Physician

The power of forgiveness: How letting go transforms your life

Physician
March 24, 2025

Just imagine when you felt hurt or betrayed by a colleague, patient, staff member, friend, or family member. Now, picture life if you could somehow free yourself of that hurt, pain, or discomfort. This article will discuss the concept of forgiveness and how it applies to our medical practice.

Examples of forgiveness

A white male racist burned down a predominantly African American church. The arsonist was convicted and sentenced to prison. He …

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Beyond resilience: Confronting physician burnout as a chronic condition

Physician
March 24, 2025

Practicing medicine is an incredible privilege. Our rigorous training allows us to combine science and compassion to heal and support patients through both challenging and healthy times. However, this privilege often comes with significant challenges, such as burnout and other struggles. Many doctors feel burdened by the time spent on electronic health records, drowning in documentation for nearly six hours …

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Cutting opioid use in half: a hospital’s pain management breakthrough

Physician
March 23, 2025

I’ve witnessed what’s possible when we rethink pain management. By implementing a multimodal assessment approach at my hospital, I achieved a 50 percent reduction in inpatient opioid use, measured in morphine milligram equivalents (MMEs). The Numeric Pain Scale (NPS)—that 0-10 score we’ve leaned on too much—drives overuse when it’s the only guide, and with the U.S. consuming 80 percent of the world’s opioids as just 4.4 percent of its population, …

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Why cancer care remains inaccessible for India’s poor

Physician
March 23, 2025

Cancer is a disease that demands long-term, resource-intensive treatment, posing an especially heavy burden in low- and middle-income countries (LMICs). In nations like India, where a significant portion of the population comprises daily wage earners, farmers, and small shop owners living in villages, the challenges are even more pronounced. For these individuals, a cancer diagnosis can feel like a death sentence—not just due to the disease itself but because of …

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From retail to medicine: a doctor’s journey through burnout and bureaucracy

Physician
March 22, 2025

Long ago, before I started practicing medicine, I worked in the retail sector. I was 15 years old when I earned my first real paycheck. Surely, I worked other odd and end jobs before that first “real job.” I mowed neighborhood lawns, shoveled snow off neighbors’ driveways, delivered newspapers—anything I could do to make a dollar or two. But those odd jobs were not “real jobs” with tangible or steady …

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Confronting the silent struggle: Physicians and the emotional toll of medical errors

Physician
March 22, 2025

If I were to bet that the majority of physicians are familiar with that pit in their stomach—that sinking feeling of dread that comes with recognizing things aren’t going well—I’d probably win that bet. Contrary to collective wisdom, Wu (2000) first formalized recognition that doctors involved in critical incidents need help too. Now, twenty-five years later, doctors are still held to a standard that eschews the idea of making mistakes. …

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When caring for pets becomes a life lesson

Physician
March 21, 2025

I had two bunnies over a year ago. Unfortunately, I didn’t have a proper environment for them, just a large cage in the courtyard. During the day, they would roam freely, and I would lock them in the cage at night for their safety.

They were very dear to me. I talked to them, cuddled them, and let them eat whatever I ate. They loved eating from my hands. …

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Riding out a frivolous lawsuit: a physician’s experience with medical malpractice claims

Physician
March 21, 2025

On August 6, 2021, a medical malpractice lawsuit was filed against me. The case involved care I provided between June 29, 2018, and August 3, 2018, while I was an employee at a medical weight loss clinic in Bethesda, Maryland. I resigned from that clinic in November 2018 due to concerns I had about my employer.

The complaint alleged that the patient was defrauded, hospitalized, sustained liver damage, suffered …

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From burnout to breakthrough: How a coaching culture transforms health care

Physician
March 19, 2025

Last year, 54 percent of physicians reported symptoms of burnout. Behind that statistic are thousands of dedicated professionals who entered health care to help people, only to find themselves drained.

I know because I was one of them.

