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Carol Milano is an author in Brooklyn, N.Y.
MDs Making Changes in Mid-Career
An orthopedic surgeon worked for 17 years before realizing he wanted another area of medicine. Another surgeon started a training business. A third started writing an advice column. Each of these physicians offers an example of how it is possible to make a mid-career change and inject more excitement into one’s career. “In the business world, people change jobs 12 times in their work lives,” reports Robert Mestas, MD, medical director of Physicians Career Practice LLC, an assessment and counseling firm in Denver (at www.pcpllc.org). “But physicians never used to do so. They would stay in one job whether they were satisfied or not.” Dissatisfied with his work, the orthopedic surgeon met with Mestas to discuss his options. “During counseling, we found he thought more like an internist,” Mestas explains. “He made the switch, and loves it. And he didn’t even take much of a pay cut.” Mestas had another client, a successful cardiologist earning over $1 million annually, who was unhappy after 10 years in cardiology. Instead of leaving the profession, he cut back to part-time work. “He’s removed some of the stress, and is sorting out what he might like to do,” Mestas explains.
Make Choices That Match Your Goals
Once they finish their first full-time position in medicine, most younger physicians face a wide range of choices about career direction. The challenge they face involves selecting the alternative that lays the foundation for a stable, growing, and satisfying professional career.
For these physicians, the most popular options include working in an established private practice, forming a group practice, starting a solo practice, buying into an existing group, or working in a private or public setting. Since each of these options has advantages and disadvantages, experts offer guidance on how to choose among them.
Make Choices Match Career Goals
Once accustomed to being a full-time physician, many younger doctors face a range of choices about career direction. The challenge for these physicians is selecting an alternative that lays the foundation for a stable, growing, and satisfying professional career. For any physician in practice, there are a wide variety of possible career pathways, but each one has advantages and disadvantages that relate to professional development and lifestyle decision. For physicians who opt to be full-time clinicians, the variety of settings to consider includes joining an existing group, forming a new group, starting a solo practice, or buying into a medical group. A physician seeking to work in other settings can consider taking a position in a hospital or in another country, or working in the public or private sectors.
Registry Helps Improve Care Efficiency
This article discusses how a medical center in Concord, N.C., is using a computer disease management program focused on diabetes to cut costs, improve health care quality, and attract new patients.
States Battle to Retain Existing Tort Reforms
This article discusses the steps physicians are taking in a number of states to address the issue of escalating medical malpractice insurance premiums. In many states, physicians are lobbying state legislators in an effort to effect tort reform.
Physicians Work for Malpractice Reform Behind the Scenes
This article discusses the steps some physicians are taking to address the skyrocketing costs of malpractice insurance, including communicating with patients, the public, and state and federal legislators about the need for tort reform.
States Seek to Raise Malpractice Awareness
This article discusses steps physicians are taking in some states--especially Florida, Mississippi, Nevada, and Texas--to address the malpractice insurance crisis, including meeting with members of the media and state legislators.
Quiet Campaign Designed to Raise Malpractice Awareness
This article discusses the steps physicians and medical societies in some states, especially Pennsylvania, are taking to address the medical malpractice insurance crisis.
When Sued, Physicians Struggle to Cope
This article discusses the emotional and psychological impact a malpractice lawsuit has on a physician who is being sued. It also discusses the rapidly increasing cost of malpractice insurance in a number of states.
Communication Can Help Build a Practice
This article discusses how physicians can improve patient care, their satisfaction with clinical practice, and their legal standing with patients by improving their communication skills. It also lists several sources for communication skills training.