We have conference for the residency program daily from 12:30 to 1:30. The time is spent offering residents educational materials on medical topics such as angina and diagnosing and treating skin cancer. Our residents often have full days beginning at 6 am and lasting until 6 pm and likely do not have the opportunity to prepare a lunch or pick up some food on the way to conference. This is why we try to provide food for them. It used to be that the pharmaceutical companies provided at least some of the lunches. They would offer food and discourse on whatever drug they were selling and afterwards we (faculty) would disabuse the learners of the belief that Drug X was the next “miracle drug.” PHARMA rules now preclude most of those lunches and since we work for a safety net hospital we are looking for other sources of sustenance for our residents. Thus today we invited an care” practice looking ot hire our residents.

If you are not familiar with urgent care, it is a method of providing care for younger people who do not feel the need for all of the services provided in a primary care office. In particular, they specialize in caring for people who most likely don’t need a lot of care or don’t have other problems that need care. They do not see old people and do not see really sick people. The doctors make a lot of money providing that type of care.

So what, you say. The Patient Centered Primary Care vision is that we ramp up practices to deliver care for urgent, acute problems in a non-fragmented way as we treat the patients chronic care needs and offer preventive services. It was disappointing to have so forcefully illustrated the fragmented vision of the future (should health insurance reform fail) where those lucky enough to work in a setting seeing only healthy people can get out at 5 pm and make $400,000 dollars and those of us who went to medical school to care for folks who need our help get paid 25% of that and work twice as hard.

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