What ‘Big Medicine’ Means For Doctors And Patients

Fri, 04/15/2011 - 6:31am
Pauline W. Chen, MD

A colleague described a recent meeting at his hospital by saying that five years ago, most of the physicians in the room had been like him, independent owners of small group practices. Now a majority were employees of the hospital.
“I’m a dying breed,” he said, “and it’s getting harder to survive.” The doctors in his own group had just spent months wrangling over their hospital contract, installing an electronic medical record system and scrambling to fill the void in their on-call schedule left by a colleague who went to work for another hospital.

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