Another problem faced by many clinician-teachers is having enough time to meet their practice, research, and teaching obligations.
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Most new physicians receive compensation not from salary alone, but from a combination of salary and clinical productivity.
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Academic physicians with multiple partners in practice might see their own patients only or rotate care within a division among several specialists.
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The private practice ophthalmologist generally has more flexibility and autonomy to decide their individual scope of practice, malpractice, clinic schedule, and vacation times, business practices and policies, and administrative structure (e.g., human resources, hiring and firing staff, physical plant, equipment).
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In an integrated delivery system (IDS), the hospital and its affiliated clinics serve as the hub for care delivery.
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Steven E. Wilson, MD and professor in Vision Research, and chairman of the Department of Ophthalmology at the University of Washington, Seattle,
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In solo private practice your are practicing alone, without partners or other affiliations, usually with minimal administrative or clinical staff.
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Unlike a primary care practice where the patient is the only customer, a specialty practice has two customers—the patients and the primary care practices who refer their patients to them. The primary care practice referral network can be the lifeline or death-knell of a specialty practice.
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Typically, a clinician-teacher is expected to teach and see patients. Some institutions expect some research or scholarly productivity as part of the overall effort.
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