“Airports have seen more sincere kisses than wedding halls and the walls of hospitals have heard more prayers than the walls of churches.” – Anonymous
It’s 1 a.m. in the night. I am on call duty, which starts at 8:30 a.m. in the morning and ends at 10 a.m. the next day. I finished entering the labs and doing my final tasks at approximately 12:30 a.m. Then I ordered some food …
Inside the heart of a hospital: love, loss, and resilience
Residency program directors and preceptors are responsible for shaping the next wave of medical professionals. Beyond ensuring adequate clinical training, they must equip future doctors with the skills to navigate the complexities of modern medicine. Coaching has recently emerged as a prominent method of supporting trainees. As a physician interested in evidence-based leadership practices, my search brought me to integrated coaching as a noteworthy approach.
Integrated coaching is a comprehensive toolkit …
Integrated coaching for medical residents
The parable of the Chinese farmer is a story with many versions. In shorthand, it goes something like this: a farmer’s horse escapes – the neighbors say, “How terrible!” The farmer says, “Maybe.” The horse returns, bringing some wild horses with it. The neighbors say, “How wonderful!” The farmer says, “Maybe.” The farmer’s son falls off one of the wild horses while trying to tame it and breaks his leg. …
My journey through the parable of American health care
As a family doctor, I want to extend my gratitude to my colleague and friend who has transitioned from primary care to weight management as of January 1, 2024. This serves as a reminder that primary care thrives on heartfelt connections, which remain fundamental to our approach to health care.
Your consistent care is already missed in these first few months of 2024. I am so grateful for your years of …
Honoring our trusted family physician
Some years ago, I came across a very useful little device – a thumb (flash) drive that also had the ability to record sound. It powered up simply by being slotted into a USB port. Inserting the drive did not raise any suspicion that I was recording.
Sometimes I used this overtly, such as when obtaining informed consent or giving instructions that were vital to be followed.
Rarely I would use it …
Is there a place for audiovisual recording in medicine?
The fictional 2007 television story depicting the plight of a widow with two daughters who, as a family, became homeless due to medical debt incurred during her since-deceased husband’s health care, is an eye-opener and heartbreaking. However, nowadays, the fact is emulating that fiction when statistics of homelessness risk due to medical debt are bewildering and shocking.
As compared to credit card debt, where buyers can at least gauge the maximum …
Medical debt-driven homelessness
In the ever-evolving landscape of modern health care, physicians often grapple with myths and misconceptions that can hinder our ability to provide the best possible care to our patients. As we stand at the precipice of change in 2023, it’s vital to confront these fallacies with courage, humility, and self-awareness. The path to a better health care system is paved with the stones of truth found in the counterpoints to …
Physician-led health care transformation: Debunking myths
I can’t stop thinking about “customer satisfaction,” which is weird because I don’t actually have customers. I’m a primary care doctor for a group of patients in Martinsburg, WV, and have done so for almost twenty years. At its core, my job is the opposite of having it your way, like I’m told you can do at Burger King.
I don’t sell anything in my office except, perhaps, the benefits of …
When this doctor gets a zero star rating
I love America Ferrara’s monologue in Barbie. Similarly, the impossibility of being a woman in medicine, as so clearly stated in Dr. Jennifer Lycette’s recent essay in KevinMD, absolutely resonates with me.
And yet, let’s not forget that in 2021, two of five practicing physicians were women, with certain fields including (my own) dermatology, internal medicine, and pediatrics having a female predominance. Studies support that these female physicians have …
It is literally possible to be a woman in medicine! We are doing it every day.
In the heartstrings of medicine, a symphony resonates—a tale of profound connections and compassionate care. Envision a middle-aged man thrust into a harrowing journey: diagnosed suddenly with a life-threatening vascular disease, haunted by depression with suicidal thoughts, and navigating the complexities of life without social support. This narrative is both prologue and sonata, weaving through the very fabric of healthcare, unraveling the poignant threads that bind us to our patients.
