KevinMD April 27, 2024
I opened my internal medicine practice almost four decades ago to serve a growing urban community. I gravitated toward the underserved geriatric population as they were vulnerable patients and eventually moved into the bygone realm of house calls for home-bound seniors.
This enhanced my learning curve, as house calls are not taught in medical school or residency yet bridge the continuity gap between hospitalization and patients returning home after an acute illness. I spent many hours at our local hospital admitting older patients and managing their care once they were discharged home.
From this perspective, I saw the growing takeover of medical decision-making by doctors, which was then relinquished to hospital administrators.
As an outspoken medical staff member, I was...
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