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interesting articles...I think with that it even becomes more important to do an ACGME accredited fellowship, which would hopefully get rid of some of the abuse in the field (ie weekend worrior courses & over billing in some practices), although I am sure even pain departments at hospitals see the field as $$ making.
It should discourage senior residents from going into non-accredited programs. Any thoughts??
Patients are becoming aware of this model as not the best always for them as the motivation of the employed MD is not that of the guy who has to make payroll. Service service service. The big health system will drive up the costs of all that we do and patients are aware as well. People in general like choices and are also aware of the employed MD being required to refer to specific hospital owned practices which they may not wish to see. Remember in the late 80s when we were told that managed care and covered lives model would become the standard.
Regards,
Short answer: yes. Moreover, more recent grads don't want private practice and medical schools no longer socialize doctors to think autonomously or entrepreneurially. Read this from NYT.
http://www.nytimes.com/2011/04/02/health/02resident.html?emc=eta1
Fortunately, I only have 5 more free articles before I have to pay for a subscription to this communist paper.