One enterprising and industrious physician believes it can.

Neurosurgeon Dr. Louis Cornacchia doesn't just want to save your brain or spine; he's wants to save medicine from itself. Frustrated by the diminished power of physicians in the current healthcare system and the increasing disconnect between physicians and patients, he has been on a 9-year journey to find sustainable and effective solutions.

After extensive research and consultation with physician colleagues, patients (consumers of healthcare), attorneys, technogeeks and business people, he and his partners have concluded that the only successful path to a healthcare revolution is via the connectivity and continuity provided by web-based technology platforms.

As a founder of Doctations, Dr. Cornacchia speaks about his journey to entrepreneurship that began with a series of annoying and unnecessary interactions in the hospital around providing patient care, and his vision for the company in this week's Entrepreneurial MD Podcast.

The somewhat challenging concepts are best captured in the company's Mission Statement:

Doctations, Inc. intends to further leverage the power of the Internet to improve the efficiency, accessibility and quality of healthcare delivery and doctor-patient interactions, with an initial focus on Internet-enabled digital medical records (iDMR) and automation of physician offices using outsourced services provided by a distributed, independent domestic workforce. A strong doctor-patient relationship is key to improving the delivery of excellent healthcare. The Doctations software suite allows doctors to use the Internet to establish Centers of Excellence and to help decrease the global cost of healthcare.

Doctors + Other Provider Organizations + Patients = Web Integrated Healthcare Communities

Practicing physicians can immediately begin using the platform for free, while patients and their families can set up their records at www.iMedicalHome.com - want to try it out?

Then please share your thoughts back at The Entrepreneurial MD Blog.

Dr. Albert Fuchs is an ethical purist. That much is clear from our podcast interview today in which the Beverly Hills internist shares his views on his transition from an overworked less-than-satisfied traditional medical practitioner to a streamlined, calm, happy doctor with no immediate plans to quit his concierge practice.

At a patient's urging, he explored the concierge or retainer practice model, discovering its many variations. And realizing that, by cutting back dramatically on his patient load, he could once again become the real physician he had dreamt of being in his medical school days.

Seeking the mentorship of a family member with business experience, he began the transition several years ago by severing ties with the healthcare insurance industry, first with the PPOs and a year later with Medicare.

Paradoxically, he argues that, instead of contributing to the creation of primary care shortages with this model of care, he sees that students considering medicine as a future career are more likely to consider primary care when exposed to the role models of contented physicians providing the care they most enjoy giving to their patients! As opposed to the image many are witnessing today of harrassed, irritable doctors rushing from patient to patient, handling 5 phone calls between rooms, in order to make their "quota".

His advice:

• decide on whose behalf you are truly willing to work and who your customers really are - insurers or patients?
• take the high road and offer only those services and that care that is evidence-based. Keep it ethical - only offer what you would have done unto you!

Listen here to Dr Fuchs's refreshing account of how he chose to re-align with his deepest professional values, in his quest for his vision of an ideal practice.

And then rejoin us at The Entrepreneurial MD Blog here for your comments and opinion!