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Whenever a hospital contracts with two independent hospital groups, they will ultimately use the competition to their advantage. In the end, the two doctors groups will start backbiting and it will get ugly. Peer review becomes a joke, "us against them". It's not my style of medicine.
Take the second job and have the enthusiastic support of the hospital and your peers. You'll have a better job. Hospital politics erode happiness. I served on our hospitals governing board for 6 years and I am currently completing my third term as department chair. If your personal goals are aligned with your medical group and the hospital administration, it could be a great job. If not, nothing but pain and stress.
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My work here is nearly finished.
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