It was only as a medical student at Johns Hopkins that I became aware that the private practice of medicine—any specialty, thoracic surgery in my case—was a possible career choice. By far the greater number of physicians at that time and now are in private practice. There have been changes Read More
Tag: academia
Explaining Medical Residencies After my previous blog on financing medical residencies, it was brought to my attention that medical residencies, their functional details (why and how) may not be well understood. Let’s start at the beginning for those who want to be a doctor. First you attend college where Read More
Politics get in the way. Hospitals that have medical residency training programs (this includes trainees in internal medicine, surgery, and all other specialties) are responsible for paying the salary and benefits of their residents. In turn the hospitals bill and are reimbursed by Medicare which is where the government housed Read More
Medical schools provide safety nets. The safety net idea is to “catch” patients that fall through the system that catches and cares for the insured. Those that slip through are uninsured or have insurance that is insufficient to give them a foothold in the world of for profit hospitals and Read More
What two surgeons did not do dramatically changed the course of American Surgery. I have discussed the contributions of two influential pioneer surgeons Macewen and Graham. They also changed the course of Surgery in the USA by something they did not do. Both men were offered the position of Chairman Read More
This won’t be as bad as making laws or sausage but there will be details. In the 1980’s the relationship between medical schools and their hospital changed. Until then the school’s parent university owned and the medical school managed the hospital. The advent of managed care programs and shrinking hospital Read More
Academia: Does it infer arrogance from the ivory tower? Academia is simply how a university community is identified. Academic physicians of all stripes (surgeons, internists, etc.) are employees of medical schools and its parent university. They constitute the faculty. These these physicians have clinical practices and care for patients as Read More
