The power of first impressions: How false information can stick
An excerpt from Justice in the Age of Judgment: From Amanda Knox to Kyle Rittenhouse and the Battle for Due Process in the Digital Age.
In the early 1970s, a group of researchers at Stanford University placed advertisements in a newspaper offering two dollars to people who would participate in an …
Shopify’s meeting policy for health care: a game changer for providers and patients
We’ve all been there, sitting in a virtual meeting, our eyes glaze over, and our minds wander as yet another PowerPoint slide drones on. The experience can make even the most dedicated health care professional question the value of meetings altogether.
But in health care settings, meetings can be a matter of life and death. Physicians and health care administrators are tasked with managing complex care teams, staying up-to-date on …
The reality of health care workers in the pandemic: burnout, overwork, and inadequate support
“We appreciate your tireless efforts in these difficult times.”
Eyeroll. No, you don’t. I don’t need another meeting or committee. I don’t need a “Burn-Out Committee Action Plan.” I don’t need a “token of appreciation”— a pair of socks? (Really? How much did that cost?) I don’t need another seasoned and respected nurse leaving to travel and make bank or going to some made-up administrative role. I don’t need to come …
The benefits of facing mortality: How Bruce Springsteen and other rock stars prove productivity can increase with age
According to Chris Jordan, a New Jersey shore native who writes about music and entertainment, Bruce Springsteen and the E Street Band performed “like their lives depended on it” when they recently kicked off their 2023 tour in Tampa, Florida early February. The tour will keep the 73-year-old Springsteen on the road for six months, playing a total of 62 concerts, proving that mortality can be a …
Breaking the cycle of addiction treatment scams: a physician’s guide
You sigh as you see the name on the next chart. “Good grief, this poor woman,” you think as you place your hand on the doorknob.
“Doctor, I really tried. I really tried this time!” she sobs.
“Cheryl, I know you did. But you’ve got a disease, and you need treatment.”
“Doc, I can’t go back there again. I can’t. I can’t. I can’t. I’m going to lose my job. I can barely …
The vaccination dilemma: Protecting patient rights or caregiver freedom?
Recently, I heard a news report regarding several state attorneys general suing the federal government to eliminate the requirement that health care providers be immunized against COVID. They argued that as fully immunized individuals still contract COVID, and that allowing unimmunized people to be rehired would relieve provider shortage, the regulation was unhelpful.
Initially, I agreed, as rehiring these individuals would generate some relief for those staff members who have worked …
Empowering physicians to lead: the benefits of physician leadership [PODCAST]
Physicians in crisis: the battle for autonomy and happiness in a broken system
What’s one of the biggest complaints we physicians have about the current state of our jobs? It’s that we’ve lost our autonomy, that it has been taken from us by a health care system more focused on profits than on the well-being of patients and ourselves.
As a physician, you know firsthand how dysfunctional health care has become. There is abundant evidence that the modern health care system is more than …
8 practices for a happier old age
An excerpt from Honest Aging: An Insider’s Guide to the Second Half of Life. Copyright 2023. Published with permission of Johns Hopkins University Press.
The key to aging well lies within you, the attitudes and responses you have to growing older and entering old age. Yes, there will be inevitable physical …
Nurse’s whistle of hopelessness: a tale of a dangerous workplace with no safety measures
I finally found time after retirement to clean out my nurse’s book bag. It contained items such as a stethoscope, extra playing cards for patients, highlighters, various pens, a penlight, a notebook with important phone numbers throughout the health care system, tourniquets for IVs, and a plastic whistle.
This health care system, which has a revenue of $5 billion per year and spans throughout America, is quite complex. Let me explain.
The …
Rethinking access to the American tip jar: It’s time to include nurses and dental hygienists
Americans are accustomed to tipping for a wide array of services. We understand that our gratuity makes up an important percentage of the wages earned by many different types of laborers: massage therapists, Uber drivers, hair stylists, tour guides, room service providers, valets — the list goes on. Much of the time, we don’t just add a tip because we’re adhering to a cultural norm but rather because we genuinely …
Research literacy bridges the medical mistrust gap
A long inglorious history of medical racism and mistreatment has dire health consequences. Consider the atrocities associated with experimentation on African Americans without informed consent during the Tuskegee Syphilis Study (1932-1972), which eroded the trust in the medical profession and medical research, and undermined the nation’s ability to achieve health equity.
Medical mistrust continues to worsen due to the negative health care experiences African Americans still endure today. For …
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A fine line between DNR and denied treatment for the elderly [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes!
