Practice Management

Amanda C. North, MD, reflects on key takeaways from a panel discussion on imposter syndrome.

Farah Rahman, MD, MPH, highlights a pilot study on the use of wearable biofeedback technology to better understand and address burnout among urology residents.

Sudha Jayaraman, MD, MSc, FACS, recaps a session from the 2026 Urology on the Beach meeting focused on AI in health care.

The session emphasized how rapidly evolving AI technologies are addressing long-standing inefficiencies in urologic care.

A key finding was that among the qualities applicants highlighted, only “learning and growth” correlated with interview selection.

Jennifer Miles-Thomas, MD, URPS, MBA, emphasizes that teleurology and team-based care models offer significant promise

"Although social media may not be for every health care worker, I hope that moving forward, more medical content creators will collaborate with the academic medical community to shape the world for the better," writes Maheetha Bharadwaj, MD.

As the year comes to a close, we revisit some of this year’s top content on urology coding and reimbursement.

"The overall 0% impact to urology does not help urology practices deal with increasing costs incurred for staff, rent, supplies, and other overhead," write Jonathan Rubenstein, MD, and Mark Painter.

"Once money is in a Roth IRA, the withdrawal rules depend on whether the funds are contributions, conversions, or earnings," writes Julie Khazan, CFP.

"Based on the code description, we recommend basing the code selection on the documentation and the effort required to complete the service, and not the number of foreign bodies removed from the bladder," write Jonathan Rubenstein, MD, and Mark Painter.

"Site neutrality is a pivotal issue for all independent practices, and really, it's a pivotal issue for all Americans because it affects both the global cost of care as well as the acceleration and the cost of care," says Mara R. Holton, MD.

Jonathan Henderson, MD, recaps his LUGPA 2025 session, “Lessons Learned: Avoiding Pitfalls in Urology Practice Management.”

Sisters Amy Pearlman, MD, and Michelle Pearlman, MD, provide an overview of their shared practice, Prime Institute.

"I think the most important thing, or take-home message that we try to share, is gathering data, understanding what those metrics are from the very beginning," says Brooke B. Edwards, MD.

"The main issue in DC now is the Medicare Physician Fee Schedule," says Scott Sellinger, MD, FACS.

"The OBBA includes broad and sweeping changes that will have a profound impact," writes Allan Shen, CFP.

Scott B. Sellinger, MD, FACS, discusses the challenges facing urologists, the loss of telehealth flexibility, and why bipartisan action remains urgent.

The code, J9282, will be effective on January 1, 2026.

Sevann Helo, MD, recaps an SMSNA 2025 session on setting patient boundaries.

Findings showed that although most applicants emphasized work ethic and interpersonal skills, these attributes were not predictive of receiving an interview invitation.

Miles-Thomas emphasized the importance of Northwestern’s thoughtful implementation strategy.

"Based on this proposal, some shifts may significantly impact the practice of urology," write Jonathan Rubenstein, MD, and Mark Painter.

Both urologists emphasized that Northwestern’s integrated structure and commitment to innovation allow any urologist within the network to contribute ideas and see them developed into practice.

Avani Desai emphasizes that inadequate or unclear parental leave policies carry significant consequences, particularly during residency.