Physicians writing on KevinMD about the life of the profession: the work itself, the exhaustion, what women physicians are paid and asked to carry, the losses the profession has been slow to name, and who decides how physicians work. Five maintained records draw on this archive: Physician burnout: what physicians say, in their own words, Primary care: what physicians say, in their own words, Women in medicine: what women physicians say, in their own words,, Physician suicide: what physicians say, in their own words, and Physicians and administrators: what physicians say about who runs medicine, in their own words.
Police officers are required to undergo second-victim counseling before returning to duty. Should physicians also undergo such counseling before resuming their work? This question arises, especially in light of the ongoing shortage of health care professionals. It prompts us to consider whether the prerequisites for returning to work are deemed more critical for police officers than for doctors. Perhaps physicians should establish specific scenarios where taking time off before returning …
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Physician return-to-work policies
A phrase commonly heard is “reproductive rights,” and while there is some variability in what this entails, in most cases, this includes a woman’s right to choose not to be sexually active, to say no to unwanted sex, to access contraception, to receive appropriate and adequate care during pregnancy, and to seek abortion. By definition, rights are “a moral or legal entitlement to have or obtain something or to act …
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Understanding reproductive rights: complex considerations
The mediation was scheduled for noon. When the attorney in charge of the mediation was an hour late, his assistant began earnestly to find him. This was not typical behavior at all. A phone call to the condominium where the attorney lived sent security guards to his residence and then to the parking garage, where they found him slumped behind the wheel, seat belt securely fastened, and his keys in …
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Challenging the diagnosis: dehydration or bias?
What does it take for physicians to practice with conviction – to practice medicine with a sense of confidence and commitment, passionate about your work? What factors allow medical students to enter the resident pool each July and turn their timidness into poise? How do you learn to stand by your medical convictions and base your decision-making on a deep understanding of the patient combined with the latest evidence-based practices? …
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Practicing medicine with conviction
“Physicians have no autonomy.” I read and hear versions of this every day, expressed with anger, resignation, or both. It’s also called agency, control, and power (as in feeling empowered).
I’m the first one to admit that physicians have way less autonomy than in the ten decades that preceded this one. Moving from private practice to employed models, heightened focus on productivity, compensation via RVUs, and mergers have shifted the power …
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Physicians have no autonomy. Here’s how to change that.
The Black Eyed Peas asked, “Where is the love?” and that’s what I wonder, too. As medicine – oops, I’m supposed to say “health care” – has become more and more corporate, what has been slipping away is the love. What do I mean by that? There were specific ways we old docs were trained to care for patients.
Let’s start with bedside manner. We were trained to sit with the …
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The erosion of patient care
When my parents were 22, they were two years out of college. My mother was married and commuting from Dallas to graduate school in Houston, on the verge of another cross-country move and a metaphorical world away from her New York City upbringing. My father was the officer running the kitchen on a United States Navy frigate somewhere in the Mediterranean Sea, a literal world away from his Brooklyn childhood.
When …
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Navigating adulthood in the digital age
My own hundreds of medical articles floating around in the media today about business education being the rigorous standard for profitable and successful businesses, such as private medical practice business, seem to be unworthy for consideration by the dominant leadership in medical school education.
But when I find myself being sucked into reading deep thoughts uttered by world-renowned business experts such as Dan S. Kennedy, Peter Drucker, Maxwell Maltz, MD, Michael …
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The power of business knowledge for medical professionals
Most physicians cite work-life balance as a top priority. Yet there is little clarity on what exactly work-life balance means.
Some prefer the term work-life integration, suggesting that work and personal life should be intertwined. Work-life integration is a common buzzword in managerial circles. However, for most physicians, this way of life is already a reality. Taking calls, working late, and keeping up with CME and recertification already mean that much …
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Using the language of art to create work-life balance
Gaining insight into the customer’s perspective often occurs when one steps into the customer’s shoes, even if it’s in a different service industry. However, it’s crucial to remember that employees are individuals with their own needs. This brings us to a significant question: Should employees engage in lively and perhaps even boisterous conversations while confined to their workplace, where they might be the only sources of human interaction in an …
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Lively communication in the service industry
What is working?
I often encounter variations of this question on social media. The response is frequently met with silence or lackluster positivity.
I’ve engaged in conversations with numerous inspirational physicians who have shared their tales of burnout and recovery.
As part of their healing journeys, in addition to their active medical practices, the physicians below have all obtained coaching certifications. These doctors are now even busier than before, but they find fulfillment …
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Reigniting after burnout: 3 physician stories
One day, you find yourself on the edge, peering into the abyss. Then someone pushes you in. Welcome to the first day as a surgery intern. Few folks outside of medicine fully fathom the rigors a doctor must endure during post-graduate training. From the get-go, we were thrown into the fire, responsible for complicated, sick hospital patients, in what felt like a prolonged boot camp, where ridiculously long hours, horrid …
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Inside the grueling life of a surgery intern
The field of gastroenterology in the United States has undergone a significant transformation over the past 5 to 10 years, driven by a confluence of historical changes in training programs, changing demographics among GI doctors due to the relatively new specialty of GI endoscopy, and a dwindling supply of gastroenterologists. These factors have culminated in a notable impact on gastroenterology physician salaries and have raised important questions about the future …
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The shifting landscape of gastroenterology manpower and compensation
Inpatients require surgical procedures, raising the question of whether these procedures should be scheduled as elective or emergent. Traditionally, surgeries were deemed emergencies solely when there were physical, psychological, or rarely, spiritual imperatives, necessitating immediate action to avert irrevocable harm to patients’ bodies, minds, and souls. Now, the debate centers on whether surgical procedures can be considered emergencies to mitigate socioeconomic risks. These risks could lead to profound and lasting …
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Surgical procedures for inpatients: Addressing socioeconomic urgencies
There is an alarming health crisis happening in the U.S.–– Black women are dying at a disproportionate rate during pregnancy and childbirth.
According to the CDC, Black women are three times more likely to die from a pregnancy-related cause than White women. Though childbirth complications are not exclusive to Black women, these shocking statistics underscore systemic challenges and distinct issues that other racial groups may not encounter. These …
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I’m a doctor, and I almost died during childbirth
Physicians are struggling with challenges navigating the health care system while trying to provide the best possible care for their patients. Sometimes, struggles at work are compounded by struggles at home as we all face stressors during our travel through life; doctors are no exception.
Many physicians who went through a period of burnout have sought and are seeking help. They are feeling hope for the future. I asked three physicians …
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A message of hope for physicians
Though often described as friendly and a great team player, I sometimes find myself harboring strong opinions. When pushed, my personality occasionally veers towards the rebellious. I disdain formal meetings, struggle with office politics, and lack the art of flattery. These qualities collectively render me less than an ideal candidate for any conventional employment, or so I surmise.
Antecedent to the culmination of my residency and fellowship, a pivotal decision crystallized …
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From aversion to office politics to embracing independence
“Ms. Smith is going to the MICU,” the resident on the other end of the line informs me. My stomach tightens as that visceral sense of guilt and frustration sets in, familiar by now but this time with a newfound intensity. It is my second week as an attending physician during my chief residency year, and Ms. Smith will now be the first patient transferred to the intensive care unit …
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Navigating medical decision-making: Embracing limits and growth
