gela Siler Fisher, MD, an emergency physician and director of the emer- gency medicine administration fellow- ship. As associate chief of operations for emergency medicine at Baylor, she founded the school’s Emergency Medicine Administrative Fellowship Program, along with six other emer- gency medicine-based fellowships. With a more complex medical
system and increasing restrictions on residency work hours, “we barely have enough time to fit all the clinical training in. For that reason, fellowship is focused on the clinical practice, as well as business and administration. Fellowship ensures formalized men- torship to aid in honing leadership skills to be successful in practice,” she said. “All physicians, whether in an academic or community environment, are required to understand the busi- ness of medicine.” As Baylor’s first international emer-
gency medicine fellow, Jessica A. Best, MD, is looking to translate her experi- ences in other countries into expand- ed clinical and leadership skills back home in Texas. She starts her inter- national fellowship in July. “There’s a big push now for global medicine to give residents and students a different perspective on medicine and the treat- ment of patients not only in different systems, but also in limited-resource settings,” of which Texas has many, the member of the TMA Resident and Fellow Section said. Dr. Best and her young physician colleagues are also well aware of the increasing medical school debt they have accumulated. But money is not their main motivation. “Financial reimbursement is better
in subspecialty fields. But we are tak- ing a pay cut to pursue our dream,” by delaying full-time practice, she said.
“People joke and call it the $300,000 mistake, but a lot of us are doing this because it’s what we are passionate about.” Recent studies suggest specializa-
tion may contribute to lower physi- cian burnout rates, too.
July 2015 TEXAS MEDICINE 43
LAW FIRM PC
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