Now Hiring: Medicine’s Martin Luther King →

Enjoy year-round sunshine with a month paid vacation. Earn 300K plus production bonus. No state tax! No call! Daily I’m bombarded with glossy postcards promising the good life.

With so many options, why are physicians fleeing medicine? Some leave for teaching, waitressing, even homemaking. Others escape into administration, insurance or pharmaceutical positions. Many simply retire in despair.

Robert Centor, M.D., writes about our quiet rebellion: “This rebellion has no Glenn Beck or Sarah Palin; no Abbie Hoffman or Che Guevara. This rebellion occurs one physician at a time, as that physician finds continuing their practice undesirable.”

And the truth behind the exodus?

There can never be year-round sunshine for physicians working in an unjust health-care system. And $300,000 can never be enough to numb the pain of dedicating one’s life to a profession that has lost it’s soul. A month’s vacation can only distract us from our suffering for approximately thirty days.

Now is not the time for doctors to give up call, but to accept a call to action. Ours is a sacred obligation, a covenant with patients. America’s greatest dreams can never be delivered by politician-saviors. We are the saviors we’ve been waiting for.

Years ago, I stopped pursuing the elusive production bonus; I stepped off the treadmill to follow my heart. And I discovered to heal my patients, I had to first heal my profession. So I held town hall meetings where I invited citizens to create their ideal clinic. Celebrated since 2005, our model has sparked a populist movement: Americans are creating ideal clinics and hospitals nationwide. One hospital CEO now affectionately calls me “his MLK.”

More than a quiet rebellion, we need a non-violent social revolution led by America’s doctors. Medicine needs a Dr. Martin Luther King Jr. I think I’ll apply for the job.


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Should Doctors Receive Tips? →

https://www.youtube.com/watch?v=b4aWpjPtRwA

What do YOU think?


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Falling in Love with Patients →

As Jill leaves, she always says, “I love you!”

Sometimes I whisper. Other times I scream down the hall: “I love you too!”

I think it’s illegal. Or risky. I’m supposed to contain my love, to practice professional distance. But why dissociate from myself or from those I care for? Why pretend to be reserved, restrained, aloof when I’m naturally warm, affectionate, friendly?

One day during med school I decided to break the rules, to celebrate my life without shame. And on that day I fell in love with myself and I gave myself permission to fall in love with my patients, to hug and kiss them, to sing and laugh with them, to look deep into their eyes, cry, and allow our tears to flow together.

On Valentine’s Day at my first job, I admitted an elderly man dying of heart disease. His wife–unable to bear the pain of watching him die–left his side. I could have left too, but it didn’t seem right to let this guy die alone on this romantic day so I sat with him, held his hand, and cried. A cardiologist, startled by my emotion, exclaimed, “You must be a new doctor,” then disappeared down the hall. Maybe old doctors don’t cry, but I don’t want to close my heart to the world.

Why is it unprofessional to love patients? Maybe love isn’t valued in a male-dominated profession. After all, love is not easily measured or reimbursed. Love is hard to control.


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Escape from McMedicine →

I was once a factory-farmed physician. Then I escaped.

Six years ago I left my job and invited my community to design an ideal medical clinic. Thousands of physicians nationwide have created similar ideal, patient-centered practices.

Would we ever go back? Nope. Never. But from what did we actually escape? I hosted an “antonym contest” among hundreds of free-range physicians to find out.

What’s the reverse of patient-centered care? What’s the opposite of an ideal clinic? Here’s what docs who got away report they’ll never try again:

I celebrate my innovative colleagues who are demonstrating daily that it is possible to care for patients–and ourselves.


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Forget the ER. Try the DMV. →

I work very part time. But I provide 24/7 access.  Seem impossible?

Here’s how I do it.

https://www.youtube.com/watch?v=yh_Eg0JprRk

Where would you like to receive care? Share your wildest ideas.

I just might take you up on it.

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