try changes and managing a full
doctor's salary. She decided to
take the course in Practical Man-
agement.
"This is not something we get
in medical school at all," she says.
'The best thing they do is tell us
what it's like to be in a practice
and it's very different."
Guest speakers in the Cashes'
class do not include insurance
agents, financial planners, ac-
countants or attorneys, other than
Mrs. Cash, a 1980 University of
Detroit Law School graduate.
They are not welcome.
By all appearances, it seems
the residents are listening care-
fully.
'We look for the elbows during
meetings," Ms. Cash says. "When
we see spouses who accompany
each other to meetings look at us
and elbow each other, then we
know we've struck a nerve."
Throughout his practice, Dr.
Cash has demonstrated how med-
icine can be good business by con-
ducting his own exemplary
private practice.
In 1973, he accepted an invita-
tion from former Children's Hos-
pital Director Dr. Robert Gregg to
relocate his office to the hospital.
Dr. Gregg hoped the move would
allow doctors at Children's Hos-
pital to benefit from observing Dr.
Cash's practice while sending a
broader message that indepen-
dent small businesses could still
thrive in Detroit.
Shortly after Dr. Cash settled
in, an infant formula manufac-
turer, no longer allowed by law to
offer gifts to potential customers,
came up with another marketing
idea. The company catered lunch
for informal medical/business-ori-
ented seminars with the Cashes.
The sporadic meetings, some-
times held in waiting rooms or
hospital hallways, took root and
became formally known as
"Cash's Corner."
After three years, Children's
Hospital formally endorsed the
underground business network
and publicized the subsequent
regular meetings. Cash's Corner,
now known as Practical Man-
agement, now assembles in for-
mal conference facilities.
Over the past 15 years, the
Cashes have taught Practice
Management in over 50 hospitals
and universities.
Dr. Cash is also known for his
question and answer column that
appeared in the Detroit Free Press
and his WXYT radio program,
"Ask the Pediatrician," which
aired between 1984 and 1989. ❑

Practice Management is
taught on the third Monday of
every month at Children's Hos-
pital of Michigan for any resi-
dent doctor interested in
learning more about the busi-
ness of medicine. For informa-
tion, call (313) '745-5733.
Classes are free of charge.

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