4 Top Complaints of Employed Doctors

Kenneth J. Terry, MA

Disclosures

May 08, 2013

In This Article

What Doctors Don't Complain About

In general, administrators stay away from interfering with doctors' clinical decisions, Bronson observes. If any problems related to clinical issues come up, "they leave it to the medical director, who can make judgments as to the appropriateness of care. I've found very few hospital administrators -- unless they're physicians themselves -- try to get into that area where professional judgment is involved and where understanding of evidence-based practice is essential."

When doctors join hospital groups, they may have to follow practice guidelines that change how they deliver care or that they find difficult to tailor to individual patients. But these guidelines, long derided by some physicians as "cookie-cutter care," don't appear to be a major reason for doctor dissatisfaction with employment.

For one thing, notes Hertz, doctors don't usually get fired for not following these guidelines. Also, hospitals don't necessarily enforce adherence to clinical protocols. Jeffrey J. Cain, MD, President of the American Academy of Family Physicians, told Medscape that at Children's Hospital Colorado, where he works, doctors are encouraged to follow guidelines, but few are strictly enforced.

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