Nurse Kelly asks a good question

How do you tell a doc when it’s time to go?


What do you do when you know a doctor needs to retire: A long drawn-out tale of woe

We have a doctor that, without going into major detail, has a neurological disorder which affects his concentration and ability to stay on task, among other things. He’s the one who will allow charts to be “in the rack” for many hours while he places seemingly useless phone calls at 3 in the morning to on-call physicians on convenience care patients who aren’t sick to let them know he is discharging the patient. He’ll call specialists before doing a workup to ask what work-up he should do on seemingly straightforward patients.

Read the rest, and wonder.  And, I don’t know how that conversation would go, and who should be the one to do it.  Oh, and it’s not Nurse Kelly.

Tennessee exempts EP’s from proposed Physician Non-Compete Bill

Non-compete clauses are in a lot of people’s contracts, and doctors are no exception.  One side of the argument makes sense: if I’m, say, a cardiologist and have been with a group for a while, have a patient base that considers me ‘their doc’, but then I decide to go my own way and, oh by the way take all those patients with me, that could damage my cardiologist partners.

Emergency Physicians have long been subject to non-compete clauses, but for a different reason: it makes the contract holder worry less about the working docs getting the contract, as if they leave their current contract they’d be unable to practice within a geographic area typically big enough a move would be in order to keep working.  Note this has nothing to do with taking patients, it’s strictly about protecting the ED contract holder’s money rights.  It’s so important it’s second only to due process in the AAEM’s Contract Guidelines for Emergency Physicians.

From the Nashville Business Journal:

Physician noncompete bill moving through House

Nashville Business Journal – 2:07 PM CDT Wednesday, May 9, 2007

Legislation that would allow non-compete agreements for physicians is getting traction in the state House of Representatives.

The bill, introduced by Rep. Doug Overbey, would let health care providers include contract provisions to restrict certain kinds of doctors from practicing for up to two years after leaving a provider.


The bill was amended to exclude emergency medicine specialists and radiologists.

Whether to include emergency medicine doctors in the bill was a hotly contested issue. Supporters of having emergency room doctors excluded from the bill maintained ER doctors don’t take patients with them if they move to another facility. They argued noncompetes would only fuel an ER doctor shortage.

Frankly, I’m very surprised the contract groups didn’t win that one, and good for the EP’s and Radiologists in Tennessee.