We really don't know exactly what our future relationship would be, but both of us want more free time, and it might well be that we "job share" but with independent billing systems. We have known each other for a long time (he is currently a hospitalist, but tiring of inpatient medicine), so a lot of what might be unknowns in terms of personality and practice patterns are really pretty well understood by us both. However, we also value our independence in terms of fees and charges and business decisions. The other solution that comes to mind is we each have our own computer systems and our own AC programs, but then buy user licenses on each other's systems and use Remote Desktop or similar to create a record on the appropriate practice's system when we see our "partner's" patient. It just seems cleaner to have one giant database where each encounter is seamlessly listed in sequence in a single chart, no matter who saw him/her.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands