Alan Rosenstein, MD, a San Francisco-based internist and healthcare management consultant, elaborates. "Changing expectations of physician accountability, increased administrative tasks, and utilization controls that govern how doctors conduct their practice contribute to increased pressure," says Dr. Rosenstein, who is also the Medical Director of Physician Wellness Services, a Minneapolis-based organization designed to help physicians manage day-to-day stress and work-life issues.
Moreover, shifting organizational structures, politics, malpractice threats, and medical "reform" contribute to a sense of powerlessness that leaves little room for an open heart because everyone is in survival mode. "At any moment, your years of effort in building your practice could be destroyed," observes Dr. Drummond.
Is this the beginning of the end for Medicine?
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http://www.medscape.com/viewarticle/813967
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