Line Monkey MD
@linemonkeymd
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Image-Guided Surgery blog for the new generation brought to you by Kavi Devulapalli, MD. MPH. #IGSurg (formerly #irad).
Worldwide
Joined July 2019
Critical to define who we are and what we do.
🚨 New Publication 🚨 https://t.co/7FftB5Ltvi It is with great excitement that we announce publication of the IRSA White Paper on clinical practice in Interventional Radiology. Thank you to CVIR for accepting this milestone document. Clinical practice is at the core of IR, is
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This is why it’s really challenging to hire interventional radiologists right now. The market for diagnostic radiology is absolutely insane. What was once taboo to poke the hospital bear and ask for subsidies is now standard practice. We are seeing more and more separation of
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Over the past several decades, an appealing idea rapidly gained popularity: The government could advance a health care system that rewarded the quality of care rather than the volume of care. Medicare began leveraging its economic might to require physicians and hospitals to
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Simple and complex CLI procedures are coded for similarly. This is now changing. This week on BackTable, @drcostantino1 welcomes @GokeIRDoc and and revenue cycle management expert Laurie Bouzarelos as they break down new CPT code changes, impacts on the OBL, ASC conversion, "gap
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Who is using AI scribes in their clinics with @modmed EMR? Any recommendations? @AADmember @AAOS1 Any IRs out there other than me using @modmed? @SIRspecialists @OEISociety
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For those of you new to IR: https://t.co/Vxbu47SZ7s Trash is real. Radiology “yes” culture is real. Lack of clinical presence in the marketplace is still real. Market has now changed from rad group ownership of trash IR to hospital employed trash collection services 24/7 365.
Medical students should know what real life is like in IR. Yes we do some amazing cases. Depending on where you work, you may also be taking procedures other people simply don't want to do. Temp lines, paras, thoras for the ICU. NG/enteric tubes are the ones that make me cuss
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I did locums for 3 year (2021-2024). Here’s a blog post about my experience: https://t.co/evzfeMW19A Pros-a lot of what @theblanketdog has discussed. Cons-hard to have a home life if you’re on the road. For me it was a bridge to OBL ownership. I knew where I wanted to go
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This has really been lost on most of the general public who often persist with the misperception that physicians are “killing it”. Nope we are getting killed and that leads ultimately to more vertical consolidation w increased cost and decreased access
Meanwhile physician reimbursement by Medicare has remained basically the same actual dollar value for last 30yrs. If account for inflation it should have doubled. Doctors are being driven out of private practice. https://t.co/GzeI9djQFm
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Health systems account for, basically, half of our national healthcare spend this year. 🚨🚨🚨$2.74 Trillion🚨🚨🚨 Physicians (including all non-physician practitioners as well) - about $0.06 cents of every healthcare dollar.
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So true. @SIRspecialists @OEISociety
This is a direct result of the government funneling money to hospitals and putting independent physicians at a disadvantage. This includes: • Facility fees • nonprofit status • 340B program • State-directed payments • DSH payments • The prohibition of physician ownership
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Only an “economist” would say something like this and think it’s even remotely accurate. A bigger piece of the pie? The only reason I’m responding is because it’s so dumb that it’s funny. Physicians’ real wages have fallen even as total healthcare spending exploded. This is a
@HeathVeuleman Not exactly, since HC inflation/spend growth has been in excess of CPI - aggregate MD comp has grown in excess of CPI. It just means they are getting a bigger slice of a larger pie.
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No more DMs please. Filled
If any medical student reading this is interested in being involved in a research project please DM me. @SIRspecialists @OEISociety
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If any medical student reading this is interested in being involved in a research project please DM me. @SIRspecialists @OEISociety
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Truth
The resource of a practice owner that needs constant protection: Their time Because when you have autonomy, you do high quality work and you love the work, you’re the only one who can hold the line. I personally have to reinforce this weekly. Because people will always make
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My latest @Forbes: Congress Is Urging Hospitals To Earn Their Tax-Exempt Status. But How? If Congress truly wants hospitals to serve their communities effectively, competition is key. Remove anticompetitive regulations, level the playing field, open the market, and let nonprofit
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Doctors are leaders, but the medical industrial complex treats them like factory workers—underpaid, buried in admin, stripped of autonomy. They still 💜 medicine, but can’t practice it ethically in this system. So they’re taking their leadership elsewhere. It’s not a side gig
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𝐓𝐡𝐞 𝐞𝐧𝐞𝐦𝐲 𝐨𝐟 𝐦𝐲 𝐞𝐧𝐞𝐦𝐲 𝐢𝐬 𝐦𝐲 𝐟𝐫𝐢𝐞𝐧𝐝. For too long, physicians have been tricked into shadowboxing one another. Specialist against generalist. David against Goliath, even when both wore the same coat. Enough. The real adversaries? They sit in
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