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Evidence-Based or Hassle-Based Medicine?

Recently, I was at a party with four primary care physicians—two internists and two family practitioners. Each was less than 40 years old.

As have other recent conversations I’ve had with physicians, this one revealed the doctors’ strong feelings of job discontent and frustration. Being a young physician was not what any of these talented and caring people thought it would be. Their ideal of helping other people both physically and emotionally while providing resources and leadership for their families and communities seemed naïve despite the fact none of them had yet had their tenth medical school reunion. Particularly sad was that all four of these young doctors questioned their decision to practice medicine, and one was seriously considering changing to a different career.

Similar conversations occur these days among doctors in all medical specialty areas, including endocrinology. What has gone wrong?

This is a very complicated topic. On the surface, the overwhelming complaint is the ridiculous amount of paperwork physicians are now asked to complete. The number of forms and letters required has increased . . . [Full Text of this Article]

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