[orthodoc]

Yes, that's it. Just business to them, and quality has no role to play. But to me it's something I've invested in. Now I have to decide whether to continue being a part of it, whether to hang on and garner them more business (and continue to have health insurance and an income for a time) or cut myself loose before they do it for me. They've planned some great office space in their new building strictly for Occ Med, I planned it for them actually - for free, duh. It's the carrot they dangle. Now I suspect they've planned it for mid-levels.

I know a great doc at OSHA in DC who developed a wonderful Occ Med practice at University Hospitals in Cleveland, and once she'd gotten it busy, tons of clients, working with mid-levels, the bean-counters decided to go strictly with the mid-levels and let her go without notice. She warned me about working for medical centers, as did others.