The internal medicine community is broad and varied, with a diversity of internal medicine physicians as its foundation. As we move forward as a country and as health care continues to evolve, we must embrace our diversity and afford equal opportunity to all segments of our physician workforce, including our international medical graduates (IMGs). The American College of …
As cancer clinical trialists with sub-specialized practices, we treat patients from across the country. But while they must travel for treatment, there are clear occasions where we recognize that advice and consultation by telephone, video, and patient messaging are perfectly safe and far more convenient and cost-effective.
Telemedicine across state lines was the legal norm during COVID-19. Patients and practitioners quickly recognized that Americans deserved access to physicians unencumbered by …
Resident physicians are vital to the health care system, delivering essential medical services while training to become fully licensed doctors. However, a troubling trend has emerged nationwide, with residency programs and hospitals frequently violating the rights and protections resident physicians are entitled to under employment contracts, state labor laws, and accreditation standards. I personally was forced to deal with these issues, despite having virtually zero knowledge regarding the legal side …
Yesterday, I couldn’t get up in time in the morning and had to rush to the hospital without breakfast. I was just afraid of getting noticed by anyone from my department that I was a little late. When I reached the outpatient department (OPD), I just got a text from my consultant that he was not feeling well, and I had to see all the patients in his absence. In …
Charm and competence among providers should ideally be concordant, but they can sometimes be discordant, which should be evaluated and corrected if possible. This discordance isn’t limited to health care; it can also be observed in politics, during litigation, and within families. Charming politicians can sway followers, charming litigators can sway juries, and charming family members can influence their families. Whether or not their competence, or lack thereof, gets overlooked …
“I want everything to be natural.”
Well, we are in a building with electricity and high-speed internet, neither of which are gifts from Mother Earth.
Yes, that’s really how I responded to a patient. We laughed, but her comment allowed me to reflect. I interpret this statement to be the patient’s wish to minimize intervention or achieve a vaginal delivery. I understand this position. However, it may stem from the cultural mythology …
This article is satire.
In recent years, health care has made significant strides toward gender equality. But are these changes for the better? Let’s use facts to address the misconceptions and finally close the topic of women in medicine.
1. Female doctors make less money than men. As everyone knows, quality of care is directly proportional to revenue.
2. Female doctors cannot handle multiple patients. They are, after all, the undisputed queens of …
Recently, a physician wrote about how access to a patient portal has turned his primary care practice into a reluctant concierge medicine practice, with patients asking questions and expecting quick responses day or night. I could relate. Modern technology is bringing a host of new, unexpected challenges to today’s physicians.
Patient portals may provide a level of ease and efficiency, but, as the physician rightly pointed out, they also create confusion, …
Physician leaders: Are you committed to doing everything you possibly can to prevent physician suicide?
This CHAP is how you answer that question.
This document contains two steps that will ensure you do everything possible to be there for your people when they need you the most.
All writers want recognition of some sort. No?
Recognition can take many forms, such as positive feedback, awards, or simply the knowledge that their work is being read and appreciated. However, it is important to note that motivation can vary among writers. Some may write primarily for personal satisfaction, to express themselves, or to contribute to a specific field or cause.
Some writers write to make a living. In fact, professional writing …
“Mom, when I walk in the room, all they see is a deviant Black man.”
Those were the words my transgender daughter said to me after a recent visit with her primary care physician. She felt like everyone was judging her, and the doctor acted like she had a contagious disease. He was also preoccupied with her name choice and whether she would be getting a “sex change” surgery, and he …
In Gerald Green’s The Last Angry Man, Dr. Samuel Abelman is a general practitioner in the twilight of a career that spans fifty years of commitment to patients.
The time is the 1950s, and the place is Brooklyn, NY. The problem is the proliferation of medical specialties.
Although most of his colleagues regard specialization as a greater good because it promises better-trained physicians, Dr. Abelman sees specialization as antithetical to his …
Recently, I had the privilege of being shadowed by a medical student who is interested in becoming a pediatric critical care medicine physician like I am. On the day she came to observe me, we were navigating a busy and heartbreaking time in the pediatric intensive care unit (PICU). I was curious how the experience would affect her and her decision, but I figured it was as good of a …
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I think we spend more working hours with nurses than with any other colleagues. They not only solve the problems of the patients, but most of the time, they even know more than doctors about the progress of every patient. I really rely on their assessment, and sometimes we make better decisions with a little discussion about the situation with each other. We have the same problems, we hate the …
From the heart of one doctor to another, let’s address the evil spirit haunting our halls: burnout. It has become the unwelcome companion of many physicians, including myself, who frequently lament our moral injuries and the mistreatment that seems to shadow us. We seek refuge as wellness coaches or in the serene embrace of time away, hoping for respite. We call for laws and policies to protect us from the …
When I joined The Everett Clinic forty-two years ago, we were thirty-some physicians. The main campus consisted of what’s now called the Founders’ Building and a couple of parking lots. The building was industrial and off-putting, guiding patients to various locations by way of colored stripes on the floor. TEC had just opened its first satellite office in Marysville and had negotiated an exclusive contract with a now-defunct health insurance …
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While physicians are constantly being asked to prove their value with a growing constellation of metrics, health care administrators seem to have escaped a similarly high degree of transparency and accountability about the value of their specific roles. What I mean is that physicians are certainly not equally informed by objective measures of the performance of their administrators. Given the remarkable growth in the health care administrator to physician ratio …
The ancient adage, “Every picture paints a story,” is a testament to the power of visual imagery in conveying narratives, emotions, and ideas. This phrase encapsulates the ability of images to tell tales without using a single word, to transport viewers to different realities, and to evoke a myriad of emotions. However, the communicative power of stories should not be underestimated either. In fact, stories can paint pictures just as …
Residents, particularly international medical graduates (IMGs), often navigate a challenging position within health care institutions, where hierarchical structures overshadow their authority and autonomy. This dynamic can leave residents feeling disempowered and vulnerable, underscoring the importance of understanding their rights and protections within their programs. For IMGs, cultural and systemic differences may further amplify these challenges, making knowledge of their rights especially crucial as they enter residency programs.
As a final-year resident, …
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It was something out of an Indian Bollywood movie. My best friend, Raj, found a girl he liked and was completely captivated by her. We had never seen Raj with such a glow – but for our group of friends, we knew something was different with Raj, and I dare say he was in “love.” For reference, he is the kind of man who is honest, loyal, trustworthy, and …
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