Central PA Medicine Fall 2017 - 14

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Community, Health & Wellness

By JAAN SIDOROV, MD

W

hen, at the age of 31 and had just completed my residency program,
I was hired as an employed physician at a large integrated delivery
system. The two things that were remarkable about that time were
1) the employment agreement was finalized with a handshake
and 2) my assigned clinic schedule included half a day per week for professional
and educational development.
HOW THINGS HAVE CHANGED SINCE THEN.

Contractual "employment agreements" have replaced handshakes, and clinic
schedules are now determined and filled by "RVUs." I escaped ever having to
sign an agreement, but it didn't take long for this primary care physician to expand
his clinical hours, increase patient throughput, and do whatever it took to be there
for his patients. During this time, my department also hired other physicians and
rapidly expanded our hospital duties. As the years progressed, I simultaneously
mastered and suffered the art and science of inpatient and outpatient, high-volume
primary care.
In comparing the pace of modern medicine to my slower halcyon days, I don't
think the change to my professional practice benefitted my patients. Instead of
leaving early or arriving late on that half day, I used the time to take a deep breath
and research additional insights on my more perplexing patients. I caught up
on my reading of the latest medical literature. I also worked on developing my
medical student and resident teaching skills, and also began to write and submit
interesting case reports for publication.
14 Fall 2017 Central PA Medicine


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https://www.nxtbook.com/hoffmann/CPAMed/Fall2017
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https://www.nxtbook.com/hoffmann/CPAMed/CentralPAMedicine_Spring17
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