Yul Ejnes
Rhode Island
Not in the Epstein Files.
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Articles by Yul Ejnes
Q&A: Managing the employed physician’s workload
Putting It Into Practice October 14, 2026 5 min read Add topic to email alerts Receive an email when new articles are posted on Please provide your email address to receive an email when new articles are posted on . You've successfully added to your alerts. You will receive an email when new content is published. Click Here to Manage Email Alerts You've successfully added to your alerts. You will receive an email when new content is published.
Q&A: Managing the employed physician’s workload
Key takeaways: The employed physician faces many challenges in terms of work-life balance. A recently retired physician offers tips for finding the right employer and optimizing workload. In this Putting It Into Practice column, Jonathan D. Leffert, MD, FACP, MACE, ECNU, talks with Yul D. Ejnes, MD, MACP, FRCP (Lon.), a recent retiree, about what employed physicians should know about the business of practicing medicine.
Q&A: Managing the employed physician’s workload
Key takeaways: The employed physician faces many challenges in terms of work-life balance. A recently retired physician offers tips for finding the right employer and optimizing workload. In this Putting It Into Practice column, Jonathan D. Leffert, MD, FACP, MACE, ECNU, talks with Yul D. Ejnes, MD, MACP, FRCP (Lon.), a recent retiree, about what employed physicians should know about the business of practicing medicine.
Does your doctor have a healthy work life? It matters | Opinion
Years ago, choosing a primary care physician was straightforward. Patients asked relatives and friends for recommendations and then checked where and when the physician went to medical school and completed their residency. Other than a few questions about insurance participation, office hours and parking, little attention was paid to the practice where the physician worked.
Rethinking Advocacy for Physician Payment
Key words advocacy payment workforce It’s time for professional organizations to ask themselves if they are talking to the right people when advocating for increased physician payment.
Please call us doctors. Physicians are professionals, not 'providers' | Opinion
In early June, the American Medical Association’s House of Delegates voted to discourage the use of the term “provider” to describe physicians. This follows the publication in February of a position paper by the American College of Physicians in the journal Annals of Internal Medicine that raised ethical concerns over the term's widespread adoption.
Concierge medicine reveals key to doctor job satisfaction | Opinion
May 10, 2026, 6:05 a.m. ET Concierge medicine is a hot topic in the local media. Some say that it can improve the shortage of primary care physicians. But I believe that it is more a symptom than a solution, one with lessons that we can and should apply to conventional practices.
Primary care compensation models: Why wRVUs are obsolete
It is time to dethrone the office visit as the king of primary care physician compensation and how the work of a primary care physician is defined. Several months ago, a reporter asked me how many patients I see in a typical day. I told her that the question should not be how many patients I see each day, but how many patients I take care of each day, a number that is significantly greater. Why office visits rule is no mystery.
Different perspectives but the same goal: providing the best possible care to patients
A guest column by the American College of Physicians, exclusive to KevinMD.com. For this column, my 61st for the American College of Physicians (ACP), I thought it would be interesting to look back at the first 60 and review the trends and topics that inspired me to write 800 to 900 words every month.
Rising premiums, high deductibles, and gaps in coverage before the ACA
A guest column by the American College of Physicians, exclusive to KevinMD.com. By the time you read this, Congress will be in session and hopefully not engaged in another watermelon spitting contest on health care (I’d use a urological metaphor, but there may be children in the room). If our Representatives and Senators choose to tackle this again, may it be in a thoughtful manner that considers the best ideas from all parts of the ideological spectrum.
Improving physician satisfaction by eliminating unnecessary practice burdens
A guest column by the American College of Physicians, exclusive to KevinMD.com. In April, the American College of Physicians (ACP) released a position paper titled Putting Patients First by Reducing Administrative Tasks in Health Care, published in the Annals of Internal Medicine. The paper, part of ACP’s Patients Before Paperwork initiative, is a thoughtful look at the many administrative tasks that physicians face every day.
A wealth of medical knowledge in a country that lacks resources
A guest column by the American College of Physicians, exclusive to KevinMD.com. For many years, I’ve wanted to visit Cuba. When travel restrictions to Cuba were relaxed a few years ago, I hoped that I would get there before the first Burger King opened in Havana. I had my chance in May, as a member of a delegation representing the American College of Physicians (ACP) that visited Cuba to meet with government health officials, physicians, and other participants in the Cuban health care system.
Averting a zombie prescription apocalypse
A guest column by the American College of Physicians, exclusive to KevinMD.com. One thing about me that even my closest friends are unaware of is that I am a zombie fighter. Unlike the ones in video games, TV series, or movies, the zombies that I fight in my practice are prescriptions that won’t die. They are prescriptions for discontinued drugs or old medication doses. These “zombie prescriptions” are a patient safety threat that physicians face daily.
