Suicide is the act of an individual ending their life. It is generally caused by the convergence of multiple factors, the most significant of which is untreated or end-stage psychiatric illness. As a practicing psychiatrist who has been involved in the Pennsylvania Physicians Health Program for more than a decade, I believe we need to do better to stem the increasing numbers of physician suicides. A better understanding of and …
I have an eye for finding beautiful clothes. Though I find jeans and shirts/kurtas comfortable, I’m not sure why I adore the shalwar kameez so much! Perhaps it’s because it’s my national dress, and I adore everything that connects me to my homeland. Secondly, I’ve been wearing it since I was a child. My mother was an expert at sewing clothes, and she made all of my dresses.
Jeans and shirts/sweaters/kurtas/tops …
In October, President Biden formally apologized for the U.S. Indian boarding school system—a brutal legacy of forced assimilation that inflicted profound harm on Indigenous communities and continues to reverberate today. For those who are unfamiliar, Native children at these boarding schools suffered horrific physical, mental, emotional, and sexual abuse, all while being isolated from their families and communities. By 1926, nearly 83 percent of Native children were attending …
With Jimmy Carter’s passing, many will reflect on his impact at home and abroad. Yet, one his most personal acts will also stand as one of his most enduring legacies.
At 100, not only was our 39th president the longest-lived president, he was also to first to publicly elect hospice care, prioritizing the quality of his last days over simply being alive.
When he first enrolled two years ago, the family’s announcement …
It’s not your imagination. Ransomware threats to health care organizations are at record levels and continue to rise. Last year, there were 389 reported ransomware attacks on health care organizations in the U.S., up from 258 in 2022. This year, there were 44 ransomware attacks against health care organizations in April alone, the most ever recorded for one month by cybersecurity firm Recorded Future and up from 30 in March. …
Do you remember the exact moment in your life when you had that knowing feeling inside that drew you to your chosen career? My usual answer to that question occurred in October of 1973, at 7 years old in 3rd grade, when my teacher rolled out a life-size skeleton. I was mesmerized, hungry to learn much more about the human body. But if I am being honest with you, and …
I imagined that medical school would be a challenging yet fulfilling journey—an opportunity to learn, grow, and ultimately make a difference as a physician or surgeon. We medical students dedicate over a decade of our lives, and many invest more than $200,000 (plus interest) for the honor of caring for patients. Yet, the surge of medical training-related memes and reels on social media captures our reality: “You have to laugh …
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Explore the complexities of adult ADHD with Muhamad Aly Rifai, a practicing internist and psychiatrist. This episode dives into the evolving understanding of ADHD as a lifelong disorder, the stigma surrounding diagnosis and …
Before her diagnosis, my mom was extremely active and healthy. She loved bird watching, walking, and volunteering at her church and its school. So in 2013, when she began experiencing symptoms like incontinence and difficulties with walking, we knew that something wasn’t right.
We faced many potential explanations for my mom’s symptoms before receiving her diagnosis. I remember the doctors testing her for numerous diseases like diabetes and multiple sclerosis (MS), …
“People don’t buy what you do; they buy why you do it. And what you do simply proves what you believe.”
– Simon Sinek.
Business is equated with money—dollars, profits, ledgers, etc. But there is much more to business than finances. At the end of the day, you don’t take profits or losses home—you take home values. You rake in integrity. You create a playground of ethics for people. There are certain …
As health care leaders and providers, our ultimate mission is to provide safer care for all—but there’s a flaw in our system. Today, as many as 4 in 10 patients are harmed in primary and ambulatory health care settings, and up to 80 percent of this harm is avoidable. Patients should feel safe when they receive health care. Unfortunately, the pervasiveness of medical harm across all health care settings and …
As a training physician, the experience of navigating graduate medical education in today’s political landscape has introduced unprecedented adversity
Whether transitions in health policy or the continually evolving public perceptions of medicine as a field, trainees are now finding themselves at a unique crossroads where medicine, poignant societal issues, and personal morals intersect. While medicine is often influenced by policy of various forms, the current political climate, charged with intensely debated …
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In this episode, family physician Jonathan Staloff and internal medicine physician Joseph H. Joo join us to discuss the challenges and opportunities in reshaping health care systems. Drawing from their book, Reshaping Health …
Medicare is planning to stop coverage for telehealth in 2025—unless Congress acts by the end of 2024.
According to Medicare’s website:
Absent Congressional action, beginning January 1, 2025, the statutory limitations that were in place for Medicare telehealth services prior to the COVID-19 PHE will retake effect for most telehealth services.
This means most telehealth visits will not be covered by Medicare in 2025, unless Congress acts by the end of December 2024.
Congress …
Telepsychiatry is a private audio (telephony) or video (video with sound) conference connection through which most psychiatric services can be provided to patients. I have been an early adopter and advocate for providing services, through telepsychiatry, to our patients who are experiencing mental health issues and psychiatric illnesses. The road leading to where we are right now in the field of telehealth has been treacherous and filled with regulatory landmines …
In December, the questions parents ask in the hospital are different. Instead of “Will my child be OK?” we pediatric hospitalists hear:
“We have plane tickets to go skiing for Christmas. Will he be well by then?”
“She’ll be home for Christmas, right? We’ve never been away from home for Christmas.”
“It’s his first Christmas. He’ll be discharged by then, right?”
And every other variation you can think of. The hospital for Christmas is …
In the realm of shift-based health care, the term “job sharing” doesn’t technically exist—after all, shifts aren’t a single continuous job to split. Yet, still, a full-time workload is considered the norm, and the concept of dividing the workload among multiple physicians rather than relying on one overburdened individual feels revolutionary in a field where burnout is rampant.
For independent contractors, who often enjoy the flexibility to choose when and how …
KevinMD has been publishing multiple reports about the current widespread, deeply worrisome physician burnout and suicide phenomena. As a card-carrying epidemiologist, I have sought to categorize these reports into the three overarching factors we might see in any epidemic, namely: agent, host, and environment. If we were to use this conceptual framework for research, we could gain a better understanding of how much each of its various facets contributes to …
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