Physician compensation may look straightforward on paper, but this piece argues that many clinicians enter high-stakes contract negotiations without understanding the very metrics that define their value. Focusing on work relative value units (wRVUs), fair market value, and benchmark data, the authors unpack how hospitals structure pay—and where physicians often lose leverage. As employment models shift and reimbursement pressures grow, the article reframes contract review not as confrontation, but as alignment. Why data literacy has become a career skill for physicians, and how it can materially change outcomes, is explored in this analysis from Healio.
Author: Abhay Panchal
In a large, pragmatic quality improvement program, investigators from the Department of Veterans Affairs showed that the availability of computer-aided detection systems improved adenoma detection rates over those seen at sites where CADe was not provided, although it did not affect all quality colonoscopy indicators. “The odds of adenoma detection improved by 22%. Significant improvements in ADR persisted compared to sites without CADe,” said Jason A. Dominitz, MD, the executive director of the Veterans Health Administration’s National Gastroenterology and Hepatology Program, and a professor of medicine at the University of Washington, in Seattle. However, the researchers also observed a long-term…
CMS released plans Dec. 23 for its voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” — or BALANCE — model. The announcement comes weeks following the White House’s agreements with Eli Lilly and Novo Nordisk to apply most-favored-nation pricing for drugs that treat obesity, diabetes and related conditions. “Today’s announcement builds upon our historic Most Favored Nations drug pricing deals’ goal of democratizing access to weight-loss medication, which has been out of reach for so many in need,” CMS Administrator Mehmet Oz, MD, said in a news release.
New data are challenging a long-held assumption in Crohn’s disease care: that ileal disease is harder to treat than colonic involvement. A post hoc analysis of a phase 3 trial found that subcutaneous infliximab delivered consistent clinical and endoscopic benefits across disease locations—including the terminal ileum—during maintenance therapy. The findings suggest a more uniform treatment effect than many clinicians expect, while also raising questions about how these results will translate outside controlled trials. What surprised investigators most, and what still needs to be proven, is explored in this report from Healio.
Gastroenterology is a highly specialized and rewarding medical field, offering physicians a unique opportunity to blend diagnostic skill with procedural expertise. The demand for skilled GI specialists is consistently high, driven by an aging population, rising rates of digestive diseases, and advancements in screening and treatment. For physicians aiming to build a successful career, understanding the latest clinical trends, technological advancements, and employer expectations is crucial. This guide provides a comprehensive overview of the gastroenterology job market. We will explore the most in-demand subspecialties, the impact of technology on clinical practice, and the essential skills employers are looking for. Whether…
From department chairs and systemwide clinical leaders to national society presidents, gastroenterologists across the country stepped into influential leadership roles in 2025, shaping care delivery, research and professional education. Here are five GI leaders who took on new leadership posts this year: Note: This is not an exhaustive list.
As GLP-1 drugs transform weight loss, a quieter question is gaining urgency: how do patients hold on to those gains once the injections stop? This piece explores a new class of minimally invasive, gut-targeting devices designed to stabilize metabolism after drug-induced weight loss—without weekly shots or lifelong therapy. Early trial results are closely watched, skepticism remains, and multiple approaches are racing toward clinical validation. Whether these one-time procedures represent a durable next chapter in obesity care is becoming one of the most consequential debates heading into 2026, with Fractyl Health emerging as an early contender.
Thirty-two percent of physicians had a secondary income in 2024, according to Medical Economics‘ 96th Physician Report, published Dec. 29. Here’s a breakdown of physician’s additional sources of employment in 2024:
Small, targeted changes to how endoscopy patients are scheduled and processed can have outsized effects on both efficiency and patient experience. Quality improvement work presented at DDW 2025 shows how rethinking arrival times and intake flow helped reduce congestion during peak morning hours, shortened overall time spent in the unit, and improved satisfaction scores—without adding resources. The findings reflect a broader shift toward operational fine-tuning in outpatient endoscopy, where even minutes matter. How these adjustments were designed—and what they revealed about hidden bottlenecks—emerged from the projects led by teams at Mayo Clinic.
Inflammatory bowel diseases (IBD), comprising Crohn’s disease and ulcerative colitis, are chronic, inflammatory, immune mediated, relapsing-remitting conditions of the gastrointestinal tract with multidimensional and often negative effects on patients’ quality of life. The global burden of IBD is increasing and is forecast to affect 1% of the population in early industrialized nations over the next 10 years. Advances in our understanding of the causes and pathogenesis of IBD in the past three decades have translated into new treatments that modulate the immune inflammatory cascade. Modern goals of treatment are clinical remission through assessment of patient reported outcomes and deep remission…