| KevinMD.com

MKSAP: 52-year-old woman with osteoarthritis of the right hip

mksap

Conditions and Diseases

February 22, 2020

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.

A 52-year-old woman undergoes perioperative evaluation. She has osteoarthritis of the right hip since sustaining injuries in a motor vehicle accident 15 years ago and is scheduled for elective hip arthroplasty in the next few months. Medical history is otherwise notable for type 2 diabetes mellitus. She …

What Chernobyl can teach physicians about avoiding medical errors

Suneel Dhand, MD

Physician

February 21, 2020

I recently started watching the HBO series Chernobyl, chronicling the events surrounding the 1986 disaster. For anyone who hasn’t seen it yet—I’d highly recommend this excellent production (It’s already deservedly won multiple awards). The great thing about TV like this, which documents real-life events (and I’d put another HBO series John Adams in the same category), is that they can really bring complex consequential events to the mass audience, in …

Eradicate burnout with these 2 simple strategies

Karyn P. Grant

Conditions and Diseases

February 21, 2020

You’re at the top of your game. And you are perhaps thinking that this is not how you envisioned life at this stage in your career.

Many successful physicians are frustrated that they can’t find the time or energy to be present with their family and friends. They haven’t even thought about activities just for fun and creativity. Taking a vacation seems impossible without the practice coming to a screeching halt.

You …

Start with the students: Addressing the future of physician suicide

Anonymous

Medical Education

February 21, 2020

The first day I sought counseling, I felt like I was committing a crime.

Our afternoon anatomy lecture had just ended, and the entirety of our first-year medical class—clad in hunter green scrubs and reciting the intrinsic muscles of the back—paraded in what looked like a single-file line to our cafeteria.

“Act natural,” I thought. “Don’t let anyone find out what you’re up to.”

My friends veered right to enter the cafeteria as …

How artificial intelligence will affect brain surgery

Robert Louis, MD

Physician

February 21, 2020

Brain surgery is getting smarter. The journal Nature Medicine recently published a study that found a new imaging technique that allows pathologists to diagnose brain tumors faster and more accurately than ever before.

The study focused on Invenio Imaging technology’s use of artificial intelligence (AI) in making accurate diagnoses. So, will computers replace doctors? That’s unlikely. Treating the human brain requires a human approach. But AI is …

The impact of economic inequality on the incidence of mass shootings

Niran S. Al-Agba, MD

Health Policy

February 20, 2020

Gun violence has become a public health epidemic. Despite countless deaths in mass shootings over the last two decades, the Dickey Amendment—a provision inserted into the 1996 spending bill which blocked federal funding for research on gun violence—remains on the books. While every politician, media pundit, and policy expert “know” the solution, the answers are not that simple.

In reality, the factors which have fueled the rise in gun violence across …

A cardiologist’s advice to women: How to keep your heart healthy and happy

Dipti Itchhaporia, MD

Conditions and Diseases

February 20, 2020

One of the most important things to understand about heart health is that a woman’s needs change over time. Risk factors for heart disease like high blood pressure and high cholesterol can become more important as a woman ages. Hypertension and high cholesterol are not things we may feel. This is why hypertension is called the silent killer.

Even women who have always maintained normal cholesterol and blood pressure levels could …

In the crucible of mistrust and health care

Richard J. Baron, MD

Physician

February 20, 2020

Trust has always been the foundation of any relationship between a patient and those of us in health care. Clinicians enter patient encounters with the presumption they will be trusted, based on their knowledge and good intentions. But medicine is changing, and today patient-doctor relationships are buffeted by a complex labyrinth of a rapidly evolving health care landscape and an exploding information environment.

As physicians, we must adapt to this changing …

The new USMLE Step 1: How your medical school and residency will change

Kevin Zhang, MD

Medical Education

February 20, 2020

With the advent of countless resources and study aids over the years to help medical students prepare for the USMLE Step 1 exam, ranging from the venerable First Aid review book and Anki flashcard decks, to online tools such as UWorld, Pathoma, SketchyMicro, Firecracker, Amboss, and countless more, the entire process of studying for Step 1 has become an arms race. At the same time, Step 1 scores have established …

What is the application process for physician long-term disability insurance?

Bob Bhayani, MBA

Health Policy

February 20, 2020

Protecting your lifestyle starts with protecting your income. Disability insurance provides a solid foundation for your financial future by providing you income when you’re unable to work due to an illness or injury. When most people hear the word “disability,” they immediately think of accidents. But the reality is that 90 percent of disabilities are actually caused by illnesses.

