Physician

The current political climate is leaving youth and their physicians behind

Meredithe McNamara, MD and Joseph Waters, MD

Physician

April 21, 2023

This year’s Match Day for graduating medical students had the highest number of unfilled pediatrics residency spots in recent years. Fewer pediatricians means fewer pediatric subspecialists. Like too many of our deepest health disparities, this hurts teens the most and the current political climate may be to blame.

About 1 percent of pediatricians pursue fellowship training in adolescent medicine, a board-certified subspecialty devoted to …

Words matter: Caring for pain patients with suspected opioid use disorder

Rita Agarwal, MD

Physician

April 20, 2023

“We need an urgent pain consult for patient Lucy Bee in room 5621. She’s a 17-year-old drug addict and is screaming and wanting morphine,” I was told. Lucy Bee is not a real patient, but a composite of patients I have cared for either when providing pain management services on our inpatient floors, or in the operating …

Surviving a manipulative CEO: my experience with gaslighting

Karla Lester, MD

Physician

April 19, 2023

The last time I met with “The King,” I wasn’t planning on meeting with him alone. I never would. It was July 2019, and my family was flying to Europe the next day.

“The King” is the former hospital president/CEO, hired by the board in 2015. He was the former chief of pediatric surgery at a well-known children’s hospital who came along with a demand that his wife, who he often …

The power of the 5 love languages and emotional intelligence in health care: Enhancing connections and compassion

Harvey Castro, MD, MBA

Physician

April 19, 2023

There has been growing recognition of the importance of emotional intelligence (EI) in health care in recent years. EI refers to the ability to recognize, understand, and manage one’s emotions and the emotions of others. One way to enhance emotional intelligence is by incorporating the Five Love Languages into health care practices. Dr. Gary Chapman developed the Five Love Languages as …

Patient privacy: Why it matters more than you think

Robert Murry, MD

Physician

April 17, 2023

A survey published by the American Medical Association (AMA) last year reveals that patients are very concerned about the privacy of their medical information, perhaps more concerned than most physicians and practices are aware. As health care providers using the latest medical technology, we tend to view the ability to share information electronically with other providers and payers (and the ability to view and obtain records from care delivered elsewhere) …

The sacred work of a quality doctor: lessons in contemplative medicine

Andrew Grose, MD

Physician

April 17, 2023

This past year I was fortunate to begin a fellowship in contemplative medicine at the New York Zen Center for Contemplative Care. Maybe this isn’t the extra-curricular activity you would expect from an orthopedic trauma specialist. Since I entered medical school almost 30 years ago, this has been the most rewarding experience by far.

Why? We all know our system is broken, but its brokenness goes beyond the “for-profits, occasionally also …

Start your own locums agency today: a step-by-step guide

Aaron Morgenstein, MD

Physician

April 17, 2023

Are you tired of being an employed physician or working for a staffing agency? Are you tired of being one of their many minions? Are you indeed ready to be your own boss? Are you ready to make some serious money? If so, then it’s time you start your own locums agency!

Are you tired of the bureaucracy and lack of respect from administrators? Are you frustrated by the lack of …

The insurance denial process: one oncologist’s fight against a broken system

Jennifer Lycette, MD

Physician

April 16, 2023

It is 4:15 p.m. in my clinic, and I’m running an hour behind.

One of my morning patients arrived acutely ill and thus required more of my time and attention than the schedule allotted for. Accordingly, every patient after that has ended up waiting for me. And, as I’m a cancer physician, each of them requires—and deserves—all my time and energy. There are no “easy” visits here.

By the end of the …

From addiction to exclusion: a physician’s struggle for redemption

Jeffrey L. Fraser, MD

Physician

April 16, 2023

Many consequences can happen to a physician who has faced the disease of addiction. One of the worst is to be placed on the Office of the Inspector General (OIG) exclusion list, which prohibits billing for both Medicare and Medicaid. During my hydrocodone addiction, I diverted the medication by writing prescriptions to my patients, who would bring the pills back to me for my use. I was charged with a …

April 16th is National Healthcare Decisions Day: Plan for your end-of-life care now

Kevin Haselhorst, MD

Physician

April 16, 2023

When COVID killed thousands of seniors three years ago, few of them showed up in emergency rooms with advance directives. Even fewer thought about the end of life or how to die. Sadly, many lives were discarded in makeshift morgues/cooling trucks behind hospitals. It’s never too early to plan for the next pandemic, retirement, and the end of life.