Are patients with minor ailments visiting the doctor too often?
A guest column by the American College of Physicians, exclusive to KevinMD.com. Lately, I’ve been asking myself whether today’s patient is less able to self-manage minor illnesses than their parents or grandparents. That question was inspired by my review of notes from my patients’ visits with my nurse practitioners or to our after-hours clinic, as well as some of my own patient encounters. My practice has done a great job of providing access to office visits during regular and off-hours.
The pitfalls of prior authorization for prescription drugs
A guest column by the American College of Physicians, exclusive to KevinMD.com. One of the things that I dread the most about January 1 is that it’s the start of “prior authorization (PA) season” for prescription medications. It is time consuming and frustrating, plus it often jeopardizes patient safety and quality of care.
PCMH recognition process isn't easy but it is becoming more relevant and less burdensome
A guest column by the American College of Physicians, exclusive to KevinMD.com. When the American College of Physicians (ACP) and the other primary care societies introduced the Patient-Centered Medical Home (PCMH) over 10 years ago, the model was untested.
Workplace wellness program requirements should reflect High Value Care recommendations
A guest column by the American College of Physicians, exclusive to KevinMD.com. If you are a primary care physician, chances are that you’ve had patients ask you to complete forms for work as part of their employer’s wellness program. Workplace wellness programs have been around for several years, but it seems that more of my patients have been participating since the adoption of the Affordable Care Act (ACA).
Will repeal and replace of the ACA move us forward or set us back?
A guest column by the American College of Physicians, exclusive to KevinMD.com. When the Trump Administration takes office, health reform as we now know it will not go away, but it will take a different form. I don’t think the changes will be as easy as opponents of the Affordable Care Act make them appear to be. It won’t be as simple as tearing down a building and constructing anew.
How to provide individualized care in an era of standardized office processes and procedures
A guest column by the American College of Physicians, exclusive to KevinMD.com. It’s been several years since we transformed our practice into a patient-centered medical home and started to truly work as a team. As I’ve written before, working as a team is one of the biggest reasons for my practice satisfaction increasing over the past few years. While I am more satisfied with my practice than I have been in a long time, I would not say that practicing in this new model is without its frustrations.
Dr. Google isn’t all bad: Patient engagement might help outcomes
A guest column by the American College of Physicians, exclusive to KevinMD.com. It made the rounds on social media this winter: a photo of a coffee mug with the words “Please Do Not Confuse Your Google Search With My Medical Degree.” Colleagues shared and retweeted it, feeling a sense of vindication. I have to admit that I had a chuckle over it as well.
One action that could ease our EHR pain
A guest column by the American College of Physicians, exclusive to KevinMD.com. This September, I reached a milestone, the tenth anniversary of my electronic health record (EHR) “go live.” Note that I did not write “I celebrated my tenth anniversary,” because while the event was the most disruptive change in over 25 years of practice, the word “celebrate” connotes something joyous, which EHR adoption was not. For that matter, I can’t describe it as regrettable either.
Keep hierarchical condition categories in mind when you code
A guest column by the American College of Physicians, exclusive to KevinMD.com. This will not be another article focused on the Medicare Access and CHIP Reauthorization Act (MACRA) and its Merit-Based Incentive Payment System (MIPS). Everyone else is writing about that. (But I can’t promise that I won’t mention MIPS at all.) Hopefully, by now, most of you know what MACRA and MIPS are, but how many of you have heard of an HCC? HCCs are not new.
A doctor turns to social media for organ donation
A guest column by the American College of Physicians, exclusive to KevinMD.com. A couple of months ago I received a Facebook invitation to “like” a page. That was not unusual, and usually the pages are on silly or obscure topics, but this page was different. The name of the page was New Kidney for Stu. Stuart Himmelstein, MD, FACP, is one of my Facebook friends. Stu is a solo internist in private practice in Delray Beach, Florida.
The EHR report card 2014: Has it gotten better?
A guest column by the American College of Physicians, exclusive to KevinMD.com. A little over two years ago in this blog, my “EHR report card” evaluated the effect of the electronic health record (EHR) on my practice. I thought it would be interesting to see how things have changed. As in 2012, I will not identify my EHR, since I suspect that much of the report card will be applicable to many products.
Are patient portals a gateway or barrier to patient-centered care and communication?
A guest column by the American College of Physicians, exclusive to KevinMD.com. Patient portals. They have great potential, but is it being met? And are we losing something in return? I ask myself these questions now that my practice offers a patient portal linked to our electronic health record (EHR). I did not expect to feel that way, because I’ve been a strong proponent of providing patients with electronic access for over 20 years.
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