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How Can Incentives Help Physicians Save?

Cruelty’s toll on physician spirit / AI’s hidden impact on job hunts / Top medical care without decades

The LOUNGE - A Newsletter for Savvy Physicians

We scour the net, selecting the most pertinent articles for the busy doc so you don’t have to! Here’s what kept our focus this week…

  • Properly designed incentive programs can align physician behavior with hospital financial goals without sacrificing patient well-being.

  • King's story is a call to recognize the humanity of medical professionals and stop the cycle of cruelty.

  • Leaders must understand the roles they’re hiring for and avoid pushing critical decisions to automation alone.

  • Becoming a PA doesn’t take as long as medical school or residency, offering a faster track into healthcare.

  • AI should not just automate tasks but also augment human thinking to unlock long-term success.

  • Physicians, in particular, can make significant financial gains in this decade.

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Physicians play a crucial role in the financial health of hospitals, with their daily decisions—ranging from selecting drugs to managing hospital resources—affecting costs significantly. To involve doctors in reducing expenses, health care organizations must create incentive systems that reward them for cost-saving measures. By offering the right incentives, hospitals can encourage physicians to make decisions that reduce costs while maintaining or even improving patient outcomes. This approach requires a careful balance, as poorly designed incentives can lead to negative effects on patient care. However, with the proper systems in place, doctors can be motivated to make cost-effective decisions that benefit both the hospital's bottom line and patient care.

Dr. Audra King recounts the emotional and psychological toll that relentless cruelty in the medical profession has taken on her over the years. She reflects on her journey from a hopeful, bright-eyed medical student to a physician who has become emotionally numb. Throughout her training and career, she endured constant verbal abuse, belittling, and humiliation from colleagues, which shattered her self-esteem. Despite her efforts to persevere, the weight of this mistreatment broke her spirit, leaving her feeling like a "soulless zombie" who no longer believes in her own worth. King's story underscores the devastating impact of cruelty in the workplace and its ability to erode a person’s humanity over time.

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Applicant Tracking Systems (ATS) are turning job searches into frustrating dead ends by filtering out resumes based on flawed algorithms. Joe Procopio, a startup founder, shares his experience hiring talent without relying on ATS, emphasizing the importance of human judgment in recruiting. Companies often input poorly defined job qualifications, causing the system to prioritize outdated or irrelevant skills, leaving qualified candidates unseen. This over-reliance on automated tools leads to missed opportunities for both businesses and job seekers. Instead of helping, AI often amplifies hiring inefficiencies, creating a larger haystack of resumes rather than helping companies find the needles. Procopio suggests that leadership needs to better understand the skills they’re hiring for and reduce their dependence on automated systems for success. The Chili’s waiter example shows that passion and adaptability often outweigh rigid qualifications.

Becoming a physician assistant (PA) offers an alternative pathway for those interested in medicine but unable to commit to the time and expense of medical school. PAs are licensed healthcare professionals who work alongside physicians, providing patient care, diagnosing illnesses, and even assisting in surgeries. The process to become a PA is more accessible, requiring a bachelor’s degree, healthcare experience, and completion of a specialized PA program. After passing the PANCE exam, PAs enjoy excellent job prospects and can specialize in fields like emergency medicine or general surgery. With a strong job market driven by the physician shortage, PAs earn competitive salaries (over $160,000 annually) while maintaining a more flexible work-life balance. The career also offers fulfillment through direct patient involvement, making it a rewarding option for those passionate about healthcare.

Using AI effectively can transform an organization’s long-term performance by enhancing its collective intelligence, not just by automating tasks. While traditional views focus on automation versus augmentation, the real power of AI lies in its ability to support learning, foster intellectual diversity, and broaden the range of opportunities an organization can explore. Augmentation—where humans and machines collaborate—offers superior outcomes over simple automation by maintaining human flexibility, intuition, and long-term thinking. AI can drive organizational success when used to complement human decision-making, creating an environment where creativity and strategic insights thrive. This approach leverages AI to increase productivity and innovation simultaneously, making it a key tool for future-proofing businesses.

Dr. Jim Dahle reflects on 20 years of investing, sharing timeless lessons that have stood the test of time and offering new insights gained along the way. Key takeaways include sticking with a chosen investment plan, avoiding speculative investments, and focusing on earning and saving, which matter more than the intricacies of investment choices. Your 30s are the best time to build wealth, particularly for doctors, and passive income is not as hands-off as it may seem. Lastly, financial simplification is key, and wealth-building is a long-term journey that grows every month.

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