I’m going to share how transforming my approach to leadership through coaching not only saved my career but can revolutionize outcomes across our entire health care system.

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Physicians must innovate and focus on medicine’s core, not chores

Physician
March 18, 2025

Recently at the clinic where I’ve practiced for more than 30 years, the entire team became temporarily paralyzed by an IT glitch as a result of an upgrade, affecting the six-state organization. We weren’t able to use our EHR system. With the waiting room full of patients, we knew we had to move forward in rooming patients and switching to paper documentation. Our core mission is to take care of …

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How to get physician wellness programs funded: a proven path forward

Physician
March 17, 2025

For nearly two decades, I sat in meetings, listened to leadership discussions, and navigated the institutional maze of advocating for funding for physician wellness programs.

I saw the hesitation. The skepticism. The “we don’t have the budget for that” conversations.

And yet, I also saw what worked.

For the past five years, I’ve worked independently, designing high-impact, transformational wellness experiences for physicians. And I’ve helped hospital systems, …

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When health care professionals lose everything

Physician
March 16, 2025

Mid-step on the sky bridge, boarding my flight—the message lands. Raw. Desperate. A life breaking apart in real time:

“I’ve been in health care my entire life. Surgical services. Because I spoke up against wrongdoing, stood up for myself, I’m out of a job and can’t get a job anywhere now. I’m 60 now. I don’t know what to do. I’ve had a hard life, and I buried all …

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Why purpose—not productivity—defines a physician’s success

Physician
March 15, 2025

During the session, my partner leading the discussion asked, “What is your purpose?” One of the physician owners confidently replied, “To replace hips and knees.” The facilitator then asked everyone in the room, “How many of you see this as your main purpose?” Two more people raised their hands, both of whom were also physician owners of the practice.

We had been invited to work with a local orthopedic …

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Leading with care: How health care leadership can transform patient and provider well-being

Physician
March 14, 2025

Is caring the missing ingredient in health care leadership?

As physicians and health care professionals, we are called to care for patients, their families, and trainees. Yet, the health care team is often not cared for by leaders. This has resulted in staggering rates of burnout. It has led to many physicians and nurses leaving the field, creating more stress on an already overworked workforce. The question is: How …

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How a customer relationship management tool (CRM) can help physicians regain control and beat burnout

Physician
March 14, 2025

As physicians, we dedicate our lives to helping others. We spend years training to diagnose, treat, and care for patients with a dream of feeling valued and helpful. Then, one day we find ourselves feeling increasingly overwhelmed by administrative work, struggling to keep up with patient communication, and feeling disconnected from the people we set out to serve. The reality is that many of us are caught in a system …

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Why I refuse to hide my emotions in a world afraid of love

Physician
March 14, 2025

I’m only sharing this story today to illustrate something about myself and my perspective on love: being expressive with it.

I am not discussing only romantic love here. I’m talking about the affection we have for so many individuals around us, including our parents, siblings, friends, teachers, coworkers, neighbors, pets, and even strangers.

Sometimes we fall in love with a random person’s actions, something they say, the way …

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The missing link in medical malpractice: a strategy to reduce lawsuits

Physician
March 13, 2025

Despite the heralded To Err Is Human, there is still no effective risk management strategy to prevent medical liability. Past discussions on KevinMD have explored a risk-management strategy that differentiates medical errors from random errors of nature with 95 percent confidence. Like any decision-making method, this strategy has weaknesses that deserve mention.

Weaknesses of the strategy

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The truth about burnout in medicine: a journey of gladiators, night shifts, and humanity

Physician
March 13, 2025

Becoming a doctor is often seen as a noble quest—a path filled with sacrifice, resilience, and the ultimate reward of helping others. We all start the same way: pre-med studies, endless exams, and the grueling four years of medical school. It’s a journey filled with sleepless nights, skipped meals, and cramming obscure diseases into our already overloaded brains. But we keep going, fueled by the dream of finally being called …

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CME Spotlights