The …
Harmonies of medicine: the biopsychosocial symphony
Our mission, should we choose to accept it, is seemingly simple: we are to join forces with another non-profit group in order to deliver medical care to those that need it most on St. Lucia, a West Indian island nation variously colonized by the English and French, with Arawak and Carib roots. It will be our inaugural trip to this Caribbean idyll and our first collaboration with another non-profit, but …
Bringing vital medical care to St. Lucia’s underserved
My son was born in a small community hospital with breathing and heart issues requiring transfer to a children’s hospital several hundred miles away. I arrived at the children’s hospital, worried, exhausted, and overwhelmed many hours after he did. Everything had happened so quickly my head was spinning.
After I checked on my son, I was directed to the Ronald McDonald house. I arrived in the wee hours of the morning …
How a simple chore transformed my perspective on medicine
I recently worked a 28-hour shift in the hospital. I am on a rotation where I work these long shifts every four days, and my last 3 or 4 of these shifts have been the kind that really tries a person’s soul. I got called all night to see new patients and take care of existing ones, and mind you, this is after a 6:45 a.m. to 5 p.m. day …
Surviving a 28-hour hospital shift: a resident’s struggle and passion
An excerpt from The Medical Matrix: One Physician’s Story Maneuvering the Minefields of Medicine.
It was a routine Monday morning in the middle of May 2011. I had custody of my boys that day, so I dropped them off at school and headed to work.
As soon as I got to work I received a phone call from the vice CEO of the hospital. Maria (name changed) was a short woman …
Sham peer review epidemic: A doctor’s career destroyed
I finished my residency training on June 30th, 2000, in a combined internal medicine and pediatrics residency program at Ohio State University and Columbus Children’s Hospital (before it was renamed Nationwide Children’s Hospital). One month later, I was slated to begin my first “adult” job as I joined a private family medicine practice in Southern Ohio – practicing traditional medicine (outpatient and inpatient care). There were no hospitalists back then …
Discover the physician who made a village his family
An excerpt from First Do No Harm: A Physician’s Burnout and Mental Health Guidebook from Medical School to Retirement.
Residency requirements have changed drastically since my father completed medical school in the 1970s. Residents needed to be fully focused and alert despite working forty-eight- or seventy-two-hour days, which led some to substance misuse. Some residents took stimulants to help perk themselves …
The untold truth of medical residency: a look at its grueling past and present
A scene in the movie Barbie is all too familiar to female physicians. Ken asks a female physician, “Can I talk to a doctor?” and she replies, “You are talking to a doctor.” He ignores her, then requests her assistance with various menial tasks (“Can you get me a coffee … I need a clicky pen”) before abruptly walking off in the direction of two short-haired, presumably male medical professionals, …
How Barbie exposes sexism in medicine
A fictional monologue.
You’ve reached the prior authorization denial appeal line for insurance CEOs. Case number, please.
I’m sorry you’ve had to hold for over an hour, but we can’t proceed if we don’t have your case number, a copy of your business degree on file, GMAT score, three letters of recommendation, the middle name of your dentist, and your high school transcript.
Yes, I was only joking about the dentist! LOL! We’re …
Health insurance CEOs face “prior authorization”: a taste of their own medicine?
I’m in a global private physician Facebook group, and I learn a great deal about health care, both good and bad, from other doctors. Because it is private, doctors share a lot of personal practice issues as well as challenging cases from which we all learn. The physician who posted this message from her hospital employer gave permission for me to use …
Doctors speak out against toxic work conditions
In the United States (U.S.), immigrating physicians typically fall into three categories: those working temporarily on nonimmigrant visas, those permanently residing on immigrant visas, and those who have become U.S. citizens through naturalization.
While immigrating physicians can easily move from their home countries to the U.S., they often encounter challenges when considering bringing their aging dependent parents with them. The U.S. offers temporary nonimmigrant pathways for parents of immigrating physicians who …
Why immigrant physicians struggle to bring their aging parents to the U.S.
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