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23 "Studies have shown that the patient normally speaks for an average of 18 seconds before the doctor interrupts."
35 An unstructured group of individuals is just a herd; a group that is led to become more than the sum of its members is a team.
45 Our groups come first, our practice sites and personnel come second, and our own needs and pride come third.
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38
CME

SPECIAL SECTION: HARNESSING THE POWER OF PHYSICIAN-LED GROUPS
Physician-Owned Groups: The Best Strategy for Success
Managed care has pushed physicians into new practice arrangements, but none is positioned for success like the physician-owned group.
H. Jeffrey Wilkins, MD; Richard J. Pierotti, MD; Robert J. Motley, MD; Hal D. Cohan, MD; James L. Conrad, MD; R. Lawrence Derstine, MD; Peter Mertzanis, MBA, MHA; and A. Douglas Bender, PhD


42
CME

A Case Study in Developing a Successful Medical Group
This group thrives by keeping doctors in control and by putting the interests of primary care physicians first.
Al N. Hawks, MD


45
CME

Developing 'Groupthink' in a Multispecialty Group
Following these 'commandments' leads doctors along a path of humility, commitment to the group -- and success.
Joseph A. Cincotta, MD


Page 23
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23
CME

PATIENT RELATIONS
Improving Patient Communication in No Time
Here are quick ways to evaluate and refine your communication style to better suit your patients' needs.
Ellen J. Belzer, MPA


29
CME

QUALITY CARE
Holding the Gains in Quality Improvement
In QI, enacting a positive change within your practice isn't the end. You must continue moving forward.
James M. Giovino, MD

 
35
CME

LEADERSHIP
Becoming an Effective Physician Leader
Your clinical practice has planted the seeds of leadership skills, but they need intensive cultivation to flourish.
Michael K. Magill, MD

Featured Departments
8 For some soloists, joining with an omnivorous group practice is akin to selling one's professional soul to the devil.
48 Using digital information is like doing a laparoscopic cholecystectomy: When something goes wrong, you just want to put your hands in there and fix it, but you can't.
50 What once would have been considered "the doctors' ideas" by certain staff members are now our ideas.
Getting Paid
17

8

EDITORIAL
Flying Solo
Joe D. Haines Jr., MD


17
CME

GETTING PAID
Medicare, 2000 and You
Take preventive steps now if you don't want your practice to catch the Y2K bug in its interactions with Medicare.
Kent J. Moore

Improving Patient Care
49

18
CME

CODING AND DOCUMENTATION
Should You Modify Your Use of Modifiers?
They can help you code for your services more accurately and get paid for the work you really perform.
Kent J. Moore


20

MONITOR
Y2K Update: HCFA's Y2K hotline now available • OIG finds providers lagging in Y2K preparation • AHCPR announces new prevention topics • Charity care suffers in managed care • How salaried physicians are being paid • QI brings improvements in Medicare • Microchip enables precise drug delivery • Medical group acquisitions drop

 
48

PRACTICE DIARY
Excerpts From a Family Physician's Journal
Sanford J. Brown, MD

 
49
CME

IMPROVING PATIENT CARE
Finding Diamonds in the Trenches With the Nominal Group Process
To harness the best ideas for improvement and to help build support for them, let everyone's voice be heard.
Robert H. Moon, MD

 
51
CME

COMPUTERS
Organize Your Data With Microsoft Excel
Its ease of use and flexibility make it a helpful tool for managing information from the most mundane to the most complex.
Thomas G. Savel, MD

52
CME

Our Featured Web Site: Clinical Decision Support from EDHome
David C. Kibbe, MD, MBA

 
55

ASK FPM
FPs and productivity • ADA's effect on solo practice • Optimal practice size • Supervising MLPs


60

BALANCING ACT
Get a Life By Clearing the Clutter
These techniques will turn your mountain of work into a manageable molehill.
Dianna Booher

Other Departments
7 EDITOR'S PAGE
13 LETTERS
55 FPM QUIZ (EARN 3.5 HOURS OF CME CREDIT)
57 CLASSIFIEDS
59 AUTHORS GUIDE

Copyright © 1999 by the American Academy of Family Physicians.
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