All Posts by Faith A. Coleman M.D.
Fee-for-service medicine is still how most practices and health systems generate revenue. Often, production bonuses are the most significant income factor, after base salary. It’s also the most complex and confusing. These are some of the methods used to calculate a bonus…Read more
Women have made great strides toward equality with men in both their personal and their professional lives. There is, however, a glaring lack of action and change in a critical area – pay. Using data from 2017, the federal government reports that the median annual pay of women who work full time is 20 percent less than the median annual pay of men who work full time. That means that for every dollar a man is paid, a woman is paid only 80 cents.Read more
It’s time to look for a new job. That could mean you’ve finally earned your degree and been certified, or you’re relocating, or you just don’t see a way to grow in your current job. There are a lot of unknowns inherent to seeking a new job. Where? Why? When? You can never completely know everything there is to know about a company, no matter how thorough you research a position. Some fields are becoming so crowded that you may not have much choice, and the job chooses you. Whatever the case, compensation must be discussed – no one’s favorite task of coming on board a new company.Read more
Yes! No! Definitely! Definitely not! Maybe. Yes, it’s a definite maybe! Early, late, half-time, never? You first. NEVER you first. When? How? Where? You changed your mind. Paper, email, text, a singing telegram? Get in their face; be demure. NEVER use these words; ALWAYS use these words. Is the market up or down? Wear blue. Wear black. Wear scrubs.
Such are the agonies, uncertainties, and the perseveration of negotiating a salary. You shouldn’t have to suffer so much – you did enough of that during your training. I’m providing some excuses you can use to avoid the discomfort of salary negotiation. Try them on before your interview. You’ll find something. If you don’t find a good fit, don’t worry. The universe never runs out of excuses.Read more
A story retrieved from the WebMD archives declares, “Doctors and Nurses are Fueled by Coffee.” In 2010, Harris Interactive, a market research agency, orchestrated a survey on coffee consumption. It included more than 3,600 coffee-drinking workers representing 12 professions.1 Nurses achieved the top honor (?). It didn’t take a survey to figure that out. Whether a rare cup – hot and fresh, or cold swill from last night, they drink what they’ve got to get the job done.
Physicians ranked second in coffee consumption from among the 12 professions…Read more
Physician well-being has become high priority and high visibility. Concern about well-being is almost invariably coupled with concern for physician burnout. We see these concerns in almost every issue of every reputable medical journal. The attention is appropriate, essential, and long overdue. We preach the importance of prevention and risk management to our patients, but we are oblivious to our own needs for the same…Read more
Research shows that attitude and communication skills of the person delivering the bad news are important in determining the nature of a family’s grieving process, and in their ability to cope and recover.Read more
Self-restraint is one of the most-practiced and valuable skills in my repertoire. I stood in the exam room with her, hands in the pockets of my white coat. I was expressionless and silent while she ranted. I did not, (almost-irresistibly) tell her that this was not the behavior of a woman who was ready for motherhood.Read more
The year 2017 is remembered in infamy for its disasters: hurricanes, wildfires, blizzards, floods, heat waves, tornados, mudslides, mass shootings, school violence, terrorism, and more. What are the roles of physicians and their practices in disasters? What are their obligations? If a natural or man-made disaster shut down your office and wiped out your office records, would you know how to piece your practice back together and quickly start seeing patients again?Read more
The point of the blame game isn’t to persecute the players, but to understand the dynamics of interoperability issues, in order to create solutions. Of the stakeholders, only policymakers have a clear, strong interest in promoting interoperability. They should ensure that cross-vendor interoperability isn’t prohibitively costly for EHR vendors and providers. Once the business case for interoperability outweighs the business case against it, both vendors and providers can pursue it without great harm to their bottom lines.Read more