Physician

Ensuring fair reimbursement for emergency procedures

Deepak Gupta, MD and Shushovan Chakrabortty, MD

Physician

July 30, 2023

The applicability of add-on payment/reimbursement qualifiers/modifiers for emergency procedures should not be limited to patients’ emergency conditions alone. They should also be applicable to situations where arrangements are made for procedures outside regular office hours or on weekends. This includes cases where proceduralists choose to schedule procedures during after-hours or patients choose to have procedures during these times. Additionally, these qualifiers/modifiers should apply to proceduralists who work during after-hours or …

Youth vs. experience: Who wins in medicine?

Paul Pender, MD

Physician

July 28, 2023

Harvard researchers who recently wrote an essay analyzed data from Medicare to draw conclusions about hospitalists and surgeons who treat hospital in-patients for non-elective admissions. The researchers grouped the physicians by age to determine which groups performed better. The yardstick by which they were measured was mortality within 30 days of admission. The sample size was significant—over 700,000 Medicare patients, all over 65 years of age. What they found were …

The transitional year: a must-have preliminary for GME

Deepak Gupta, MD and Sarwan Kumar, MD

Physician

July 28, 2023

The debate surrounding graduate medical education (GME) revolves around whether one should dedicate themselves to their current residency or focus on future fellowship opportunities. This confusion becomes more pronounced after completing fellowship programs, especially in inpatient settings, where specialists consult with generalists who have completed residency programs and obtained board certification without pursuing further specialization.

The fundamental question is whether generalists should be regarded and treated as specialists. Looking towards the …

The wisdom of words: Thank God it’s Friday!

Diana Londoño, MD

Physician

July 28, 2023

“Thank God it’s Friday.”

So many of us say it often. This resonates with many, as there is even a restaurant franchise with that name that has $2.5 billion in sales. Clearly, they are tapping into something that echoes what many think (even if they have what feels like a 73-page menu which, on Fridays when you are especially tired, can seem overwhelming, but I digress).

However, if we dig a little …

6 ways physicians can change the health care system

Laurence Bauer, MSW

Physician

July 26, 2023

Physicians are respected influencers who can directly impact public opinion and drive change within the health system. If you are dissatisfied with the current state of affairs, it’s time to become part of the solution. Here are some strategies you can employ to initiate health care transformations locally and beyond.

Join or form local groups with engaged patients and employers. As a health care system insider, you possess valuable knowledge about how …

The persecution of pain management doctors

L. Joseph Parker, MD

Physician

July 25, 2023

The call came in during a busy workday. My comprehensive primary care clinic had been built over a decade of hard work and had a general practice clinic staffed by a very capable former surgeon and several nurse practitioners, as well as a pain management program and an addiction treatment clinic. We also had several counselors on staff. I immediately recognized the voice on the other end of the line …

The 3 things that make people love their work (and why medicine falls short)

Kent McCann, MD

Physician

July 24, 2023

The old adage of “do what you love, and you’ll never work a day in your life” may have misled an entire generation.

While researching individuals with high career satisfaction, psychologists Ryan and Deci found that the introspective “follow your passion” approach was rarely a major factor. Instead of relying on some intrinsic passion, people who loved their jobs were found to have work that fulfilled three specific psychological needs: autonomy, …

Dermatology at a crossroads: an urgent case for value-based care

Hannah Kopelman, DO, MBA

Physician

July 24, 2023

Over the past decade, the medical field has witnessed a profound shift—a transformative movement fueled by the commitment to render patient-centered, cost-effective care. This sweeping change is characterized by the transition from a volume-based to a value-based model of health care. While several medical specialties have responded to this call for change and started implementing value-based systems, dermatology has been relatively slow on the uptake. The need for a robust …

Grief and healing: Navigating loss and meaningful connections

Richard E. Waltman, MD

Physician

July 24, 2023

My wife, Ruth, passed away in April, and I am currently struggling with the immense loss. I deeply miss her, and for the most part, I feel terrible. I haven’t reached a point of “getting over it.”

Since her death, numerous people, including relatives, friends, acquaintances, and caring individuals throughout my day, have approached me with the same question: How am I doing? Despite multiple attempts to respond, I still haven’t …

The rewards and challenges of emergency medicine

Yang Wang, MD

Physician

July 23, 2023

Congratulations! Maybe you matched, maybe you scrambled. Either way, you’re here, and after four years of reading and watching, you are about to finally start doing. Get all those practical skills: Intubate! Drop central lines! Insert chest tubes! Sign verbal orders within 24 hours! Write medicolegally bulletproof notes that also capture all the RVUs necessary to maximize billing.

