Physician

A story of a family physician looking for work during the pandemic

Anonymous

Physician

May 6, 2020

I never expected to find myself in this position. Ironically, I, a family medicine physician, in a world grappling with a pandemic, became underemployed for the first time since high school. A unique set of circumstances led me to this situation, but it turned out to be far more challenging for me emotionally than I expected.

At the end of 2019, I made a decision to leave my regular job as …

Vulnerability is challenging but necessary for health care professionals

Tracey O'Connell, MD

Physician

May 5, 2020

As someone trained in Brené Brown’s curriculum for helping professionals, vulnerability is my jam.

As a physician? Not so much.

The COVID-19 pandemic has thrown already burned-out health care providers into the arena with more than just a shortage of equipment. We are now expected to risk our own lives caring for others, which was not part of the original job description. Medical providers are not Marines, nor do we work for …

Doctors, how are you holding up? You could answer in one of 5 ways.

Varun Verma, MD

Physician

May 1, 2020

Multiple times a week, I get messages asking some variation of, “How are you holding up?” I am neither an anesthesiologist, critical care, or ER physician, so I’m not three inches away from exposure while intubating patients with coronavirus. I am also not a nurse or respiratory therapist in a room dozen of times a day administering life-saving medications, performing vital assessments, or carefully managing the oxygen lifeline. I’m certainly …

The patient who no-shows

Erin Hoffman, DO

Physician

May 1, 2020

“Your patient just had their 6th no-show, this exceeds our policy limit, please call to investigate barriers to care, also we recommend formal dismissal from the clinic.”

The message regarding one of my obstetric patients was waiting when I opened my inbox this morning. In our primary care office, we have a policy regarding “no-shows”: Patients who miss a scheduled appointment without calling ahead to cancel or reschedule. Three strikes and …

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The patient who no-shows

My rose-colored glasses are my secret instrument for survival

A. Rauda Tellawi, MD

Physician

April 30, 2020

A dear midwife teacher of mine, during my intern year as an OB/GYN, told me, “You need to stop wearing those rose-colored glasses.” She told me I had to take them off to be able to understand the depth and breadth of what my patients were telling me, so I could read between the lines and become a well-trained clinician. In the years that have passed since my first year …

Strategies to foster meaningful connection during telemedicine visits

Megha Shankar, MD, Meredith Fischer, MA, Cati Brown-Johnson, PhD, Nadia Safaeinili, MPH, Marie Haverfield, PhD, Jonathan Shaw, MD, Sonoo Israni, MBA, Abraham Verghese, MD, and Donna Zulman, MD

Physician

April 28, 2020

The COVID-19 pandemic has upended health care, with telemedicine emerging as a strategy to reduce risk exposures for patients and clinicians. Originating from the Greek root tēle-, tēl-, tēle meaning “far off, afar, at or to a distance,” telemedicine encompasses virtual clinical services. Video visits, in particular, can be effective for many types of clinical care and offer convenience and savings for patients. As care …

Combining emotion and reason in decision making

Robert Frolichstein, MD

Physician

April 28, 2020

We are living in unprecedented times. Times filled with emotion and very little hard science. We are faced with the rapid spread of a new disease that has devastating consequences. The rapid spread is overwhelming our system that is designed for a steady state. Periodically, we are faced with events that overwhelm our system; mass shootings are a prime example. The duration of those events is measured in hours. We …

The new physician personal statement

Francis Yoo, DO

Physician

April 27, 2020

We write personal statements when we apply to medical school and residency. They serve as a sort of window to our soul, our reflections and aspirations, our physician vision and mission. I was doing some soul-searching, and I found my medical school personal statement. The following is a snippet from it:

I believe that the purpose of medicine, of the restoration of health, is to remind people of their own mortality …

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The new physician personal statement

Please make the tragic death of this physician mean something

Candy Ezimora, MD

Physician

April 27, 2020

I hugged her for the last time on March 15, waving goodbye as she drove away from my apartment complex. On April 15, I got a call that my friend was dead. She had unceremoniously taken her own life, unable to overcome the crippling feeling of hopelessness that plagued her after repeatedly being prevented from fulfilling her dream. The details of her death are devastating and tragic. Imagine being in …

Is asking for hazard pay “not becoming of a compassionate and caring physician”?

Elizabeth Hlavinka

Physician

April 24, 2020

New York University residents are seeking compensation for the increased risk they face as they are called to the frontlines of the COVID-19 pandemic, but leadership has declined their request for hazard pay and now stands accused on social media of gaslighting residents.

