Eric Eskioğlu, MD, MBA, FAANS’ Post

One reason I started Pazona MD Urology, was to eliminate many of the factors contributing to #physicianburnout. But, the potential #1 cause of my burnout . . . will be medical licensing/credentialing/maintenance of certification. Let's review the bureaucratic tedium of practicing healthcare as a physician: 1. College: Take MCAT 2. Medical school/Residency: Obtain your 1st state medical license, pass USMLE steps 1, 2, and 3 3. Post residency: Pass board certification and complete tedious busy work every two years indefinitely for maintenance of certification. 4. Obtain 2nd state license (if practicing in a different state than your training). 5. Complete credentialing at EVERY hospital you desire medical staff privileges. 6. Enroll with insurance carriers. 7. Enroll with medical liability insurance. 8. Repeat steps 4-7 every time you move or want to help patients in other states. 9. Complete continuing medical education requirements (CME) that in no way ensures you are practicing ethical, up-to-date medicine. 10. Pay mandatory dues for countless medical societies, boards, medical staffs. The best part of this process is that none of these entities share information, such that every process, requires you the physician, to complete mounds of digital forms. 🎉 😩 It's obscene. Especially when you recognize the primary purpose of these processes is not patient safety but instead 🤑 💵 💰 We interviewed a new vendor for credentialing yesterday. I'll let you know how it goes. Regardless, these processes are a racket and only serve to drive physicians out of healthcare, furthering the accessibility gap between patients and physicians. If any of you have resources that ease these pains for physicians please comment and share! #moralinjury #physicianburnout #bureaucracy #privatepractice #healthcare #physicians

🚀Happy National Physicians Week!🚀 5 things you may not know about physicians: 1. The average physician has 40,000 hours of training. 2. There are 26 officially approved medical specialties. However, there are many more sub-specialties. 3. The average age for graduation from medical school is 28.  4. The age group with the largest number of practicing doctors in the U.S. is 55-64. 5. Experts predict that by 2030 the United States will have 122,000 unfilled jobs for doctors. Thank you to all the physicians out there and for what you do. As much as the field helps people, and has honor and credibility, we may not always feel seen. We SEE you and we NEED you more than we all know. Thank You 🙏🏽 📍Physicians depend on so many people to care for patients… nurses, pharmacists, therapists, assistants, aides,techs, etc. Thank you to the team members! Let’s keep moving forward and help others along the way. Have a great week! #leadership #healthcare #entrepreneurship

#DrAI is Seeking its Master－The most powerful medical professional artificial intelligence platform. try it >> https://lnkd.in/gSUrDmtm (Create an Admission Note/Create a Progress Note/Pharmacotherapy Analysis/Cancer Strategy/Any Questions) No matter your specialty or position, D r . A I is the perfect companion for all healthcare professionals, including attending physicians, residents, physician assistants, specialized nurses, pharmacists, nutritionists, case managers, and more. No need to download an APP. No need to enter personal information. No need to know patient information. #DrAI is always available 24/7 to answer your questions. #DrAI can help you solve the pain points of medical documentation. Watch the introduction video on YouTube. https://lnkd.in/gjCE46aJ Thank you! #smarthealthcare #aimedical #smartmedical #medicalcertificate #msf #POMR #soap

