Harry W Severance, MD’s Post

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Consultant/Advisor | Preparedness Proponent | Workforce Advocate | Life Sciences & Research |

Most Doctors Are Looking for a Change - Many are Leaving Healthcare! In this fact filled Doximity-posted article by Abraham Kim, he provides data points, charts/graphs and commentaries-interviews highlighting many areas of disruption and crisis within our healthcare workplaces and - thus why increasing numbers of doctors (as well as other healthcare workers) are thinking of or continuing to leave clinical healthcare altogether.   My Take: The numbers of physicians and other healthcare workers leaving clinical care (as I have previously reported) are both astounding and deeply troubling (20% of all U.S. healthcare workers in the last 2-3 years, including 10% of doctors in one year alone - 2021).   But, the most critical departure – for the FUTURE of CLINICAL CARE - is with our bright young minds. As I previously reported, in a recent survey, almost 25% of medical students report they plan on quitting - and 61% of medical and nursing students report that though they will complete their degree program, they are going into NON-patient care careers.   Until and unless we come together and FIX the disruptive and increasingly deplorable conditions in many of our nation’s healthcare workplaces - our healthcare system will continue to erode! American Medical Association American Hospital Association American College of Emergency Physicians Tennessee Medical Association Tait Shanafelt Colin West Rebecca Pengilly   DOUGLAS LINDSAY SHEPARD  Aja Whitaker-Moore Larry Beresford Donna Brazile Linda Lawrence Linda Restrepo Jesse Ehrenfeld MD MPH Katie Johnston Peter Stavros Chadd Kraus Tara Morrison, CAE, CMP Lara Vanyo Aria Bendix Sarah Owermohle Mitch Kayle RN, PHN Beth Kutscher #burnout #workforce #healthcareworkforce #moralinjury #toxicworkplace

Four Out of Five Doctors Are Overworked. Most Are Looking for a Change

Four Out of Five Doctors Are Overworked. Most Are Looking for a Change

opmed.doximity.com

We need to fix the crippling pay gap between primary care and specialist / subspecialist compensation. The gap is insulting & quickly disheartens those naive & community-minded enough to go into primary care. A young person talented enough to get into medical or nursing school has plenty of other options that pay more, with far less stress and risk of moral injury due, especially, to the rise of corporate practice of medicine. Frankly, the medical profession itself created & sustained this gap - based on RVUs - Relative Value Units- and only the medical profession can close it. Relative Value, my foot! Not that I have any faith that the AMA cares one whit.

Gulshan Harjee

Co Founder and Board Member CCHC / interim Medical Director probono

4w

Very worrisome . Can anyone comment on how AI could affect Physician jobs .. primary care ? Specialists ? Subspecialties ? I can’t get a real feel.

Andrew Harrison

Explorer, MD, PhD | Physician, Scientist, Clinical Informatics, DEI Health, VP Inclusivity, Board Member, Advisor, Consultant

1mo

written under 40, if i could dump one thing from my life, it would be medical training. most destructive thing in my life i can never undo. just avoid and pretend it never happened. for the rest of my life i will always universally advise no one to ever consider medicine for any reason, unless they just want the letters after their name for business pursuits

Howard A Green, MD

Dermatology & Dermatology Mobile Apps

1mo

Here’s your solution for America’s Healthcare mess: Bismarck Healthcare: used in several democratic capitalistic nations (Japan, Switzerland, Netherlands, German....) enables private insured and private ffs manufactured medical care for all citizens at a fraction of the cost and with better outcomes and access than in America and with more hospitals and insurers competing per capita than in America. This is achieved simply by making health insurers profit neutralized utilities instead of luxuries. Read about Bismarck: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)31280-1/fulltext

I notice several responses that refer to Artificial Intelligence (AI). Personally, I prefer CGS, or computer generated stupidity. If AI is relied upon to make medical judgements rather than mundane tasks like lightening the clerical / documentation load, the results will be catastrophic. The only reason stuff like ChatGTP seems smart is because the intelligence is in the substrate of human language itself. Language is an emergent meta-structure of human intelligence. Medical decision making - history taking, physical / mental status exam, selection of diagnosic tests, differential diagnosis, treatment options - have no such pre-formed meta-structure to manipulate. The clinician making the medical judgements IS the source of any and all intelligence in that activity. I remember reading years ago that AI researchers soon realized that the most salient aspect of a true expert’s thought process is which question to ask first. Think too about the recent examples of AI systems making stuff up & spouting nonsense, or worse. AI champions call that “hallucinating.” PLEASE, give us a break. This output is not the product of some altered consciousness, it’s just a SNAFU (look it up if you have to)

Mohammad K. Khedr, MD, MS, MBA

Pulmonary, Critical Care, Sleep Medicine

4w

So far, no one has dared to address the real reason. I believe it stems from the massive dehumanization of the profession and society's unrealistic sense of entitlement. Many providers have been forced to practice defensive medicine, which is emotionally exhausting. It's now rare to see a happy healthcare provider. The relentless demand for constant revenue growth has killed the spirit and craft of the profession.

Mohammad Ashori MD

Direct Primary Care @ digitalnomadhealth.com

1mo

The current paradigm is to bring in substitutions for physicians from other allied healthcare fields. Only time will tell if this is a good thing or bad.

Aleatha Reitsma MD FACP

Academic Hospital Medicine, Core Faculty

4w

I think it may be also be helpful to focus in the positive things people are doing in healthcare too. I am changing from academic inpatient medicine back to primary care where I will be able to teach and mentor students in medical school and residency programs to hopefully stay in primary care. I am only one person- but each of us who focuses on trying to help our broken healthcare system and encourage and mentor the upcoming physicians can make a difference, one person at a time.

John Hasquin

Clinical Engineering Supervisor at IU Health Methodist Hospital

4w

Having worked through the COVID-19 pandemic, I can say one of the contributing factors to people leaving the medical field was the complete lack of mental health support. As healthcare workers we were expected to carry the burden and stress of the pandemic with virtually no assistance. It is puzzling to me why the healthcare leaders never appeared to ask "Who is taking care of the caretakers?" The human resource departments have not kept pace with the shift in the workplace market. The pre-pandemic business models are no longer applicable. More needs to be done to improve the work/life balance of healthcare workers. Additional benefits need to be added to ensure employees are receiving the support they need to remain in the healthcare field. Our field will continue to suffer until it can be made attractive again.

Najmul Salman

Independent Hospital & Health Care Professional

1mo

If I could quit tomorrow I would. Selling my pediatric urgent care but no takers as low profit margin evebthough high value for patients and families

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