On April 16, 2023, National Healthcare Decisions Day, take a moment and …

An anesthesiologist’s story: Going beyond the protocol to save a life

Yuri Aronov, MD

Physician

April 15, 2023

I was waiting for my son at the ice rink in one of Chicago’s northern suburbs. Hundreds of people had gathered to watch the Illinois State Championship games. A parent, who knew I was an anesthesiologist, grabbed me by the elbow and said, “Hey, Doc, someone in the lobby is not feeling well.”

I went to the lobby, where I saw my firefighter friend performing chest compressions (CPR) on an older …

Rural America’s health care crisis: Unmasking the physician shortage epidemic

Joshua Nealy, MD, Masa Kinoshita, MD, and Sarthak Thanawala, MD, MPH

Physician

April 14, 2023

Data published in 2021 by the Association of American Medical Colleges estimates that the U.S. could experience a shortage of 37,800 to 124,000 physicians by 2033. Rural America is struggling, as the majority of graduate training facilities are disproportionately located in metropolitan areas. This geographic imbalance directs doctors and residents away from already underserved and marginalized populations, leading to poorer health care access and increased morbidity and mortality rates. …

The invisible epidemic: How physician burnout is affecting the medical community

Harvey Castro, MD, MBA

Physician

April 14, 2023

Physicians dedicate their lives to the well-being of their patients, often neglecting their mental health in the process. The demanding nature of their profession, coupled with long hours, emotional exhaustion, and immense responsibility, can result in physician burnout, depression, anxiety, and even suicide. In this article, we will discuss the importance of mental health and self-care for physicians and provide some actionable …

Why physicians are losing autonomy

Allan Dobzyniak, MD

Physician

April 14, 2023

There are difficult issues confronting physicians generally, regardless of whether they are primary care physicians or specialists or employed or in private practice. The list is long and growing as more and more requirements, costs, mandates, and regulations are being inflicted in an environment of decreasing compensation. All of these lend to the rapidly lost freedom and autonomy for a medical profession where these are foundational.

It seems clear that the …

Read more…

Why physicians are losing autonomy

Doctors: We must fight against frivolous lawsuits

Howard Smith, MD

Physician

April 13, 2023

Lawyers assert that they never file a frivolous lawsuit. All malpractice claims are legitimate because there is a reasonable suspicion of fault when a case is filed.

On January 21, 2022, at 11:40 a.m., I received a call from my attorney, who represented me in a frivolous malpractice lawsuit, informing me that I was unconditionally dismissed. I never doubted that dismissal with prejudice was inevitable.

For a lawyer, a …

Why doctors are experts at dissociating

Christine Gibson, MD

Physician

April 13, 2023

When you think of the word dissociate, it likely conjures up images of someone stumbling up a beach with no recollection of their life before being washed up on shore. Sure, dissociative amnesia is a (rare) phenomenon. But dissociating is not.

In fact, doctors are trained to do it.

When I was in clerkship in Toronto, Canada – I started working night shifts. Learning to ignore my body’s signals that it was …

Read more…

Why doctors are experts at dissociating

Physicians: Don’t believe these career transition myths

Jawaria Suhail, MD

Physician

April 13, 2023

Are you a physician looking to explore nonclinical career options and make a fresh start? While the thought of transitioning away from your current job might be daunting, these five myths about career transition should not hold you back – there are actually many opportunities available for advancing professionals like yourself who have the courage to seize them. By shifting our perspective on traditional notions of success and progression, we …

Revolutionizing women’s health: a community-based approach

Reetu Syal, MD, MBA

Physician

April 11, 2023

I’m building a platform for people to talk about all things women’s health. It serves the needs of education and awareness, peer support, and community building. These are all things I have wanted to offer, but until now, I didn’t know how to do so.

It started with trying to figure out how to leverage and embrace technology to bring my knowledge to patients. Every day I give the same information …

The surgeon-anesthesiologist relationship: Learning to work together in the OR

Nicole M. King, MD

Physician

April 10, 2023

Last week I walked past him sitting outside of the OR. It was morning, before all of the first start cases, but he had been there all night. I already knew this. Two back-to-back transplants overnight. He, a surgical fellow, me, a critical care anesthesiologist who was a surgical resident over a decade ago. I could see the circles under his eyes that seemed to take up over half of …

Uncovering the controversial debate surrounding climate change

Martin C. Young, MD

Physician

April 10, 2023

In a recent posting, “The vital importance of climate change education in medical schools,” the author concluded that climate change is “here and undeniable” and, based on her experience of wildfires, that the cataclysmic consequences are already upon us.

Many would disagree, including Nobel Prize-winning physicist Dr. Ivar Giaever who, on resigning from the American Physical Society (APS) in protest, wrote: “In the APS it is OK to discuss whether …

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