First post to my new blog.

I have practiced Internal Medicine for the past 35 years. The last eight years have been only in the outpatient setting. Until recently, I chaired the Utilization Management Committee but I was recently replaced by one of the Hospitalist physicians.

I have seen major changes in the way medicine has been practiced over the years and I hope to make observations and comments that may help my fellow healthcare providers deal with the rapidly changing landscape. You will note that I referred to myself as a “healthcare provider ” not a physician, which tips my hand as to what I think about some of the recent changes.