How can we ensure that healthcare workers stay focused on patient care rather than paperwork? Our #HealLA 2024 cohort member Your Suma is revolutionizing licensing and compliance for nurses in California. Founded by Denice Wharton, CEO, Suma is the world’s first digital licensing management platform for Certified Nurse Assistants (CNA) and Home Health Aides (CHHA). 🌍 Denice Wharton shares, "The problem we're aiming to solve with Suma is the complexity and inefficiency of the licensing process for Certified Nursing Assistants (CNAs). The scale of this problem is significant, affecting thousands of healthcare workers and the overall quality of patient care."   Suma's platform eliminates the headaches and frustrations associated with license renewal by allowing healthcare professionals to effortlessly manage their continuing education requirements and stay up-to-date with regulatory changes. We are proud to support Suma and their dedication to streamlining the licensing process for healthcare workers, ensuring they can continue to provide essential care without unnecessary administrative burdens. 🌱 _________ HealLA provides a free, nine-month accelerator program aimed at nurturing and scaling innovations that address healthcare insecurity, inequities, and lack of preventive care. The HealLA Bioscience and Healthcare Accelerator is supported by esteemed partners such as the California Office of the Small Business Advocate (CalOSBA), U.S. Small Business Administration), Gilead Sciences, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, BioscienceLA, Cedars-Sinai, Keck School of Medicine of the University of Southern California, UCLA Technology Development Group, Biocom California, MedTech Color, Consortium for Technology & Innovation in Pediatrics, California State University, Los Angeles, City of Hope, BioLabs, Rio Hondo College, Alliance for Southern California Innovation, Rancho Los Amigos National Rehabilitation Center, Keck Graduate Institute, WuXi Biologics. Learn more about the HealLA Bioscience and Healthcare Accelerator: https://lnkd.in/gi94ZB_f Discover the 2024 HealLA cohort: https://lnkd.in/gKRdHdzm #HealthEquity #HealthcareInnovation #Suma #LicensingManagement #PatientCare #HealLA #SDG3

"I would never go back…not for millions of dollars. There’s no way.” Why would any physician think of leaving the traditional, “fee-for-service” model? Well, consider this short clip from an interview with Deborah Moore, M.D. who made the career jump to owning her own practice, under the Direct Primary Care model. “I wouldn’t tell someone going into direct primary care that it is easy, because it’s certainly not easy to own your practice, but it’s rewarding and I would never go back. Not for millions of dollars. There’s no way.” ~For any physicians, nurses, or PAs out there, have you ever considered adjusting your practice to a membership-based, DPC, or concierge medicine style? Kaustubh Dabhadkar, Mary Branch M.D., M.S. ~For anyone already in this DPC space, have you experienced a greater relationship with your patients? Dr. Alesha Logan, NP, Kendall Lowe, Patrick Fillnow ~To everyone: What are some benefits or concerns you have with DPC or other membership-based providers?

Americas Hepato-Pancreato-Biliary Association (AHPBA) & California Society of Anesthesiologists all in one weekend! Two very different locations (Miami, Anaheim), two very different physician audiences (surgeons, anesthesiologists) -- but so much in common! Throughout my time as president of the American Medical Association, I have had the opportunity to speak to physicians, residents & medical students from all around the country and what I hear from them is how the extraordinary pressures of practicing medicine in this environment continue to mount… painting a grim picture about the state of #healthcare in our country.   It's easy to identify the root causes of these pressures and frustrations:   - An impersonal and overly bureaucratic health system - Too much time on paperwork - Not enough time on patient care - Misinformation and hostility directed toward us - Medicare payment cuts - Scope of practice battles - Greater consolidation across healthcare - Loss of physician autonomy I also hear concerns about rapid advancements in #digital #health & #AI that are raising a lot of questions and considerable unease about what the future of medicine will look like – and whether the humanity of our profession – the human element that has defined medical practice through the ages – will be lost in the process.   I believe that in moments like these physicians, as advocates and allies for our patients, *must* band together to take on these immense challenges. That's why I'm grateful for these and so many other physician-led organizations who are working hard to fight for our patients.   Physicians are natural advocates on health issues and leaders in our communities because we are trusted voices. We remain among the most trusted professions, even in the wake of the COVID pandemic and concerted efforts to mislead the public on health issues and to undermine the faith in medical institutions and experts.   But we must continue to partner to drive our path forward, to advocate for physicians and patients – and to work in partnership with others to create stronger, healthier communities.

