Changing practice paradigms: negotiating your future.
There are many recent and ongoing changes in the practice of medicine from a business standpoint as well as in overall practice management. Economic and lifestyle desires have pushed many physicians to a decision point of whether or not to join a large multispecialty group or to sell their practice and become an employee of a hospital system. There are advantages and disadvantages to both options; however, deciding on the most appropriate path for each individual can be a daunting task. At our recent breakfast session at the vascular annual meeting in Chicago, Illinois, in June 2011, we brought to light these topics to try and help enlighten physicians on which option may be right for them. There is no single answer/option that will fit every practice, but discussion for various practice management designs are outlined and critiqued. This article cannot fully discuss each view in the allotted space, but it is designed to encourage thought and discussion among the vascular surgical community as a whole.
Ohio State Heart and Vascular Center and the Ohio State University Medical Center, Columbus, OH, USA.
Bhagwan B
BB
Satiani
Stephen J
SJ
Motew
R Clem
RC
Darling
Krishna M
KM
Jain
Christopher L
CL
Wixon
Bruce A
BA
Johnson
Victor J
VJ
Weiss
Dennis R
DR
Gable
D005544:Forecasting; D006801:Humans; D017008:Negotiating; D011216:Practice Management, Medical / Q000639:trends*; D010818:Practice Patterns, Physicians' / Q000639:trends; D014481:United States; D014656:Vascular Surgical Procedures / Q000379:methods / Q000639:trends*