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Why?

by Jim

Why did I leave the university and return to private practice?

  • Quality
    • Doing the best job possible.
  • Teaching
    • I enjoy my time with residents, medical students and other groups wanting to learn. Now I do it on volunteer time.
  • Opportunity
    • Politics made leaving quite simple.
  • Original thinking?
    • “No one at the university will tell you how to practice.” said the professor who recruited me to the university.
    • The fine print that I didn’t hear was “If you don’t do it our way, we’ll see to it that you leave!”
  • Maximum capacity
    • Each day I learn more about voice disorders. My patients seem extremely appreciative of this interest of mine.
  • Supply and demand
    • Subspecialists in voice remain a small group. Many patients have a voice.
  • Managed care
    • Though I am back dealing with them, I do have a commodity that they have little of - subspecialization.

Contact the author: James P. Thomas, MD

Written December 1999