We are recruiting for Urgent Care and Primary Care Physicians in Oregon for a large established health system that offers great compensation and benefits and a practice environment that values clinicians. Here are the top five reasons to consider being a doctor in Oregon: 1. Quality of Life: Oregon is known for its high quality of life, characterized by its natural beauty, outdoor recreational opportunities, and strong community values. The state offers diverse environments from the Pacific coastline to mountain ranges and forests, catering to a wide range of lifestyles and interests. This can contribute positively to the work-life balance of medical professionals. 2. Innovative Healthcare Environment: Oregon has been at the forefront of healthcare innovation and reform, particularly in terms of its approach to public health, integrated care models, and Medicaid expansion. This progressive healthcare landscape can offer doctors unique opportunities to be involved in pioneering healthcare solutions and to work in systems that emphasize holistic and patient-centered care. 3. Diverse Patient Populations: The state's diverse demographics, including urban populations in cities like Portland and Eugene, rural communities, and significant Native American communities, present doctors with the opportunity to work with a wide range of patient backgrounds and health care needs. This diversity can enrich a physician's practice and expertise, offering a broad and rewarding medical experience. 4. Strong Community of Medical Professionals: Oregon has a supportive network of healthcare professionals and a collaborative medical community. Institutions like Oregon Health & Science University (OHSU) in Portland are recognized for their research contributions and medical education programs. Being part of this community can provide significant professional growth opportunities, mentorship, and collaboration. 5. Favorable Practice Environment: The state has been recognized for having a favorable practice environment for physicians, including a relatively competitive compensation structure and a proactive stance on reducing administrative burdens on healthcare providers. Additionally, Oregon's efforts to address healthcare provider wellness and prevent burnout can contribute to a more sustainable career in medicine. Message me to learn more. kevin@averyprofessionalgroup.com  646-586-9975

Interesting read on a perspective of limits of physician training today and its impact on the (current) looming physician shortage.

In a JAMA Internal Medicine survey of 525 practicing post-training physicians, "most respondents (319 [60.8%]) viewed PE involvement in health care negatively, while 55 (10.5%) viewed it as positive or somewhat positive and 151 (28.8%) were neutral." When asked to compare private equity ownership with other types of practice ownership, the physicians rated PE as roughly equivalent to "other corporate" and "for-profit hospital or health system." The medical practice ownership types of "independent physician practices" and "non-profit health systems" were rated higher in the survey of doctors. An accompanying commentary says, "Given that PE ownership in health care is increasingly common, a key question is whether PE acquisition has a detrimental effect on physicians, practices, and patients. Zhu et al found that many physicians in their sample viewed PE involvement in health care negatively, with substantial concerns regarding physician wellbeing, health care costs, and health equity. Ominously, the small subgroup of PE-employed physicians reported lower satisfaction, autonomy, and likelihood of staying with their employer." One has to wonder — of the 10.5% of physicians who rated private equity highly, how many had received a big payday from selling their practice to a corporate entity? #emergencymedicine American College of Emergency Physicians American Academy of Emergency Medicine (AAEM) Emergency Medicine Residents' Association (EMRA) Society of Emergency Medicine Physician Assistants (SEMPA)

Thanks for the interesting stats, kind words, and comment section mention Navin Goyal MD. A whole week! Doctor's Day is, curiously, this Saturday. No truth to the rumor that physicians will be outdoors looking for hidden prior authorizations from the Peer-to-Peer Bunny. I'm not usually one for these celebratory weeks/days (and the free hot breakfast that often comes with them). My goal every day is to show up on time (30 min early), do a decent job, be efficient, treat people well, and be pleasant (or at least tolerable) to work with. Occasionally, I mumble jokes. Most days are successful in this regard -- but not all. Always room to do better. I suppose what it means to be a physician is changing. Most professions evolve over time. There has been a hyperintense focus on healthcare (or at least it seems that way) for several years now, in part due to the pandemic and in part due to the tipping point we seem to inch closer towards but never quite reach. The way I view the practice of medicine has certainly evolved. The "lunchpail" approach of simply showing up that defined the early part of my career has given way to a broader understanding and appreciation for the bigger picture. Business, innovation, entrepreneurship, regulation, and (unfortunately) the politics of healthcare delivery. Not all will make this shift, but it feels increasingly necessary. Maybe I'm just older and wiser (wizened?). The future of medicine and what it means to be a physician will continue to spark debate and discourse. We can run away or run towards it. (Some will try to do both). See you Saturday morning. #medicine #healthcare #physicians #doctors #health