As you embark on your journey to becoming an EM doc, let me …

How BIPOC doctors and patients suffer in the U.S. health care system

Amol Saxena, DPM, MPH

Physician

July 22, 2023

It is well documented that the under-represented often suffer from less than ideal health care in the U.S. This has been apparent for more than a century and is one of the reasons the U.S. has the worst health care outcomes compared to all other developed countries. It is also well-documented that concordance between patients and providers in race, ethnicity, and, in some cases, gender leads to better health care …

The core problem behind physician burnout: loss of independence

Brian Hudes, MD

Physician

July 22, 2023

Physician burnout and the shortage of physicians are pressing issues within the health care industry, often unnoticed by the general public until their own health is at stake. The erosion of the title “doctor” and the increasing encroachment on physician authority have contributed significantly to this problem. Physicians have allowed the interference of the federal government, burdensome regulations, and insurance company restrictions to impede their ability to provide quality care. …

I am one of those women who left academic medicine

Carmen Fong, MD

Physician

July 21, 2023

Since before the COVID-19 pandemic, anecdotal evidence and small survey-based studies show that women were leaving academic medicine in droves and were not returning— up to 40 percent of women leave medicine or go to a part-time position within six years of finishing residency. One landmark study pointed out the rarity of women in leadership positions— thirty-five years ago, less than 11 percent of women faculty were …

How masculinity expectations impact men’s mental health

Zahid Awan, MD

Physician

July 20, 2023

A recent conversation about a young man’s reluctance to seek help made me reflect on society’s attitude regarding expectations for men and their impact on their mental health.

Lately, there has been growing recognition of the importance of mental health and well-being. However, despite the progress made in understanding and addressing mental health issues, there still persists a significant disparity in how men approach and perceive mental health. Men’s attitudes towards …

Gender-neutral registration for unresponsive individuals

Deepak Gupta, MD

Physician

July 19, 2023

When registering individuals who are unresponsive to stimuli, unconscious, unaware, or lacking alertness, it has been customary to assign them the names John Doe or Jane Doe, based on physical characteristics, while also assigning their sex accordingly. If their family members or legal guardians arrive or are contacted, their sex is determined based on their recollections until the individuals themselves awaken and become capable of expressing their gender preferences, affirming …

From doctor’s journey in ICU to unveiling poisoning mysteries

Dr. Natasha Khalid

Physician

July 19, 2023

Through a combination of coincidental privilege, silly circumstances, hard work, persistence, and perseverance, I ended up becoming a doctor. The journey post-graduation is a difficult one, as it introduces you to a world beyond books and examination halls. It’s a world where people are in agony and depend on you for every single ray of hope—a task that is both immense and heavy on the heart.

Being a doctor who takes …

An elder mentor’s message to new medical students

Brett Linzer, MD

Physician

July 18, 2023

For 21 years, I have had the privilege and honor of coaching and mentoring medical students. Most of this mentoring takes place in my outpatient internal medicine-pediatrics practice, where each student spends two to three days with me every week for a month-long rotation. Additionally, I have been fortunate enough to work with students from all years as a facilitator in the REACH and 4C coaching programs. Throughout these experiences, …

5 tips for ending office visits on time

Jennifer Shaer, MD

Physician

July 17, 2023

The visit is winding down. You’re getting ready to go, hand on the doorknob, saying goodbye. And then you hear, “Doc, one more thing.” Or perhaps you’re more familiar with the patient who has a laundry list of issues all to be addressed in the fifteen-minute appointment slot.

These visits have in common that they are both certain to back you up. Have multiple in the day, and you are …

Read more…

5 tips for ending office visits on time

Internship survival guide: Thriving on the night floor rotation

Farzana Hoque, MD

Physician

July 16, 2023

During my first week as an intern, a question weighed heavily on my mind: “How am I going to survive my night shift rotation?” Soon after, another question arose: “How can I make the most of my night shifts and continue to learn and grow?” I reached out to senior residents and faculty members to learn from their experiences and seek their advice.

I understand that you may have similar questions …

Insider secrets: 10 must-know tips for mastering medical appointments

Christine J. Ko, MD

Physician

July 16, 2023

Since December 2022, I have attended over 60 medical appointments, ranging from 15 minutes to as long as 6 hours. Some appointments were as short as 15 minutes, while others required a minimum of 3 hours. Through these numerous health care visits, which collectively amount to more than 60 hours, I have gained valuable insights. Here are my top 10 tips based on my experiences:

Check the location and plan ahead. …

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