anandjeyahar comments on Advice to new Doctors starting practice - Less Wrong Discussion
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Very valid and good point(added). I briefly touched on it before too, but mostly had individual practitioners in mind than organized hospitals with administration and support. (India is moving towards a lot more of the organized hospitals model, but IT is non-existent, administration is most seat-in-the-ass jobs)
This is enough of a problem for small medical practices in the US that it outweighs a good bedside manner and confidence in the doctor's medical ability.
I am confident that this has a large effect on the success of an individual practice; it may fall under the general heading of business advice for the individual practitioner. Even for a single-doctor office, a good secretary and record system will be key to success.
This information comes chiefly from experience of and interviews with specialists (dermatology and gynaecology) in the US.