money, and passions
Some physicians are coming to terms with the changing
economics of medicine by starting up their own businesses.
Tim Gueramy, MD, an orthopedic surgeon based in Austin,
Texas, took a break from medicine and stopped seeing patients
financially afloat. “I was seeing
a lot of patients, but money was
not increasing,” he says.
“This other workload that
we weren’t trained for, designed
for, didn’t have a passion
for—documentation and the
business side of things—really
became a larger part of medicine and I really felt like there
was this treadmill. You can’t do
anything else or be innovative
or think of new things,” he says.
Haas, too, stopped seeing patients, and the couple
information. Gueramy says being able to solve problems that
physicians face gives him the opportunity to see things from
a different perspective and be more active in his industry. He
was named one of 10 Leadership Fellows for the class of 2013–
2014 by the American Academy of Orthopaedic Surgeons,
and kept his skill set sharp by going on physician missions
in Libya and India. The startup has grown, and Gueramy and
Haas have been able to hire someone to help run the business.
“Now that we know
where DocbookMD is
going and how it’s going
to make money, I need
to take care of patients,”
In January, Gueramy
began working part-time
for the Texas Orthopedics, Sports, & Rehabilitation Associates in Austin.
He says the two-year hiatus from patients helped
ease the dissatisfaction he