCP that is still to this day my favorite boss that ever lived.
He helped me see what the world of a doctor was like. He helped me see myself as a true advocate. He helped me grow up as a lawyer. He was so kind and gentle with me, a green and naive young kid who hosted talks and was allowed to follow doctors around tying to figure out why their satisfaction scores were low. I brought cupcakes to the office and wore blazers. He helped me grow. I'm indebted to him forever for believing in me.
This is what a PCP is made of. Hearty stock, full of compassion for people.
But many of the solo practices just can't make it work. They don't have a visionary at the helm. They don't have the resources it takes. They don't always have a CEO mindset. They don't have a Norman.
Honestly, primary care doctors are tired all the way down to their bones. And so they move on to something that gives them freedom.
This breaks my heart.
I formed Guard My Practice for this one and only purpose - to help doctors when they felt they couldn't go on. To teach them how to stay out of trouble. To educate them on the basics of contracts. To help them understand employment law, and give tips on how to handle problematic patients. And most recently, to guide doctors through rough job transitions.
PCPs are hanging on, but barely. Let's do our part to help before it's too late. If we don't, we won't have any healers left.
www.guardmypractice.com
https://lnkd.in/gxAAC5dU
Chaplain Resident at CoxHealth
3wWell done!