The RBV Blog

The people, products, and ideas shaping healthcare today – by Dr. Richard Vanderveer, Chief Innovation Officer, ThinkGen

Understanding The Money Trail

May 16, 2019

Check this out. What you will see is a thoughtful article by a business minded physician. The point of the article? Doctors need to “understand their worth.” 

For example, a recent article reported that the average hospitalist brings in about $2.4 Million in annual hospital revenue. SO. Doing some rapid calculations, this means that the doctor is operating with 90% overhead. Is this “fair?” As usual, who knows what “fair” actually means???

As this blogging physician freely admits, knowing how the money stream flows won’t necessarily get a hospital to pay the doctor more. But having an understanding of the economics surrounding a doctor’s practice seems like a logical first step in the direction of understanding her worth.

Bottom Line. Hey, wait a minute. Maybe this would be a good idea for all of us. Understanding our financial contribution to our employers might well serve as a valuable reality check.  

In the research agencies and consulting businesses that I have run, we think this way all the time and compensate our team members accordingly. How would you go about doing this if you work for a drug company? I would need to give that some more thought! 

Our Newsletter

Richard Vanderveer, Ph.D.

In addition to his blog, Dr. Vanderveer has written numerous articles on innovation in healthcare marketing and marketing research - not only to challenge new thinking, but also to provide specific and practical advice.

Understanding The Money Trail

May 16, 2019

Check this out. What you will see is a thoughtful article by a business minded physician. The point of the article? Doctors need to “understand their

Can Patients Be Their Own Scribes???

May 15, 2019

Here is a novel idea from an ER physician who prides himself on being the “Efficient MD.” Rather than have patients sitting for hours aimlessly pouring

Meditations On The Term “Provider”

May 14, 2019

We have touched on this topic before, so I will be brief. Check this out. In previous posts, we have shared the emotions of some blogging

Physician Leadership in a Digital World

May 9, 2019

Check this out.  What you will see is the WEB presence of a physician/entrepreneur who assists physicians in developing their “profitable brands on line.” Just let

Market Research??? No Need!!!

May 8, 2019

Check this out. Based on the graphic above, you can probably guess what you are going to see and here in the latest of RFL’s great

How Do Marketers Bring Value To The HCP???

May 7, 2019

Go here and watch the video. The founder of Elevate Healthcare, pictured above, argues that if HCP’s are going to give us their time, we need

Can You Put Me To Sleep?

May 2, 2019

Check this out.  What you will see are the lamentations of an ER doctor about patients’ requests to be “put to sleep.” There are a couple

From Neuroscience To Behavioral Science

May 1, 2019

Check this out.  What you will see is a report that marketing research giant Nielsen is adding a suite of “Behavioral Science” offerings to the

Caveats Concerning Behavioral Economics

April 30, 2019

Check this out.  What you will find is a very well-reasoned and important piece penned by Koen Smets, the “organization development adviser” pictured here.   As

Bullying In The Medical Profession???

April 25, 2019

This post follows up on my most recent offering, in which I described the legal travails a Neurologist had with her (former) group practice. Today’s post is actually


April 24, 2019

I don’t know what else to say about this case. Check this out. What you will see is an article describing the legal travails of Dr. Diana

Dissatisfaction With A Satisfaction Questionnaire

April 23, 2019

Check this out.  Play the video. What you will hear is the story of customer satisfaction research gone horribly wrong. More specifically, you will hear

Addicted Medical Professionals

April 18, 2019

Numbers are one thing. Like, 10-15% of medical professionals will, at some point in their lives, become involved in substance abuse. But as usual, numbers

The Importance Of Removing Sutures

April 17, 2019

Here is a fascinating little article. Commentary from one surgeon as to why it is so important for the doctor who placed the sutures to

What Family Practice Should Look Like

April 16, 2019

Check this out. Usually when I do a riff on Pamela Wible, M.D., it focuses on her work in understanding and preventing physician burnout and

Please Don’t Tell My Family

April 11, 2019

Check this out. What you will see is an Oncologist’s recounting of the sad story of a 46-year old, non-smoking, active runner, wife and mother.

When Is A Surgeon Too Old To Operate???

April 10, 2019

The FAA requires that airline pilots retire at age 65. Should there be a similar rule for surgeons?  Check this out. What you will learn is

Doctors Need To Shut Up More, Says This Doctor!!!

April 9, 2019

Check this out. What you will see is a thought-provoking article by a physician who is also a freelance writer. In it, he questions the

Death By Patient Satisfaction

April 4, 2019

I’ve done riffs on the craziness of evaluating and compensating physicians based on patient satisfaction before. But you will find new, and humorous, insights on

Is Gastroenterology Just Like Every Other Specialty???

