Fri. Apr 19th, 2024

No one in the research world wants to admit that Direct Primary Care pretty much solves most burnout issues. Instead, they do no-look passes and create new terms so they can go on speaking tours and lecture the same administrators that continue to burnout more doctors.

Let’s look at this article: Primary Care Workforce Burnout Goes Beyond EHR Use to Leadership Style. I want to distill their “findings” for you but I am unable to translate the language. Let me list some of the verbal diarrhea that makes this research so amazing. Here are some quotes with my thoughts in the parenthesis:

  • Facilitative leadership strays from traditional hierarchal structures, allowing for practices to foster emerging leadership skills among all practice members, the study authors explained. (WTF does this even mean?).
  • “Larger practices and health systems can promote leadership and agency by delegating decision making to the lowest possible level of their organizations, and practices of all configurations could benefit from interprofessional leadership development,” the authors wrote. (Is this another language?).
  • Most “zero-burnout” practices also leveraged quality improvement strategies more frequently than facilities that experience higher rates of workforce burnout. (“zero-burnout”? Yeah, that’s a lie).
  • “Burnout improvement efforts should consider focusing on whole practices and the systems in which they are nested,” the authors asserted. (I have a magnolia tree with a bird’s nest outside my house. Is that the same thing?).
  • “Smaller practice arrangements with fewer employees may have better communication, stronger in-practice relationships, and increased agency, which together could contribute to less burnout,” the study authors noted. (No sh%t, Sherlock. That’s why DPC works!).

I do not understand anything they wrote. I am but a simple Caveman. But that being said, these authors finally surprised me and woke me from my stupor when they wrote this:

“Although there has been a trend toward consolidation, smaller independent practices remain a critical component of primary care in the US, with small practice models such as direct primary care emerging,” the report authors wrote.

And like a bad cliffhanger, the article was over. No more DPC talk. It brings a tear to my eye.

17850cookie-checkSolving the Mystery of Physician Burnout with Gobbledygook
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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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