When I was six years old, I made a public declaration that I would become a singing doctor. I knew I wanted to be a doctor, influenced by my pediatrician, and I also loved singing. So, at that time, it made perfect sense to me that I should be able to do both when I grew up. I had a vivid vision of singing to children while taking care of …
Unveiling the remarkable journey of a doctor turned singing sensation
When I was an OB/GYN intern, I made the mistake of admitting that I was able to get a short nap during my night shift. I was immediately met with comments that made it clear that rest during downtime was not something to be proud of. I felt so ashamed that once I became an attending, I was always afraid to admit when I had a relatively “easy” call shift …
Over a million intelligent American physicians are walking around in the medical practice environment today, patting themselves on the back while believing they have reached their ultimate success in medical practice. They have absolutely no idea that they have never come close to their optimal potential. It’s a tragedy that has been disregarded yet tolerated by medical school scholars and administrators for at least the last century.
What every physician should …
How a lack of business education is destroying private medical practice
Emotional intelligence (EI) represents an essential suite of abilities that dictate our capacity to recognize, understand, and manage our own emotions and the emotions of others. This skill set significantly influences our decision-making process, conflict resolution abilities, empathy towards others, and how we handle stress. EI plays a fundamental role in entrepreneurship and forms the bedrock of successful leadership, effective team dynamics, and robust client relationships.
Pioneered by psychologist Daniel Goleman, …
Emotional intelligence in entrepreneurship: the significance and application of the 5 core pillars
I was doing laundry last week when my engagement ring snagged on a shirt. Upon closer inspection, I noticed that one of the four prongs holding the diamond in place was sticking up and on the verge of breaking.
Quickly, I took off the ring and placed it in a safe spot, relieved that it hadn’t accidentally gone down the drain.
Shortly after, a …
The magic of human connections
An excerpt from Mindful MD: 6 Ways Mindfulness Restores Your Autonomy and Cures Healthcare Burnout.
For Mira, the inner chatter started when her alarm buzzed at 5:15 a.m.—and it was anything but calm and friendly. When she didn’t get out of bed to exercise: I’m such a slug. Why …
Unlocking physician resilience: the mindfulness cure for health care burnout
You are called by the bedside nurse that your patient arrived on the floor from the post-anesthesia care unit (PACU). The nurse tells you that the patient was delirious and agitated after anesthesia, pulled out their IVs, and was sedated by the PACU team. They are …
Advice for the hospitalist caring for a patient after delirium in the post-anesthesia care unit
It is challenging to open a medical journal in any specialty without coming across an article on burnout. These articles present statistics, trends, and various causes in detail. Some even propose sensible solutions such as flexible scheduling, peer support, delegation of clerical work, and an increased focus on personal well-being activities as steps in the right direction.
I have previously emphasized that “the absence of burnout does not equal wellness,” …
Understanding the mind’s role and embracing contentment for a flourishing life
Although the global pandemic is officially over, it has left a permanent mark on the health care landscape, reshaping the dynamics of hospitals in the United States. While staffing crises often dominate the headlines, health care institutions face an underlying financial crisis that remains largely underreported.
In 2022, a startling 50% of all U.S. hospitals concluded the year with a negative margin. Due to factors like elective surgical …
3 myths about ECMO that are costing hospitals and patients
An office visit with a health care professional can seem like a race against time and money. With rising co-pays and shorter appointments, arriving prepared for a health care appointment will maximize the likelihood of addressing as many concerns as possible and developing a personalized treatment plan. Below are the ways you can prepare for your upcoming dermatologist appointment.
Keep track of your scheduled appointments and arrive early.
Know the day and …
How to maximize your dermatology appointment for effective care
I walked into my local improvisational comedy theater a few years ago and started taking classes to escape burnout and have some fun. It was so freaking difficult. Here I was, a frazzled, tightly-wound mid-career pediatrician, surrounded by all these creative, quirky folks from all walks of life who were just so funny. I kept hearing, “We don’t want to hear you on stage, Wendy,” meaning they wanted me to …
Unlearning perfectionism: Embracing imperfection and finding my true self through improv
A recent essay on this blog, “Navigating the complexity of ‘first do no harm’ in modern medicine,” provided an excellent review of this principle. However, as is so often the case, it misattributed the statement to the Hippocratic Oath.
Certainly, this does contain elements of this sentiment, more fully expressed in another work of Hippocrates called “Of the Epidemics.” But the term does not originate with this Greek physician.
Scholars have …
Losing a loved one is an experience that leaves an indelible mark on your soul. It changes your world, shaking the foundations of what you once thought stable, leaving you to navigate an ocean of grief. For me, this was my reality when I lost someone dear to me. During my journey, I found solace and guidance in the themes of enduring love, nostalgia, resilience, and hope, beautifully depicted in …
The journey through loss: a personal reflection on healing and hope
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In organizational leadership, the adage “less is more” often rings accurate, particularly regarding team size. Small teams, with their inherent communication advantages, often outperform larger ones. This phenomenon, communication complexity, is increasingly recognized as a critical factor in team success. In this article, we will explore the concept of communication complexity, its application in health care leadership, and how it influences various team structures such as grand rounds, regular teaching …
The power of small teams: communication complexity and its impact on health care leadership
If we look around and spend time in nature or just walk outside, we realize everything has a season. The trees, the flowers, the weeds—they all change during the seasons. Flowers don’t constantly bloom; trees show their beautiful display of colors on their leaves, shed them, and grow a new set of beautiful leaves each year. There is constant change. As famously said by Heraclitus, “The only thing constant is …
The power of embracing life’s seasons: rest, reflection, and growth
“We fear that CPS is going to take them away,” the mother of my patient chokes with tears. My patient on the inpatient pediatric wards looks at me with guarded eyes. I can still see the markings on their neck where they tried to strangle themselves. They were intubated in the pediatric ICU. This transgender patient and their family have gone through a living hell only to come out again …
Navigating gender-affirming care: Pediatricians’ perspective on open discussions and societal fears
In the fast-paced and demanding world we live in, professionals often face immense pressure to portray strength, competence, and unwavering resilience. However, beneath the surface, many individuals silently battle their own mental health challenges. According to CDC, more than 1 in 5 U.S. adults live with a mental illness.
One of the most difficult hurdles to overcome is the fear of admitting our struggles to others. In this compassionate article, …
I think that from time to time, everyone has had the feeling that they weren’t doing their best. Maybe something we did wasn’t the right thing at the time. Perhaps we should have thought about it longer or acted sooner. We often second-guess the decisions we make, whether they involve matters of love, career, finances, child-rearing, or even where to meet the in-laws for dinner.
While I can do that in …
How an emergency physician’s knowledge and confidence save lives in high-stakes situations
When I was first paged about Mr. P, I braced myself for the worst. He had already had three “code greys” called—the hospital code for aggressive behavior. When we met him on his hospital bed, he was bound by restraints on his wrists and ankles to protect the staff. He was admitted to the intensive care unit (ICU) for alcohol withdrawal, though the medications used to treat his condition had …
Awakening the dormant elements of humanity
Health care is a dynamic, evolving field that demands a high degree of adaptability and a commitment to lifelong learning from its practitioners. For physicians, improving patient care is often about the challenge of moving from a comfort zone – a place of established practices and familiar routines – to a growth zone, where they are constantly learning, adapting, and expanding their skill sets. This shift is about staying up-to-date …
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