I've heard so many of my colleagues complain about the misery of employed practice: ever-increasing expectations for wRVUs despite also-ever-increasing documentation burdens from EMRs, the need to please patients as "customers," and the general focus on medicine as a business with replacable cogs. I'm wondering to what extent some specific health systems are to blame for this perception, and to what degree there are real differences among systems. In particular, I note that some systems advertise themselves as "physician led" and some others say they appoint co-leaders at every level, putting MD/DO together with MBA/MPA/FACHE as co-division and department heads throughout an organizational hierarchy. Does that help to maintain more realistic expectations?
If you are an employed/salaried physician, what do you think of your work environment? If you think it is particularly good or bad, can you say why, and name the system in your post?
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