Sachin H. Jain, MD, MBA

This analysis of all physician-graduates from Harvard Business School provides new perspectives on the careers of physicians with a Master of Business Administration (MBA) degree.

There was significant heterogeneity in current primary employment sectors. The most common sectors were clinical, investment banking/finance, and hospital/provider administration.

The majority of physician-MBAs enter residency, but less than half remain clinically active in some capacity. Those trained… Show more

This analysis of all physician-graduates from Harvard Business School provides new perspectives on the careers of physicians with a Master of Business Administration (MBA) degree.

There was significant heterogeneity in current primary employment sectors. The most common sectors were clinical, investment banking/finance, and hospital/provider administration.

The majority of physician-MBAs enter residency, but less than half remain clinically active in some capacity. Those trained in internal medicine were significantly more likely to remain clinically active over time.

Clinical activity and primary employment in a clinical role decreased after degree conferment. After completing their education, a majority of physician-MBAs divert their primary professional focus away from clinical activity. Show less

A description of CareMore Health System's collaboration with Emory Health Network.

We argue that new delivery models are altering the connections between physicians, which may lead to a decreased capacity for innovation and the slower spread of new ideas.

This Viewpoint discusses health care delivery models intended to improve the continuity of inpatient and outpatient care for high-risk older patients; focuses on the CareMore extensivist model.

My description of the health care innovation bubble and current state of American healthcare delivery.

A description of the residency-MBA program Joel Katz and I launched within the Brigham and Women's Department of Medicine Internal Medicine training program.

Commentary: In the coming years, patient phenotypes captured to enhance health and wellness will extend to human interactions with digital technology.

Throughout history, Black physicians have been bound by a dual obligation: to pursue excellence and success in their profession, and to leverage their professional stature to improve the condition of their communities. This paradigm of race-conscious professionalism has affected greatly the experience of Black physicians, and shaped their formulation of professional identity. This paper explores the relationship between professional life and racial activism in the Black physician community from… Show more

Throughout history, Black physicians have been bound by a dual obligation: to pursue excellence and success in their profession, and to leverage their professional stature to improve the condition of their communities. This paradigm of race-conscious professionalism has affected greatly the experience of Black physicians, and shaped their formulation of professional identity. This paper explores the relationship between professional life and racial activism in the Black physician community from the pre-Civil War era until the present. The nature of this negotiation has shifted according to the professional and social dynamics of the era. Before the Civil War, Black physician-activists were forced to relinquish their professional duties in order to engage in activism. In later years, activism emerged as a valuable endeavor in the Black medical community, which offered greater opportunities for activism within the profession. The implications of these findings for contemporary physicians are discussed. Show less

Case-based suggestions for persuading health care professionals to buy in to lean methods of quality management and improvement.

In 2006, University of Texas MD Anderson Cancer Center was an internationally leading institution for cancer care, education, and research. Since 1996, it had successfully reorganized itself from a cancer hospital that was physically organized around clinical specialties into one that was organized into disease-based integrated practice units called multidisciplinary care centers. These units were supported by a new construction project that had created new disease-specific facilities and a… Show more

In 2006, University of Texas MD Anderson Cancer Center was an internationally leading institution for cancer care, education, and research. Since 1996, it had successfully reorganized itself from a cancer hospital that was physically organized around clinical specialties into one that was organized into disease-based integrated practice units called multidisciplinary care centers. These units were supported by a new construction project that had created new disease-specific facilities and a widely-supported administrative plan in which physicians reported both to leadership of specialty-based academic departments and disease-based clinical centers. Show less

Edited book on medical student's initial experiences with clinical caregiving.

Over the 1980s and 1990s, America's changing health care payer environment resulted in mergers of numerous community hospitals into hospital systems. Based in Appleton, Wisconsin, ThedaCare stood out among community hospital systems in its pursuit of service rationalization, clinical quality improvement, and value-based delivery. Driven by determined leadership, ThedaCare began site-based service line rationalization and introduced innovative care delivery models. ThedaCare is a metaphor for… Show more

Over the 1980s and 1990s, America's changing health care payer environment resulted in mergers of numerous community hospitals into hospital systems. Based in Appleton, Wisconsin, ThedaCare stood out among community hospital systems in its pursuit of service rationalization, clinical quality improvement, and value-based delivery. Driven by determined leadership, ThedaCare began site-based service line rationalization and introduced innovative care delivery models. ThedaCare is a metaphor for the challenges of transforming American community hospital systems. Can be used to teach: the evolution of structure, organization, and strategy of U.S.-based community hospital systems; integrated practice units and care cycles; management of health care quality improvement processes; challenges in diffusion of care delivery innovation; and cost transparency and quality measurement. Show less