In this episode, we welcome Alan Lindemann, an obstetrics-gynecology physician, to discuss the issue of autonomy and treatment for elderly patients. He shares his experiences in the long-term care setting, and the disturbing trend of interpreting do …
The algorithm’s dilemma: Navigating ethics in health care
An excerpt from The Algorithm Will See You Now.
Jacie shoved her glasses up her nose. “For those not selected, when PRIMA gives its report, or whatever… and if it says the treatment won’t work, how do you tell the patient?”
“We don’t.” Hope paused. “That’s the nurse’s job, of course.”
Cecilia gave …
Gratitude takes practice. How come health care workers aren’t better at it?
Like interest rates and food prices, burnout among health care providers continues to rise.
From my perch—as a hospitalist in a large tertiary hospital—the sheer terror of the early days of the COVID pandemic has been replaced by a grinding fatigue fueled by staffing shortages across the entire health care system.
Patients and their families are burned out too, frustrated by delays and shortcomings in care that inevitably arise in an overworked …
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Fool women twice? Drug makers revive menopause as a “disease.”
In the words of the late soccer great Pelé spoofed on Saturday Night Live, women’s health has been “very, very good” for drug makers. In 2002, 61 million prescriptions were written for women in the U.S. for hormones to treat the so-called “disease” of menopause (which was once treated with electroshock therapy—yes, ECT).
Until the government-sponsored Women’s Health Initiative (WHI) found in 2002 that hormone replacement therapy (HRT) …
Transforming health care with AI: Google Bard and BioGPT lead the way
Generative language models such as Google Bard and BioGPT are two cutting-edge technologies that have the potential to revolutionize Health care by providing accurate and reliable information to patients and health care professionals alike. Google Bard is powered by LaMDA and trained on web data, while BioGPT is developed by Microsoft and trained on biomedical literature. Both models can perform various tasks, such as answering questions, extracting relevant data, and …
Is mandating pre-medical training widening disparities in the U.S. physician workforce?
Around 75 percent of U.S. physicians are U.S. MD/DOs who have completed pre-medical training, while the remaining 25 percent are international medical graduates (IMGs) who may not have completed pre-medical training but are still able to take the United States Medical Licensure Examination (USMLE) and become licensed to practice medicine in the U.S.
From the patient’s perspective, pre-medical training may not be necessary unless pre-medical training-deficient IMGs are not evenly distributed …
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Critical thinking in pain management [PODCAST]
Past Week
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Internal Medicine 2025: inspiration at the annual meeting
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Are quotas a solution to physician shortages?
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The hidden bias in how we treat chronic pain
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Why patients and doctors are ditching insurance for personalized care
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Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam
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The hidden impact of denials on health care systems
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Past 6 Months
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How trade wars could destroy the U.S. health care system
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Internal Medicine 2025: inspiration at the annual meeting
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The silent crisis hurting pain patients and their doctors
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Doctors don’t need yoga, they need time to smoke
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What happened to real care in health care?
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How to build a culture where physicians feel valued [PODCAST]
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Recent Posts
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Avoiding leadership pitfalls: strategies for success in health care [PODCAST]
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Doctors speak out: Why we’re saying no to burnout
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When doctors die in silence: Confronting the epidemic of violence against physicians
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When asking one more question can change everything
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The geriatrician who prescribes matzah and meaning in Miami Beach
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Understanding the ADHD brain: support, empowerment, and managing challenges [PODCAST]
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Past Week
-
Internal Medicine 2025: inspiration at the annual meeting
-
Are quotas a solution to physician shortages?
-
The hidden bias in how we treat chronic pain
-
Why patients and doctors are ditching insurance for personalized care
-
Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam
-
The hidden impact of denials on health care systems
-
Past 6 Months
-
How trade wars could destroy the U.S. health care system
-
Internal Medicine 2025: inspiration at the annual meeting
-
The silent crisis hurting pain patients and their doctors
-
Doctors don’t need yoga, they need time to smoke
-
What happened to real care in health care?
-
How to build a culture where physicians feel valued [PODCAST]
-
Recent Posts
-
Avoiding leadership pitfalls: strategies for success in health care [PODCAST]
-
Doctors speak out: Why we’re saying no to burnout
-
When doctors die in silence: Confronting the epidemic of violence against physicians
-
When asking one more question can change everything
-
The geriatrician who prescribes matzah and meaning in Miami Beach
-
Understanding the ADHD brain: support, empowerment, and managing challenges [PODCAST]
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