Redesigning Clinical Workflows to Return Joy to Patient Care

Why Is Physician Burnout Getting Worse?

Why Is Physician Burnout Getting Worse?

When I graduated from my family medicine residency 35 years ago, nobody talked about physician burnout, let alone physician burnout getting worse. Nowadays such talk is commonplace. Everyone from physicians who spend all their time deep in patient care, to senior level leaders are aware of physician burnout getting worse. Some understand why this is… Continue Reading

The Iron Triangle of Healthcare

The Iron Triangle of Healthcare

Have you heard of the Iron Triangle of Healthcare? It’s more familiar expression is “Quality, access, and cost: Pick any two.” The baseline assumption in the Iron Triangle is that in healthcare, due to limited resources, we can’t improve quality, increase access, and reduce cost simultaneously. One of the three has to suffer in order… Continue Reading

Preventing Physician Burnout – We Must Do More

Preventing Physician Burnout – We Must Do More

One year ago tomorrow, yes on Christmas Day 2016, our book “Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine” was published on Amazon. A few weeks later the Kindle edition became available. In the past year about 2000 people have purchased copies. That’s a start, and we’d like to… Continue Reading

Toxic Workplaces

Toxic Workplaces

Why do we tolerate toxic workplaces? Would patients be admitted, or people be allowed to come to work, in a hospital that had Legionnaire’s disease spreading through it’s HVAC system, or cryptosporidium in its water supply? When there is a unusual smell associated with headaches and nausea in a surgical unit or emergency department, do… Continue Reading

Hacking EHR Passwords

Hacking EHR Passwords

Do EHR passwords drive you to frustration? Have you figured out a good hack, or have you given up and gotten to the point that you don’t even notice them anymore? I had the honor of speaking to the Large Urology Group Practice Association (LUGPA) this weekend, giving both a plenary session and 2 workshops.… Continue Reading