April 3, 2019

Check this out. What you will see is a post that posits that trends that are occurring across healthcare can be viewed as fractal repeats of

What Doctors Can Learn From Taxi Drivers

April 2, 2019

Today, I have for you a one-two punch. I am going to send you to two URL’s. No extra charge. Here is the first one. An


March 27, 2019

  Check this out. What you will find is the story of a physician mother who temporarily loses her young son in a busy department

Tweets, Likes, and Liabilities

March 26, 2019

I can’t top the title that the author of this book serves up, so I am not going to try to conjure up some hokey

Becoming A Healer

March 21, 2019

As most of you know by now, I love words. I am fascinated by words. One of my favorite learnings in undergraduate school was the

gofundme for Medical Bills

March 20, 2019

Check this out. What you will see is a piece that notes that, with increasing frequency, people are turning to crowd sourcing to help cover

I’m An ER Doc and I Have No Friends

March 19, 2019

We have talked about ER docs before. The strains of encountering an endless stream of unknown patients. Dealing with drug seekers. Fuming as they sew

“Next Level” Physicians

March 14, 2019

Check this out.  We have talked about this kind of thing before. But here it comes again. Physicians building “side gig” careers by helping other doctors

Why Can’t Consumers Order Their Own Chest X-Rays???

March 13, 2019

Okay, that question is sort of tongue in cheek. But it reflects the spirit expressed by the MD Whistleblower in this post about consumer genetic testing kits

Learning Continuity Of Care

March 12, 2019

Here is something I hadn’t really thought a lot about. According to this blogging medical student’s astute observation, medical school is a largely fractured experience. One month

One Sikh In The Doctors’ Lounge

March 7, 2019

I haven’t hit you with one of ZDoggMD’s riffs lately, so here goes. Take a listen, it’s only two minutes. As usual, while the parody is cute

The Best Apps For Physicians???

March 6, 2019

Check this out.  What you will see is a list that purports to hold forth some of the best apps available for doctors. Don’t spend a

Okay, Maybe This Doctor Really Is “The Medical Intellectual!!!”

March 5, 2019

In last Thursday’s post, we talked about Dr. Arbindi’s informed perspectives on the changing role of pharmacists and the impact that corporate policies have on

The Changing Role Of The Pharmacist

February 28, 2019

The physician pictured above, Dr. Vamsi Arbindi, blogs under the title “The Medical Intellectual.” Laying claim to that territory is one thing, defending it is another.

A Bioethics Writing Contest???

February 27, 2019

Yup! Check this out. What you will see are the results of an annual contest which has students write essays on selected ethical issues. This year

What “Compassion” Should An Emergency Room Provide?

February 26, 2019

Check this out. What you will see is an ER doc with a real dilemma. What he has in front of him is a homeless

nsurance Companies That Can Kill

February 21, 2019

Check this out. What you will see is the story of a lawsuit against AETNA for denying coverage for a potentially lifesaving therapy for the

What Marie Kondo Can Teach Us About Physician Burnout

February 20, 2019

Check this out. What you will see is a piece that is interesting at two different levels. First, it is interesting because it is written

The Power Of Narrative Medicine

February 19, 2019

Check this out. What you will see is a piece that focuses on the importance of a physician allowing a patient to tell her story.


February 14, 2019

Huh?  Check this out.  What you will see is a blog post, penned by an Endocrinologist, arguing that Mainstream Medicine needs to do a better job in

Here Is Our Old Friend Dr. Pamela Wible Again

February 7, 2019

Only this time she is not writing about physician burnout and suicide, which we have frequently seen her do in the past and on which

Ah, Productivity!!!

February 6, 2019

Check this out. What you will see is a fascinating article from the association of hospitalists. In it, you will see the author wrestle with why

Your Smart Phone Dermatologist

February 5, 2019

Check this out. What you will see is the review of an app that helps the user to diagnose and keep track of moles that

A Picture of Strength

January 31, 2019

In this article, you will see Dr. Andrea Eisenberg, the Ob/Gyn pictured above, describe the first time she attended a patient’s funeral. Read the story.

Doctors And “Gun Sense”

January 30, 2019

Check this out. What you will see is a really strange debate that has been going on for some time now. The question? What is

Physicians as Entrepreneurs

January 29, 2019

Check this out. What you will see is a piece by a physician who, with a colleague, set up a “direct pay” primary care practice.

Social Media - Friend Or Foe Of Science???

January 24, 2019

Easy one. Foe. Check this out. You will see that in a recent JAMA report, the AMA called for “protecting” the sanctity of medical science in

Medical Scribes Are A Band-Aid!!!

January 23, 2019

At least according to this physician’s perspective. I think this doc is on to something. In a world in which Alexa and Siri can readily

Telemedicine Is Screwing Up Primary Care

January 22, 2019

Check this out.  What you will see is commentary on Telemedicine that is as damning as it gets. The problem of telemedicine doctors writing unnecessary

What To Do When Bad Press Tanks Your Stock

January 17, 2019

Check this out. What you will see is an article that describes what JNJ is doing to counter the influence of a recent expose’ that

The Essential Nature Of Habit

January 16, 2019

Check this out.  What you will see is the summary of a presentation given a few weeks ago by habit expert Nir Eyal. The point

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