 A few years ago, solo internist Catherine Landers considered closing her Skokie, IL, practice and opening a new one in Canada. Or teaching high school or college science. Or working with computers.
That's how beaten down Landers felt as a physician. Her paycheck just didn't reflect the 60-hour weeks she put into patient care. In 2002, for example, she earned just $85,000, far below the $150,000 netted by a typical internist that year, according to the Medical Economics Continuing Survey.
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 Already ubiquitous in
hotels, coffee shops, schools, libraries, airports, and homes, wireless
(or Wi-Fi) networks are making inroads in physician offices, too.
They're
spreading because electronic health records are spreading. As more and
more doctors review and enter patient data on glowing screens, they
increasingly want to be as mobile as any laptopper at Starbucks.
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 Some doctors are using high-tech to reclaim an older, leaner style of medical practice. Supporters think it's a recipe for better outcomes and lower costs
For five years before opening her innovative solo practice in Woodland Park, CO, FP Michelle Eads worked in a very traditional, very busy primary care group. Located in Colorado Springs, it employed lots of doctors, operated with an enormous overhead, and processed scores of patients each day.
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Consider the following scenarios:
Here's how to keep things humming when a colleague steps off the partnership track to smell the roses.
Will your practice be ready when a doctor wants to cut back his hours?
A urology group in Georgia was woefully unprepared and needed to call in a practice management consultant to sort things out. When the 67-year-old senior doctor notified his three partners that he planned to cut his patient load by half, drop call, and considerably reduce the number of procedures he did, he also told them that he saw no need to adjust the group's compensation formula.
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 } Ever wonder just what it's like going through the process of implementing an EHR? What would you and your staff really have to contend with?
To give you more than an academic answer to these questions, The Connected Physician has begun following three small and medium-sized practices through the process of installing and learning how to use an EHR. Throughout the year, we'll take you behind the scenes—up close and personal, as they say—to monitor what's going on and how everyone in the practice is reacting to the changes.
In this article, we'll look at how the practices are preparing for implementation and what their expectations are. In the next TCP issue, we'll revisit the same offices to see what problems they encountered during the "go-live" phase and how they addressed them. And in one of our fall supplements, we'll see how the practices are coping with and benefiting from their EHRs six to eight months after they turned them on.
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The Association of Academic Physiatrists and Lippincort Wiolliams & Wilkins publish the American Journal of Physical Medicine & Rehabilitation. This is the table of contents for the current version of the journal, March 2007.