Residents created a petition, addressed to NYU Langone Medical Center leadership, outlining the increased risk they face as the demand placed on the hospital system “skyrockets.” They ask for …

How microaggressions contribute to impostor syndrome

Jennifer Hunt, MD

Physician

April 22, 2020

I accepted my job as chair of the department of pathology at the University of Arkansas before I turned 40, though I didn’t start until after my birthday. I don’t know if I was the youngest chair in the country, but I think I was the only one with a car seat and a spare diaper in my purse. My memories of those first few months are still vivid, even …

The shift from a junior to a senior resident

Justin Dubin, MD

Physician

April 15, 2020

For physicians, residency is the most critical time for growth in clinical and surgical skills, professionalism, and medical knowledge. Your residency training — for better or worse — shapes your future career as a physician. Your surgical technique, clinical decision making, and bedside manner are all, to some degree, a reflection of where you trained.

Interestingly enough, there are only two residency years with formal titles — the intern and chief …

All I ever wanted to do was to be a surgeon. But I was pushed out.

Anonymous

Physician

April 8, 2020

When people used to ask me what a typical day entailed for me, I would gladly share the early starts, the long days on my feet in the OR, and on-calls where anything would happen. I would laugh at how I must have a bladder of steel and cry over some of the saddest stories which came through the front door. No matter the stories, though, one thing was a …

I am a hospitalist and I love my job

Jazbeen Ahmad, MD

Physician

April 7, 2020

About a year ago, I had an interesting encounter on my way back home to Texas after visiting my parents. I was casually chatting with an older female acquaintance as I got situated on the plane. She asked me what kind of medicine I practice. This woman is in medicine, not a physician, but knowledgeable about the varying specialties. I told her that I was an internist working as a …

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I am a hospitalist and I love my job

The ethics of being a doctor on board

Jocelyn Worley, MD

Physician

March 30, 2020

It was Christmas Eve, and where most people are home with their families, residents are all too familiar with spending holidays inside the hospital. As such, I was traveling back to Austin for an early morning shift on hospital service, when I encountered an ethical dilemma that has stuck with me since.

A mere 20 minutes after the plane took off, I heard the dreaded words: “A passenger requires medical attention. …

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The ethics of being a doctor on board

Lack of professional and personal financial literacy is a primary driver of burnout

Meagan Vermeulen, MD

Physician

March 26, 2020

Physicians are, without a doubt, some of the most educated professionals around. You spend endless hours studying, taking tests, and jumping through academic hoops in the name of good grades and patient care. But is the education you are receiving truly preparing you for the practice of medicine today?

Health care is now considered almost exclusively a business term. And yet there is a lack of business taught in medical school. …

Interested in locum tenens? Beware of fees.

Suzi Richards

Physician

March 22, 2020

Eighty-five percent of health care facilities used locum tenens temporary doctors in 2019 to address their staffing shortages or gaps in coverage.

Physicians are turning to locum tenens work to allow them more flexibility, extra income, the ability to travel, and exposure to new and evolving patient care environments. But what they are likely not aware of is the price tag on their heads if or when they decide to consider …

This doctor was called a bitch at work. Here’s what she did next.

Anonymous

Physician

March 21, 2020

As I hug my younger daughter’s little head at school drop-off, the calming aroma of her hair fills me with peace. She scurries across the schoolyard toward her 2nd-grade classroom, her big backpack bouncing up and down, seemingly with its own agenda and dwarfing her tiny frame. As soon as I leave the school, my focus switches.

I’m at the edge of my patient’s hospital bed, reviewing the day’s treatment goals. …

Be the physician who supports other doctors

Clarissa Barnes, MD

Physician

March 20, 2020

Medicine is a difficult calling. You already know the sacrifices. As an undergraduate, you gave up time with friends and family so you could be accepted into medical school — where you worked even harder.

You understand that the practice of medicine requires you to take responsibility for the care of others … and the emotional toll that comes with it.

In this profession, it’s easy to feel like you’re alone. Our …

A physician leaves concierge medicine after 13 years

Annie Moore, MD, MBA

Physician

March 20, 2020

Much is written about the advantages for primary care physicians and patients of working within a retainer model, direct primary care, concierge-type care model. Little is written about the downside or disadvantages. It is time to shine a light on the benefits and challenges of concierge and standard models through an experienced lens, particularly as drivers of burnout and the primary care shortage loom so large. The phase of a …

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