After training at Stanford, and a few years in the military, I began a medical path through diverse settings. Family Practice in a rural northern Minnesota setting sharpened my skills in the little things not covered in research based schooling like office hemorrhoidectomies, deliveries, etc. This helped during some time working further north for the Canadian Indian Service in the bush. Returning to MN, I took public health positions with the Department of Health running many health programs across the state. When funding dried up at the Federal level I took a cluster of promising talent out of the agency and started the first of two "dot-com" companies. Producing tools for the health and wellness community worked, but was fiscally not viable. Developing cost containment strategies for Fortune 500 companies took the second start-up rapidly to national size and other success. Throughout this time I contributed time weekly to keep up clinical skills at charity clinics.
After an adverse buy-out, I returned full time to medicine in rural Wisconsin. During the time of HMO acquisition of small clinics, I used my business degrees to advantage to bring physician perspectives to the attention of these large organizations.
After another 15 years of general medicine I knew that we needed other models of caring community-oriented practice. For about a year I helped in several solo practitioner offices that were trying to maintain older values in the face of big-business medical models, still in the US. None have survived.
My next adventure was practicing abroad, general medicine in rural Australia. As a locum, I was placed in diverse locations in rural Queensland. The feeling tone was 'Norman Rockwell', the detail of physician life and reimbursement was excellent, and the virtual total lack of lawyers and litigation was refreshing. We have ever so much to learn from these centers of excellence.
Occ Med sustains me now until the next adventure in Medicine.