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A blueprint for pediatric residency training reform

Physician

January 31, 2026

The false promise of efficiency

The latest punditry calls for three-year medical schools, stripped of ethics and other vital subjects, with less clinical training. The rationale? Efficiency. The result? A generation of physicians unprepared for the complexity of children’s lives.

General pediatricians themselves admit in published surveys that they “know squat” about developmental-behavioral pediatrics (DBP) after residency. Yet the proposed solution is to shorten training further. That is not reform; it is …

The gastroenterologist shortage: Why supply is falling behind demand

Brian Hudes, MD

Physician

January 31, 2026

The story of gastroenterology in 2025 is no longer about productivity or reimbursement, it’s about manpower. Hospitals and practices across the U.S. are struggling to recruit, retain, or even temporarily staff the specialists who manage digestive diseases, perform colon cancer screening, and handle emergency procedures like ERCP. What we’re facing isn’t simply a staffing issue; it’s a structural shortage decades in the making.

The shrinking pipeline of gastroenterologists

In the mid-1990s, roughly …

Waking up at 4 a.m. is not required for success [PODCAST]

The Podcast by KevinMD

Podcast

January 30, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Physician, former health care executive, certified coach, speaker, and organizational consultant Laura Suttin discusses her article “Why the 4 a.m. wake-up call isn’t for everyone.” Laura shares her personal struggle with the …

Medical education’s blind spot: the cost of diagnostic testing

Helena Kaso, MPA

Education

January 30, 2026

Medical education has a blind spot.

We spend years teaching students to identify diseases. We drill them on symptoms, pathophysiology, and treatment algorithms. By the time they reach clinical rotations, most can rattle off the differential diagnosis for chest pain or abdominal discomfort without hesitation.

But ask a third-year student how much a CT scan costs, or whether an MRI is worth the added expense over an ultrasound, and you’ll often get …

Disruptive physician labeling: a symptom of systemic burnout

Jessie Mahoney, MD

Physician

January 30, 2026

More physicians than ever are reaching out for support after being labeled disruptive, inefficient, delinquent, reactive, or poor communicators.

These are highly skilled, deeply committed professionals being written up for professionalism concerns, communication issues, behavior, and “reactivity.” These cases span every specialty, gender, and stage of career.

This is not a reflection of declining professionalism. It is a predictable outcome of practicing in an untenable and broken system. It is an expected …

Medicine changed me by subtraction: a physician’s evolution

Justin Sterett, MD

Physician

January 30, 2026

I used to think medicine would change me by adding things. Knowledge. Confidence. Authority. Certainty. I assumed growth would look like accumulation, more skills, more answers, more control. What actually happened was the opposite. Medicine changed me by subtraction.

When I started writing as a medical student, everything felt sharp and exposed. The hospital was loud, inefficient, and often cruel in ways no one named out loud. I wrote about scut …

Genetic mutations and racial disparities in leukemia survival

Kurt Miceli, MD, MBA

Conditions

January 30, 2026

Throughout contemporary medical discourse, health disparities among racial and ethnic groups are often attributed to systemic and structural racism. Furthermore, organizations such as the American Medical Association assert that race itself is a social construct and urge a shift away from viewing race as a “biological risk factor” toward a “deeper understanding of racism as a determinant of health.” Unfortunately, this framing rings hollow and obscures an important …

The hidden costs of the physician non-clinical career transition

Carlos N. Hernandez-Torres, MD

Physician

January 30, 2026

I entered medicine believing (perhaps naïvely) that experience mattered. Triple board certification, years of clinical practice across three specialties, and working in New York City felt like assets that would translate beyond the bedside. Like many burned-out physicians, I assumed that transitioning into a non-clinical role would be difficult, but not absurdly so.

I was wrong.

Over several years, I applied to what felt like thousands of positions in pharmaceutical companies, utilization …

Invoking your rights is the only way to survive a federal investigation [PODCAST]

The Podcast by KevinMD

Podcast

January 29, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Nationally recognized psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article “Physician legal rights: What to do when agents knock.” Muhamad shares a terrifying but essential guide for any …

Why almost nobody needs a PhD anymore: an educator’s perspective

Richard A. Lawhern, PhD

Education

January 29, 2026

As a longtime writer and health care educator, I am sometimes approached by media reporters to discuss multiple fields. Despite the breadth of my publications in U.S. and Canadian health care, my original academic degrees (45 years ago) were in engineering subjects. Among my other hobbies, I have at times contributed as a peer reviewer in advanced science and technology journals.

