My mother has always been very close to me. I was her eldest daughter, born in an unfamiliar city where she had relocated as a newlywed bride. She didn’t have any family or friends in this unfamiliar city. I was practically her only friend.
My mother began sharing her problems with me when I was very young. Sometimes I think she shared too much. She also told me intimate details about …
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Alicia DiGiammarino, an expert in health professions education innovation and research, discusses her KevinMD article, “Transform feedback into growth with the ARISE model.” Alicia explores how the ARISE model—Ask, Receive, Interpret, Set …
Random mal-occurrences have always accompanied medical interventions, even under the best of circumstances. These are errors of nature. In the 1960s, some attorneys in California were the first to exploit these unfortunate random outcomes to their advantage. Lawyers made money from lawsuits.
There is a huge return on investment when an error of nature can be portrayed as a medical error. There is always a settlement value.
Creating a demand is easy: …
As a practicing physician and a wellness travel tour operator, I have the privilege of witnessing firsthand the profound impact that travel can have on health and well-being. Beyond being fun, exciting, and educational, travel has the power to heal—physically, emotionally, and even spiritually.
Wellness adventure travel can embody many of the fundamental elements of lifestyle medicine in real time. Movement, whole foods, relaxation, and community—four of the six pillars—can be …
The start of a new year is a time for reflection, renewal, and resolve. For physicians, it often comes with an unspoken question: Do you still remember the spark that first lit your path into medicine? In the endless churn of shifts, charting, and late-night calls, that spark can dim. The burnout we push to the margins of our consciousness slowly edges its way into the center of our being. …
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Amelia Bueche, an osteopathic physician, discusses her KevinMD article, “This perspective will change how physicians address pain and recovery.” Amelia explores the interconnectedness of trauma, pain, and recovery, emphasizing the importance of …
Skin is the largest organ of the body.
It also contains the highest concentration of nociceptors, alerting us to pain at the surface level with the intent to mitigate harm from noxious stimuli.
A veritable trip wire for threats from the external environment, it offers palpable and visible responses in the dermatological layer, providing opportunities for intervention to avoid, eliminate, or resolve problematic exposures.
The skin is also a message delivery system from …
Gambling as a recreational activity is on the rise. This is Super Bowl weekend, and it is expected to be one of the largest sports betting events in U.S. history, with tens of millions of Americans predicted to wager billions of dollars on this event. Gambling disorder is also now a recognized part of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Gambling as a medical condition …
In recent years, the requirements for medical school admission have expanded far beyond academic excellence and personal statements. Shadowing physicians and accumulating volunteer hours are now seen as prerequisites for demonstrating commitment to the profession. However, these requirements, while well-intentioned, have become unnecessary hurdles rather than meaningful indicators of dedication or future success as a physician.
Unnecessary compared to other professions
Medical school applicants are asked to prove their commitment in ways …
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Neuroscientist Adrian Owen discusses his KevinMD article, “A wake-up call for dementia detection: the urgent need for precision tools across health care.” Adrian highlights the alarming rate of dementia diagnoses worldwide and …
Would you ever consider a routine day at the office as how many people are going to abuse you?
As a psychiatrist who works primarily in an acute care setting, I look after patients that enter the emergency room with complex mental health and social difficulties. I have been doing this work for close to a decade now. I often get asked why I choose to continue the work, and the …
The Hippocratic Oath does not require citizenship as a condition of treatment. The oath, which serves as a foundational ethical guideline for physicians, emphasizes principles such as doing no harm, maintaining patient confidentiality, and practicing medicine ethically and with integrity. It focuses on the physician’s responsibilities to patients and the ethical practice of medicine rather than any conditions related to a patient’s citizenship or nationality.
So, why did this issue surface …
The interplay between generations has become increasingly pronounced in medicine, particularly with the emergence of millennials and Generation Z trainees alongside their older counterparts—the Baby Boomers and Gen X physicians. This generational shift brings to light a myriad of differences in values and perspectives, sparking a nuanced discourse within the medical community. Millennials came of age in an era marked by globalization, technological advancements, and economic prosperity. Their successors, Generation …
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Muhamad Aly Rifai, a psychiatrist, discusses his KevinMD article “Physician suicide: Addressing the silent epidemic.” In this episode, Muhamad delves into the alarming rise in suicide rates among physicians, the pervasive stigma surrounding mental health in the medical community, and the unique risk factors that contribute to this crisis. …
Once upon a time, anxiety was anxiety. Maybe you were going for a root canal, taking a flight when you were a nervous flier, or meeting your in-laws for the first time, so you had “nerves.”
That was then. Sensing an untapped market, drugmakers who funded writers of the Diagnostic and Statistical Manual of Mental Disorders or “DSM” (the Bible for mental conditions) recast anxiety as “really depression,” and suddenly everyone …
It was a crisp winter day where the sun shines so brightly it tricks you into thinking it’s warm until you step outside and instantly regret not grabbing your scarf—that I heard about the latest musings from our southern neighbors. The commander-in-chief (yes, President Trump, I’m looking at you) had hinted, joked, or perhaps accidentally tweeted (it’s hard to tell these days) that Canada could become the 51st state.
Instantly, I …
Graduate medical education (GME) could explore several forward-thinking processes to enhance the journey of medical trainees. These processes could focus on selecting applicants for residency, fostering their development to excel as trainees, and preparing them to graduate as competent, certified physicians capable of independently practicing their specialties.
As objective numerical scores from the United States Medical Licensing Examination (USMLE) become a thing of the past, it may be time to consider …
When Berkshire Hathaway executive Charlie Munger said, “Show me the incentives, and I’ll show you the outcome,” during a speech in 1995, he wasn’t talking about health care, but he might as well have been. Companies in any industry are influenced by how the norms and structures around them contribute to their success, and in health care, the incentives often aren’t set for the good of the end user—the patient.
Consider …
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Fertility specialist Oluyemisi Famuyiwa discusses her KevinMD article, “Why is no one listening? The urgent impact of marijuana on fertility.” In this episode, Yemi explores the emerging concerns surrounding marijuana legalization and …
With the murder of the UnitedHealthcare CEO, many have expressed vitriol towards the insurance industry.
Having worked in non-profit health care all my life, I decided in 2018 to switch to the “dark side,” or the insurance industry, out of curiosity. What is it that they do, and how are they doing it? I thought knowing would make me a better health care worker when I returned.
As a registered nurse case …
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