The cons of working with a large health system

Spine

There are pros and cons for physicians to consider when debating starting a private practice or working with a large, already established health system. 

While private practice offers more independence for practitioners, established systems offer financial backing and a stable work environment. 

Mick Perez-Cruet, MD, professor and vice chair of neurosurgery at Oakland University William Beaumont School of Medicine in Rochester, Mich., told Becker's the best part about practicing musculoskeletal care, and the worst part about working with a large healthcare system. 

Dr. Perez-Cruet: The best part is running my own practice and the autonomy it gives me. This includes doing cases at our ASC where I can choose the technologies, surgical devices and approaches that I feel will be the best benefit for my patients to optimize their outcomes. The worst part about practicing is trying to convince the large healthcare system I work at about the need for specialized devices and technology to improve my patients outcomes. 

Editor's note: This article was updated July 1 at 10:50 a.m. CT.

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