The 15-Minute Visit Is Breaking Medicine. Here Is What Replaces It.
The standard primary care slot was built for billing, not for patients. The practices redesigning it are finding that time is the most undervalued clinical tool they own.
Management thinking for the physicians who lead departments, groups, and health systems.
The standard primary care slot was built for billing, not for patients. The practices redesigning it are finding that time is the most undervalued clinical tool they own.
Compensation plans shape behavior more than any mission statement. Committees that earn trust focus on transparency, simple rules, and a predictable process for change, not clever formulas.
Physicians are increasingly invited onto hospital, health system, and nonprofit boards. The value they bring depends on learning a new role, one built on governance rather than management.
Dyad leadership pairs a physician with an operational leader to run a service line or department. It works when roles are explicit and both partners protect a shared agenda.
Physician groups plan carefully for new equipment and new hires, then leave leadership succession to chance. A deliberate plan protects the practice, its patients, and the people who built it.
Most new protocols and workflows are sound on paper and abandoned in practice. Successful change depends less on the idea than on how leaders introduce, test, and support it.
Morbidity and mortality conferences can teach an entire department or quietly humiliate one physician. How leaders structure the hour decides which one happens.
Alert fatigue is a design flaw, not a discipline problem. The best early warning systems earn attention by being right when they speak.
Patients judge clinical quality by experiences they can understand. The first ninety seconds matter more than most physicians think.
More patients are consulting AI before they consult you. How to turn that into a better visit rather than a debate.
Ambient documentation promises to give physicians their evenings back. The early adopters say the real change is subtler, and the risks are in places most buyers are not looking.