Blog Archives

Ideal Clinics: The Health Care Model That Works! →

Ideal Clinic Model

There’s a lot of complaining in health care. Here’s just a sampling of quotes from letters I’ve received this week:

Physicians:

“I’ve become so disillusioned with medicine. I don’t know who to talk to anymore or what to do with my life.

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Did you forget to thank someone? There’s still time. →

I’m a family physician in Eugene, Oregon—a sweet town where folks are pretty darn friendly.  I still do house calls. Patients often surprise me with gifts. And nearly every appointment ends with a hug.

Kindness is contagious.

I like to return the favor. So every few weeks I celebrate “patient appreciation day.” I thank patients with balloons and chocolates.

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Physician keynote speaker shares 7 secrets to success →

Pamela Wible Keynote Speaker

I just delivered a keynote in St. Louis to 600 health care leaders from a health system with 20 hospitals, 600 clinics, and 30,000 employees. They told me not to be afraid of the 12-foot-tall version of myself following me around stage. No problem. I’m one of the few people who has never been frightened by public speaking.

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ATTENTION DOCTORS: You do NOT need resiliency training! →

NoPRT

Here’s the latest medical fad: Physician resiliency training.

Huh?

Doctors are already the most resilient people on the planet.

Doctors can go days on call without eating. I know. I have.

Doctors can go 24 hours without a bathroom break.

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Why I encourage patients to fire me →

Fire Doctor

Not all relationships work out.

My prescription: if a relationship isn’t working, end it. Now.

Recently an insurance plan told me they were sending a nurse to my office for a chart review that would take 3 hours. After 24 years of education,

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It’s March 30th. Have you hugged your doctor? →

March30 copy

I’m in a room full of doctors at a my mom’s 50th medical school reunion when I announce, “It’s almost March 30th!” I Pause. “Doesn’t anyone know what March 30th is?” Nobody has a clue.

March 30th is National Doctors’ Day! Who knew? I never heard of it—until a friend told me last week.

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Pamela Wible, M.D. named 2015 Women Leader in Medicine (acceptance speech) →

On February, 26, 2015, Pamela Wible, M.D., was named the 2015 Women Leader in Medicine by the American Medical Student Association in Washington D.C. Dr. Wible was nominated by American premedical and medical students as one of the most inspiring women educators in medicine today. Her acceptance speech is filmed and fully transcribed below.

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A physician quits assembly-line medicine. Here’s what happens next . . . →

A few months ago a physician friend Facebooks me:

I only have 7 days of clinic left. Just finished two weekends back to back so it will be something like 20 days in a row that I worked before I get a chance to breathe. One weekend was “punishment”

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The #1 thing patients want from doctors →

Ever wonder what patients really want from doctors?

Is it the fancy buildings with marble fountains?

Is it the board certifications and diplomas on the wall?

Is it the expert medical jargon and starched white coats?

Nope. None of the above.

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7 Secrets to Loyal Patients for Life →

LoyalPatiets

Loyal patients are the lifeblood of a medical clinic. And devoted patients are worth their weight in gold. It’s a lot easier to care for an established patient that lots of one-timers who never return. Beyond ease of workflow, the economic benefits are fabulous. A loyal patient panel will stay with you (and pay you) through sickness and in health even if you don’t take their insurance—even if you choose to go cash only.

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Physician Suicide 101: Secrets, Lies & Solutions →

Last week I delivered this talk twice at the American Academy of Family Physicians Scientific Assembly in Washington DC, and I also presented it to third-year medical students at The Commonwealth Medical College of Pennsylvania. It is fully transcribed here. Every medical student and physician needs this information. Please share widely.

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WHY an abusive marriage is BETTER than this doctor’s shitty job →

Abusive Marriage A psychiatrist in my physician retreat sends me this e-mail:

Pamela, get this—after saying that I’d need to make up for my ‘lost time’ on production since I’m quitting my job and taking off for our retreat, the Head Suit calls me today and begs me not to quit.

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The *Surprise* Birthday Party Physical :) →

I love my patients. And I love surprises. Most patients fear unexpected medical events, but medical surprises don’t always have to be bad news.

I’m a neighborhood family doc. My patients are friends. They celebrate my milestones and I celebrate theirs. A few like to surprise me for my birthday.

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Doctors not allowed to ask patients, “How are you?” →

Medical Insanity

Another indication that health care is sick—doctors are being told to stop asking patients open-ended questions like:

“How are you feeling?”

“What worries you?”

“What’s on your mind?”

Today a physician just e-mailed me:

“I am really,

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Drop doctorspeak & get real with patients →

If you’re a doctor, I bet you speak doctorly. You act doctorly. And dress doctorly. And spend your days in clinic with other doctorly doctors.

But life is what happens while you’re busy staring at computerized flow sheets, algorithms, and billing codes.

Real life happens outside of man-made medical institutions.

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