A doctor-centric approach to evaluating if a loan is the right decision
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For the vast majority of us doctors, a career in …
Empty chairs at the table this holiday season
There’s nothing like the holidays and a new year around the corner to remind us that 2020 is almost over. This year let’s try to take nothing for granted. Especially since millions of Americans will soon sit down to a holiday meal with one or more loved ones missing. Those empty chairs are a reminder of what we have endured this year. Whether it be loved ones who are sick, …
Being an attending: What no one tells you in residency and medical school
For most of us, medical training through all the pains of medical school and residency is often bearable when we fantasize about life on the other side of all of this. Life as an attending physician, when the sky suddenly turns all rainbow, when the money starts to fall from those skies — we’re finally our own bosses, and then we’re supposed to live happily ever after. The reality, however, …
To MBA or not to MBA as an MD: a physician’s journey
The first thing my husband said when I told him about MBA school was, “the NBA has a school?” It didn’t help that we first had our conversation about MBA school during the NBA playoffs but really – NBA school? I quickly overcame this moronic start to the conversation by saying “M” as in Michael Jordan – MBA school. He got it from there and every day since. And every …
In the face of uncertainty, choose hope over fear
Over and over again, I find myself repeating the same words to myself as I watch the sunset over the Sacramento River on my dreary commute back from my job in clinical research: hope over fear.
It was with hope that 2020 began—a catalyst year in which we had the wind at our backs and the promise of a better future just over the horizon. 2020 promised the inevitability of change, …
Pay attention to science and medicine, or else you may be the next careless victim
I enter the hospital to work again. I must work as I have three small children and a husband presently out of work because of COVID. He is “non-essential.”
A violinist is playing at the employee entrance. I know they do this to lift our spirits. But it’s a slow, sad string that reminds me of the titanic. And yes, every day I clock in, I feel as if it’s a …
Practical thoughts on pursuing a partnership track
A quick preview of any journal will note a plethora of physician jobs spanning the country. Many of these jobs offer a partnership track and promote a democratic philosophy.
As someone who has worked on both sides of the equation, I wanted to share a few thoughts. You may not agree with all, but here they are, nonetheless.
First, consider your long-range plan. While it’s exciting to contemplate a first job while …
I am an emergency and critical care physician. I had COVID-19 infection twice and I’m tired.
I am a critical care and emergency medicine physician, I have had COVID-19 infection twice, and I’m tired.
My first infection was early on in the pandemic. I had to place a Blakemore tube in a young man who was going to die from his massive bleeding from cirrhosis. I didn’t know then that the patient was positive for COVID, as he didn’t have any “typical” symptoms. I placed the tube …
What Caribbean medical students need to know about the residency match
For students studying at Caribbean medical schools, success in the residency match is a major concern. And it should be, because Caribbean medical students have unique challenges. At the same time, strategizing early in your medical school career can significantly impact your ultimate success.
Here are five rules that are critical in residency match success:
1. Yes, your exam score matters. The reality of the current day residency match is that programs …
The ibuprofen COVID-19 paradox
With the surge of information surrounding COVID-19 released in the news this year, an interesting concern arose regarding ibuprofen’s use in patients with COVID-19. In March of 2020, French authorities were the first to investigate anecdotal reports of severe COVID-19 infection in patients who had taken ibuprofen.
