I still maintain the sine curve may be swinging the other way. At least in this area, an interest in some docs getting smaller again.
If I was younger, brighter, taller, and better looking, and had the IT skills of Indy, JamesNT or Sandeep, or one of those guys would be brave enough to partner with me--I would go around to these large grouped physicians, and just ask how happy they are, and give them directions on how to set up a small practice, with tips on how to contain overhead (the minimum # of employess to get the maximum effect intertwined with advice on which computers to buy and what EHR to use etc so forth and so on). THIS IS ALL JUST A PIPE DREAM.
I do sense an extreme frustration from docs in large employeed groups, in not being happy with working for the system with a suboptimal EHR and less compensation going to eat what you kill model, without any ability to control overhead or patient selection.
I think if docs in large groups, or new docs just coming out of training could be educated on how to run an office, and how to make the computer stuff work, and could be hand held and set up in such a fashion, that may not be so bad for medicine in general. Private practice ain't for every body but it sure beats the alternative if you have Solofever. (primal grunt required)
