The close relationship between Americans and “the neighborhood doctor” is a strong piece of American mythology. People implicitly trust physicians to use their specialized training to make decisions patients may not fully understand, but always trust. At least, that’s the way things used to be. These days, the atmosphere has changed for the worse; some patients no longer trust physicians and physicians sometimes resent their patients. The question is: why?
Jeffrey Segal, MD, JD
Real Reform or Just Whack-a-Mole
Last week, the NC State Senate approved changes in the state’s medical malpractice laws; including provisions to give emergency room doctors more protection against lawsuits (changing their malpractice standard from ordinary negligence to gross negligence) and a cap non-economic damages for patients at $500,000 (economic damages and medical payments would not be capped). The proposal now moves to the State House for consideration.
Are You Making the #1 Physician Financial Mistake?
David B. Mandell, JD, MBA and Jason M. O’Dell, CWM
As authors of 4 books for physicians, including our latest, For Doctors Only: A Guide to Working Less & Building More
, we have consulted with thousands of doctors of all specialties during the last decade. From this experience, we have become intimately familiar with the mistakes physicians make when working with their CPAs, attorneys, and other financial advisors. Whether it is in the area of tax, asset protection, retirement planning, or other areas, the result is almost always the same. We leave the meetings or conference calls asking ourselves, “How could this doctor get such [poor, uncreative, or just plain wrong] advice?” It would be laughable if it weren’t so troubling.
, we have consulted with thousands of doctors of all specialties during the last decade. From this experience, we have become intimately familiar with the mistakes physicians make when working with their CPAs, attorneys, and other financial advisors. Whether it is in the area of tax, asset protection, retirement planning, or other areas, the result is almost always the same. We leave the meetings or conference calls asking ourselves, “How could this doctor get such [poor, uncreative, or just plain wrong] advice?” It would be laughable if it weren’t so troubling.It is not surprising that physicians do not get the value they should out of their professional advisors. While the typical specialty physician has nearly 25,000 hours of training in his/her profession, there is a grand total of zero hours of training in business or financial issues related to the “business” of being a doctor. After learning how to utilize specialists in other areas of medicine, doctors receive no training in how to choose or evaluate the advisors whose advice and experience will be the backbone of the doctor’s financial plan for his entire career.
Doctors lack the spare time and training to do their own planning and have literally no training on how to find and evaluate the right specialists to assist them, so it is no wonder that most are ill-served by their professional advisors. To be honest, it is actually surprising when we meet a physician who is financially savvy or is properly advised by a team of professional advisors. In our experience, fewer than 5% of physicians are properly advised by a professional team.
The Two Fatal Flaws Of Physician-Advisor Relationships
New Research Project
Michael J. Sacopulos, Esq.
It was tennis star Andre Agassi that said “Image is everything.” Okay, he overstated it, but Andre did have a point.
Image matters. But does it matter for an expert review of a patient’s chart in evaluating a potential medical malpractice case? The answer is no one knows…yet.
As general counsel for Medical Justice, I thought it might be useful to the members to offer tips on charting.
The Next Legal Frontier: Opening the Floodgates for Veterinary Malpractice
Jeff Segal, MD, JD, FACS
A story from WHYY Philadelphia News caught our attention. Philadelphia resident David Siff took his sick cat to the veterinarian. The doctor’s diagnosis: fur ball; which did not seem right, at least to Siff. Nonetheless, Siff deferred to the vet’s opinion. Two days later the cat died from complications related to urinary tract infection. Some fur ball.
I was really upset because the vet completely misdiagnosed him, never took his temperature, never did any labs, nothing for his diagnosis. You know, really just gave him a cursory look over and gave him his diagnosis, and we couldn’t help thinking that if he had diagnosed him correctly, maybe we could have saved his life, could have treated him earlier and saved his life.
Siff complained to the veterinary licensing board, but they refused to discipline the doctor.
He then investigated suing. What he learned:
Supply and Demand, Healthcare Style
As we consider ways to improve health care and its costs in this country, perhaps we should be thinking of physicians as the valuable economic resource to society that they are. We clearly have an impending shortage of physicians to address the demographic tsunami – Baby Boomers entering Medicare age. And the lead time to train adequate capable physicians to address this trend is measured in years, not months. The fewer physicians available to take care of the public, the more expensive care will be. We should be doing all we can to make the practice of medicine inviting, so there are enough talented individuals to deliver care…. Makes sense, doesn’t it?
Informed Spousal Consent: A Great Idea Worth Spreading
Jeff Segal, MD, JD, FACS I was thumbing through General Surgery News recently and read an article espousing a great idea; an idea worth spreading. Philip Schaurer, MD, and Jim Saxton, Esq. wrote about adding a spouse’s name to the informed consent document. Informed consent, of course, is a process, and not a document. But, … Read more
Your Mother Was Right
Michael J. Sacopulos, Esq. Doctors are busy, enough said. The problem is too many doctors are not getting enough sleep. According to a recent New England Journal of Medicine (NEJM) article “sleep deprivation adversely affects clinical performance and impairs psychomotor performance as severely as alcohol intoxication”. There are currently work/sleep regulations in place for first … Read more
Bill to Make Doctors Histories Available Moves to Senate
Bill to make detailed IL doctors’ histories available moves to Senate According to a recent Chicago Tribune article, a bill (Patients’ Right to Know Act) in Illinois that has already made its way through the House and is on its way to the Senate could allow patients to view detailed histories of their doctor online … Read more
Rating Sites and the Worst Possible Interpretation Part II
This is part II of Rating Sites Sometimes Err on the Side of the Worst Possible Interpretation Jeff Segal, MD, JD, FACS Doctor B.’s record was blemished on a separate rating site. The blemish: “Doctor B. was sanctioned in the past”; sanction being defined as actions taken to punish or restrict physicians who have demonstrated … Read more
