Welcome to the new Fixing Healthcare series, “Diving Deep,” which features a robust and probing discussion about some of healthcare’s most deep-seated problems. With cohosts Dr. Robert Pearl and Jeremy Corr, this series will be hard-hitting, honest and undoubtedly controversial.
In this episode, Pearl and Corr talk about two areas of medicine where the existing “rules” seem out of date. It begins with an up-close look at how medical schools and residency programs select future doctors, a process that quickly reveals itself as obsolete in the 21st century. That’s followed by an in-depth review of the current (and outdated) rule used to determine how doctors are paid.
For listeners interested in show notes, each episode of this series will feature a time-stamped discussion guide (as follows):
[01:00] Before we dive deep, what are the “unwritten rules” of healthcare?
[02:01] How do these rules impact doctors and patient care?
[03:52] What’s the rule for selecting and training future physicians?
[06:10] Why is this rule now obsolete?
[07:43] How do we break this rule and bring it into the 21st century?
[10:38] Next rule: What’s wrong with paying physicians this way?
[13:27] Diving deeper, how exactly do doctors get paid?
[15:04] Does this payment rule lead to physician burnout?
[17:23] After 90+ years, is it really possible to change the rule?
[21:08] What are the pros of a relationship-based payment model?
[21:58] Can we make docs happier and lower healthcare costs?
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Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders.
Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.