Learning from adversity: diary of a medical manager

This article is one physician's account of his experiences in managing a large multispecialty group practice. While he was able to accomplish much in his tenure during the latter half of the 1980s, it was, on balance, a negative experience. He describes both the high and the low points of the period and assesses how both contributed to his eventual downfall. While personal, the account has important implications for others involved in the rapidly changing, personally rewarding, and eminently challenging health car system in which physician executives work.