The initial concern involved the ACE-2 receptor. The theoretical concern was that NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen might …
Advice to aspiring medical students on work-life balance
I recently met a student and aspiring surgeon who asked me if I was happy with anesthesiology and a career in medicine in general. I told him that aspiring to medicine is wonderful and that while I am indeed happy with my career choice, it does come with daily challenges, both professional and personal. This led to a discussion of work-life balance, particularly with regard to family life, in which …
The value of intergenerational relationships
With the rapid growth of modern medicine and awareness in lifestyle and environmental influences, individuals can live longer and healthier lives. Approximately 15.2 percent of the U.S. population consists of individuals 65 years and older. To make the added years of life expectancy fulfilling, older adults need to stay socially connected and involved. One key method is through the development of meaningful …
The pedestal that’s killing doctors
Doctors are often called “heroes” – a surprisingly uncomfortable label. Physicians are already tired of being held to a higher standard than the average person; raising the pedestal is problematic. While doctors are compassionate individuals who care about bettering lives and curing illnesses, we are also human. At the end of a standard workday, we would like to live normal lives. Unfortunately, the hours are longer, and we are never …
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To the third-year medical students who feel like they aren’t learning anything
First of all, congratulations on making it this far in your journey towards becoming a physician. It truly is a privilege to be in the position of a third-year medical student because unlike the previous two years, we are now able to address the needs of actual patients, and in many cases, their family members and caregivers, whether they be emotional, mental, physical, or socioeconomic.
I admit that it sounds trite …
Proponents of independent non-physician practice make a dangerous assumption
An excerpt from Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare.
On a sunny Tuesday in March 2015, the steps of Capitol Hill were draped in white as nurse practitioners from across the United States descended on the nation’s capital. Their …
What to do financially when you’re a doctor getting a divorce
I remember reading a post recently on a Facebook physician group that involved a cardiologist who asked for help on how to manage her finances after a divorce.
The pertinent aspects of this situation involves the physician being left with essentially nothing in retirement savings. She is mid-career with children and wants an option to reduce her schedule eventually to spend time with her children during the weeks she has custody. …
Medical ethics and medical school: a student’s perspective
The symptoms of systemic discrimination and sweeping organizational problems are ubiquitous in the news and health care literature. Yet, medical students’ curricula focus on codes of professionalism, setting these issues, and the historical forces that created them to the side. While professionalism is undoubtedly an important aspect of being a physician, it is simply not enough to give students the background they need to recognize the historical contextualization of ethical …
What not to do after a medical mistake
If you are a doctor (or med student/health professional) and are human, you’ve probably made a medical mistake. You’ve probably not received emotional support for the mistake. Maybe you’ve never told anyone about a mistake that still haunts you today.
The truth is that almost all physicians have admitted to medical mistakes sometime in their careers. Depending on the patient outcome, many doctors carry the distress of medical errors for months, …
You have options when it comes to board certification
It’s good to have options, isn’t it?
So why isn’t there an option when it comes to taking your boards? In other words, can’t residents have a say with which board to become certified with once they’re done with their residency?
Well, there’s good news for you. The answer is yes. You definitely have options. There are other boards for your initial written exams. (And that also includes the oral exams for …
The trauma of a combat doctor in Iraq
An excerpt from Universal Death Care.
Machine gun fire ripped me open—From Left to Right. There were too many bullets. No way could I feel each wound. They blended together like a single strike of lightning. I was paralyzed by pain. It had taken root in me. …
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Past Week
-
Why “do no harm” might be harming modern medicine
-
How community paramedicine impacts Indigenous elders
-
Here’s what providers really need in a modern EHR
-
Why are medical students turning away from primary care? [PODCAST]
-
Why perinatal mental health is the top cause of maternal death in the U.S.
-
True stories of doctors reclaiming their humanity in a system that challenges it
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Past 6 Months
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Why tracking cognitive load could save doctors and patients
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Why “do no harm” might be harming modern medicine
-
What the world must learn from the life and death of Hind Rajab
-
Physician patriots: the forgotten founders who lit the torch of liberty
-
Why fixing health care’s data quality is crucial for AI success [PODCAST]
-
How medical culture hides burnout in plain sight
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Recent Posts
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Why perinatal mental health is the top cause of maternal death in the U.S.
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Why medical student debt is killing primary care in America
-
5 blind spots that stall physician wealth
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Why are medical students turning away from primary care? [PODCAST]
-
Why “do no harm” might be harming modern medicine
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Generative AI 2025: a 20-minute cheat sheet for busy clinicians
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