Disability insurance is more complex than other types of insurance. We recommend …

A physician’s experience with local mission work

Cory Fawcett, MD

Physician

February 19, 2020

In December of 2011, I made a career move that changed my life. My life as a surgeon was getting stale. Doing the same old thing for two decades was getting old, and I was looking for something to breathe new life into my surgical practice.

I decided to look into doing a short term medical mission. I thought it would be fun and rewarding to travel to a new place …

5 disruptive trends transforming health care

Richard S. Isaacs, MD and Chris Grant

Health Policy

February 19, 2020

Spiraling costs, poor quality outcomes, and inequities in access to care are driving significant and long overdue changes to the way health care is administered and managed in the United States.

And while the U.S. spends more on health care per person than other wealthy countries, its health outcomes are no better than those in other developed countries. In fact, it performs worse in several health metrics, including life expectancy, infant …

The journey from expectation to agreement

Carla J. Rotering, MD

Physician

February 19, 2020

We sat in the driveway, my business partner and I, each peering out our opposite windows, each wrapped in the disappointing sense that we had failed one another while the uncaring car simply idled in the background. “We agreed on this,” my partner said, without turning her face toward me. “No, you told me how we were going to do this, and I said nothing” was my response as I …

In honor of Black History Month: Thank you to all the doctors breaking boundaries

Abena Oduro

Medical Education

February 19, 2020

In honor of Black History Month, I wrote this article to say thank you to all the wonderful black doctors breaking boundaries and exploring careers that would have been unattainable to black people in late 1800 and even early 1900 America. To all the black doctors, your representation in medicine matters a lot.

I am a third-year black female medical student, and I recently completed my pediatrics rotation. A few weeks …

Legislators, please stay out of our exam rooms. Especially when it comes to children and gender.

Amy Potter, MD

Health Policy

February 19, 2020

Legislators have found a new way to insert themselves into the physician-patient relationship. In October and November 2019, news stories regarding a parental dispute over the treatment of a transgender child prompted legislators in Texas, Kentucky, and Georgia to announce plans to introduce bills that would prohibit medical and surgical treatment of transgender children under age 18.

Since then, Read more…

Legislators, please stay out of our exam rooms. Especially when it comes to children and gender.

What to do with the extremely defensive doctor

Christopher Johnson, MD

Physician

February 18, 2020

Let’s talk about the doctor who is excessively defensive.

I divide this kind of communication blocker into two varieties: physician personality and physician mode of practice. The physician with a defensive personality is one who interprets questions from parents as questioning of her medical judgment. Unlike the supremely egotistical doctor, who is often sufficiently secure in her image of herself that she is magnanimous toward parents who ask questions, the overly …

More is not always better with fertility treatment

Claire Jones, MD and Eileen McMahon, NP

Conditions and Diseases

February 18, 2020

The fertility clinic waiting room is a space where many people will find themselves at some point in their lives. In spite of cheery music, shared success stories, infertility awareness weeks, and positive media campaigns, this can be a challenging and sensitive time.

About one in six Canadians experience fertility problems — these range from difficulties getting pregnant to difficulties staying pregnant and experiencing pregnancy loss.

As fertility specialists, we know that …

My patient isn’t doing well. Is it my fault?

Raymond Abbott

Conditions and Diseases

February 18, 2020

The front-desk clerk, Ruth, comes to me and says Rose Henderson wants a cab voucher signed — which guaranteed payment. Rose could not be made to understand, Ruth tells me, that we are not permitted to sign vouchers when the person, the client, comes to our offices solely for the purpose of picking up cash … which is Rose’s purpose.

We are Rose’s payee, which means we handle her money. I …

Why direct primary care is the future

Todd Rice, MD, MBA

Physician

February 18, 2020

I recently wrote about my new type 1 diabetes diagnosis, the quest for affordable meds and supplies, and the subsequent financial savings found through transparent pricing outside of my insurance plan. I summarized that health care “coverage” is very expensive, whereas medical services may be found much more affordably.

My next step was to establish an ongoing primary care physician relationship.

I contacted one of the large medical …

Read more…

Why direct primary care is the future

Keep attacking doctors: What the New York Times gets wrong about surprise medical bills

Karen S. Sibert, MD

Physician

February 18, 2020

Do you think I went too far in my last blog post, calling out some journalists as “pontificating parasites” who love nothing more than to slam physicians and blame us for the cost of health care?

If you do, then you must not have read Elisabeth Rosenthal’s latest salvo in the Feb. 16 New York Times, where she says physicians are in “a three-way competition for …

Most Popular

Past Week

Past 6 Months

Recent Posts

Subscribe to KevinMD and never miss a story!

Most Popular

Past Week

Past 6 Months

Recent Posts