Thus, it came as no surprise when I received the …

Health advice vs. medical advice: Why the difference matters

Abd-Alrahman Taha

Education

January 29, 2026

We are currently living through the greatest democratization of health information in history. You no longer need a library card or a medical degree to learn about physiology, nutrition, or disease prevention. We carry the world’s medical knowledge in our pockets, accessible with a single tap.

On the surface, this is a victory for public health. People are more aware of the importance of sleep, the risks of processed foods, and …

Why private equity is betting on employer DPC over retail

Dana Y. Lujan, MBA

Policy

January 29, 2026

Elevance Health recently reported that it expects to lose more than 180,000 fully insured group plan enrollees in 2026, with its CFO describing the strategy as “prioritizing disciplined pricing and margin integrity over volume.” UnitedHealth has made similar statements. Both are effectively walking away from the fully insured employer market, where administrative complexity no longer justifies the economics.

At the same time, private equity is pouring capital into …

From doctor to patient: a critical care physician’s ICU journey

Ian Barbash, MD

Conditions

January 29, 2026

This is the fifth New Year since the onset of COVID-19 in America. I am a pulmonary and critical care physician who had spent a decade of my life working in ICUs before I became an ICU patient myself in 2025. As a physician, husband, and father of four young children, I had been saving others. But this year, I needed to be saved.

Transitions are times for introspection. How do …

Scientific literacy in nutrition: How to read food labels

M. Bennet Broner, PhD

Conditions

January 29, 2026

Dr. Andrea Love wrote about the lack of basic scientific knowledge among the public, noting that only about 28 percent of people possess it. She highlighted the consequences of this, emphasizing how it can negatively affect people’s decisions and lives.

Many of the articles I have written have dealt with scientific knowledge in one form or another. My comments on the FDA and drug approvals, Alzheimer’s and cancer screening blood tests, …

The poet who changed my DNA

Ryan McCarthy, MD

Physician

January 29, 2026

In 1983, The Outsiders featured Robert Frost’s “Nothing Gold Can Stay” and, augmented by Francis Ford Coppola’s cinematic genius, it planted a seed, one I was unaware of at the time.

Nature’s first green is gold,
Her hardest hue to hold.
Her early leaf’s a flower;
But only so an hour.
Then leaf subsides to leaf.
So Eden sank to grief,
So dawn goes down to day.
Nothing gold can …

Read more…

The poet who changed my DNA

World Health Organization reframes fertility care as a fundamental right [PODCAST]

The Podcast by KevinMD

Podcast

January 28, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Fertility specialist and founder of Montgomery Fertility Center Oluyemisi (Yemi) Famuyiwa discusses her article “Infertility public health: the WHO’s new global guideline.” Oluyemisi examines the historic release of global guidelines that reframe …

How personal experience shapes perimenopause and menopause care

Hoag Memorial Hospital Presbyterian

Conditions

January 28, 2026

Many OB-GYNs find their views on perimenopause and menopause change once they experience these transitions themselves. Even with medical training, the symptoms can be surprising and harder to recognize than expected.

As women’s health clinicians, we understand the common challenges of this stage of life. Hot flashes, sleep problems, vaginal dryness, mood changes, weight gain, and trouble concentrating can affect daily routines in ways that many women do not expect. When …

Pediatric care barriers in West Africa: a clinician’s perspective

Maureen Oluwaseun Adeboye

Education

January 28, 2026

For the past few weeks, I’ve been rotating through pediatrics. In the emergency room, I met a little boy I’ll call Ian.

Ian was wary of everyone who came close to him, especially anyone holding a stethoscope or thermometer. Sometimes all it took was the way you raised your hand, or a glance toward his neck, for him to retreat behind invisible walls. He was only about a year and a …

Anne-Sophie Mutter, John Williams, and the art of aging

Gerald Kuo

Conditions

January 28, 2026

When Anne-Sophie Mutter appeared under the lights in Taipei to play John Williams, the audience was already aging with her. That is not a tragedy; it is a form of wisdom. In a super-aged society, an evening at the concert hall is not only entertainment; it is an anatomy lesson in movement, meaning, and care.

Tempo and governance

The program opened with “Sound the Bells!” The brass did not summon cinematic sentiment; …

Why the real flex in life is freedom of time and self

Preyasha Tuladhar, MD

Physician

January 28, 2026

You know the real flex in life is to be able to stretch out like a cat on a random Tuesday and not worry about bills or appointments or being anywhere.

I think there’s something truly to be said about time freedom (and not only time freedom, but freedom of self) where we can let go of the guilt and shame and all these things that hustle culture has ingrained in …

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