Top critical review
Interesting Ideas, no Guide to Practical Application
on September 2, 2003
Mr. Gerber has very interesting ideas about systematic management of a medical practice. He uses the franchise example of McDonald's to help the physician to think of his or own practice as a system, that is easy to repeat. Repetitive systems are a definite way to provide better patient care and make more money. Mr. Gerber also speaks about how the physician must constantly look to change to improve these systems. This also makes sense with the constant changing horizon of health care.
The problem, is that Mr. Gerber gives very little insight on how to put these concepts into practice. For example, he believes all physicians should have systems to see patients on time. Yet, he has no solutions on how to deal with the problems that put physicians behind in the schedule. He brings up the "By the way doc,...," patient with multiple unannounced problems, but no solutions on how to deal with him. Another concept he suggests, is when a customer is angry, doing whatever the customer wants to satisfy them. This is a good concept with most patients, but there are several where this would not work, drug-seekers, etc.
This is a great book to help you conceptualize what you want your practice to be. It will help you to break it down into individual concepts and systems to address and fine tune to make your practice profitable and enjoyable. It will not give you much practical advice on how to solve these problems. You will have to look elsewhere for this.