tag:blogger.com,1999:blog-2760353953251845523.post7471674046923577954..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: InevitableJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-2760353953251845523.post-55285169738529174072012-09-10T19:26:37.558-04:002012-09-10T19:26:37.558-04:00Two surgeons walk into a bar...
-SCRNTwo surgeons walk into a bar...<br /><br />-SCRNAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-3213854101402735412012-09-10T14:27:01.876-04:002012-09-10T14:27:01.876-04:00aI don't know.... "Inevitable" seems...aI don't know.... "Inevitable" seems more correct...Joseph Sucher, MD FACShttps://www.blogger.com/profile/09187702675709935451noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-82315350798623340792012-09-10T14:00:29.805-04:002012-09-10T14:00:29.805-04:00"Ambivalent" probably a better word choi..."Ambivalent" probably a better word choice, Joe. Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-66541403913582451922012-09-10T10:09:03.948-04:002012-09-10T10:09:03.948-04:00Good points Joe. "couldn't give less of ...Good points Joe. "couldn't give less of a shit" is poorly phrased. I was trying to convey the idea that an employed surgeon wont be affected by the relative status of the patient's spending cap. He/she gets compensated as per contract. A private surgeon who provides free care not because the patient is without insurance or adequate funds, but because of arbitrary government dictate, is going to grow disillusioned.<br /><br />Further the "quarterback" is going to be less likely to consult a private surgeon \, knowing the responsibility for cost containment falls on her shoulders. <br /><br />Andy- I get out of bed as it is now---- for the self pays who show up at 3 am. <br /><br />Point is that we neglect to instill values into our physicians. As long as costs are contained no one cares if we train a generation of who are more accountable to the bottom line rather than to the patients. Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-33174228805518864892012-09-10T08:41:42.610-04:002012-09-10T08:41:42.610-04:00The Surgeon has a good point. But his line of argu...The Surgeon has a good point. But his line of argument is built on shaky ground. Let's first start with agreeing that the future of healthcare is uncertain, at best. <br /><br />Nonetheless - I take issue with the Surgeon's statement of <i>"The employed surgeon couldn't give less of a shit"</i>. This divisive rhetoric has no proof or basis in reality. Employed, or not, surgeons remain distinctly individual. Employment, in and of itself, does not a bad surgeon make. In fact, it may just end up being the opposite. Yikes. I said it. But yes, being an employed surgeon might, in fact, place that surgeon under more scrutiny to do the "right thing". This goes past the grotesquely mediocre "peer review" panel / quality control committee that has proven to be less than effective on removing known "bad actors" from the hospital stage. But I agree that employed surgeons could find themselves in a "shift work" type of setting. Here is where the sticky wicket lies. The shift worker mentality is what we don't want to see in surgery. Once that line is breached, the profession will be in peril.<br /><br />This is a very important topic. But there's much to praise AND bemoan about both sides (private practice versus employed practice). Despite the fact that I've been employed my entire career, I see the great positives of the private practitioner. The two have co-existed for many decades. I think it should remain that way. But alas, the tsunami approaches. Joseph Sucher, MD FACShttps://www.blogger.com/profile/09187702675709935451noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-63171454090077409652012-09-10T08:25:00.927-04:002012-09-10T08:25:00.927-04:00If your days are numbered, it suggests that you ar...If your days are numbered, it suggests that you are only a physician because you want to get paid. Aren't you going to make that 2am visit even if you're over the spending caps if you know that you can intervene in a meaningful way for the patient? It might burn your ass later to know you didn't get paid, but I'm guessing the paycheck isn't what gets you out of bed. If it was only about the paycheck, you'd be a dermatologist in Florida.Attorney Andynoreply@blogger.com