Haven't posted any comments all month. Maybe I got sidetracked by the yom tovim. Since last time I departed St. Francis Hospital which has greatly liberated my schedule and my personal life though I will need to reschedule the office to minimize the financial impact of this.

Yesterday I had a chat with somebody my age who got absorbed away from patients toward management. I couldn't tell whether he liked the new arrangement. I suspect he'd like to see a few patients but I didn't suggest he put himself back onto the call schedule. For my part I've become increasingly intrigued about the operations of medical care and would like to close my career by moving in that direction. There is now a great interest in outcomes and cost-effectiveness and coordination which are underserved by the payors. Come February I'll have more of an opportunity to pursue this and hopefully latch onto something professionally.