Assessing hospital involvement in pediatric primary care

Physician
January 24, 2024

Children’s hospitals are acclaimed for their outstanding care, and they would be my absolute choice for my child’s hospital needs. Nevertheless, there is a pressing concern that the underlying philosophy of these institutions is shifting, with financial pressures incentivizing competition rather than cooperation in the field of pediatrics. If hospitals were to dominate primary care, it could potentially exacerbate the departure from a value-driven approach, which is crucial for advancing …

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Just culture and medical errors [PODCAST]

Podcast
January 23, 2024
YouTube video

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Join Scott Ellner, a general surgeon. We delve into a compelling story from a decade ago, where a medical error had profound consequences for both a patient and the surgeon involved. Discover the emotional toll on health …

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The journey to internal balance and self-fulfillment

Conditions
January 23, 2024

An excerpt from The Fix Your Depression Handbook.

Most of us strive to be happy loving people. Our tendency to look outside ourselves to find acceptance, safety, love, and completion can misdirect our energies, and have us searching for the pathway to meaning in our lives in places where it cannot exist. It is so important to understand that we were born with everything we need to be happy and …

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Practice permanently closed: How to avoid this costly mistake

Tech
January 23, 2024

Imagine a patient searches online for you only to discover your online business listing says your practice is permanently closed.

This recently happened to a well-respected, mid-career surgical oncologist with a loyal patient base. Opting for a new role, he joined a hospital an hour from his previous workplace. Unfortunately, his former employer managed his online business listing, marked his practice permanently closed, and offered no forwarding contact information. This made …

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New year, new resolutions: an orthopedic surgeon’s path to balancing career and family in 2024

Physician
January 23, 2024

A recent discussion with a partner led us to list our academic goals for 2024.

It’s a process many of us go through each year. What did we accomplish throughout the year? Could we have done better? Is there more to do? How could we improve? What’s on tap for the upcoming year?

It’s an annual ritual, I know.

We reviewed his overall plan and went through how he could accomplish his professional …

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Unlocking better care: the power of caring for your doctor [PODCAST]

Podcast
January 22, 2024
YouTube video

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Join Dawn Sears, a gastroenterologist, and Kim Downey, a physical therapist. We delve into the insights that reveal how taking care of your doctor can ultimately lead to better care for you. They share perspectives on improving …

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From Bollywood dreams to bipolar reality: a doctor’s journey

Conditions
January 22, 2024

“There is no greater agony than bearing an untold story inside you.”
– Maya Angelou

Since my teenage years, I have been watching Bollywood movies of all sorts. Maybe people from the subcontinent like them because no one can relate to these movies other than them.

My favorite hero was Sushant Singh Rajput. I liked him for his personality, his sweet smile, and the genuine look he had in his eyes. When he …

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Redefining medical caution: How recent studies challenge benzodiazepine prescription norms

Meds
January 22, 2024

I want to draw your attention to two fairly recent studies. One of these is the BIND study. I love it when studies use easy-to-remember acronyms because it really helps to keep them straight. The BIND study found that “Many prolonged symptoms subsequent to benzodiazepine use and discontinuation … have been shown in a large survey of benzodiazepine users. Benzodiazepine-induced neurological dysfunction (BIND) has been proposed as a term …

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Breaking the silence: medical gaslighting exposed [PODCAST]

Podcast
January 21, 2024
YouTube video

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We sit down with Tracey O’Connell, a radiologist and physician coach, to explore the pervasive issue of medical gaslighting within the health care industry. Tracey shares her own experiences and insights, shedding light on how this phenomenon …

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When medicine meets law: Mastering malpractice suits with scientific methods

Physician
January 21, 2024

When you are sued for medical malpractice, your malpractice carrier establishes your duties to it, and your lawyer establishes your duties to him or her. Let me be clear – when you are sued for medical malpractice, you have no greater duty than to yourself. A duty is a commitment or an expectation on you to perform properly in accordance with certain circumstances. A duty may arise from a system …

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I quit: resignations that helped heal my soul

Physician
January 21, 2024

Have you ever found yourself trapped in a job that seemed to suffocate your spirit? The kind of place where stepping through the doors invoked an overwhelming sense of dread, and encountering management left you feeling like your kindness and loyalty were taken for granted? Perhaps you’ve experienced a workplace where basic concessions seemed like an impossible ask, and your plea for them fell on deaf ears. In such an …

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Caring at a cost: workplace violence and my exit from nursing

Conditions
January 21, 2024

In 2013, I graduated with a BSN, drawn to nursing by a love for science and a passion for helping others. The promise of good pay, job security, and growth opportunities was a marketing pitch so convincing I never thought to question it. Before my first clinical experience, I vividly recall having to attend a self-defense class. At the time, it struck me as both odd and somewhat amusing that …

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Navigating controversy: dialectics in conflict resolution [PODCAST]

Podcast
January 20, 2024
YouTube video

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We’re joined by Jill Wener, an internal medicine physician, as we delve into the transformative concept of dialectics. Join us for an exploration of how dialectical thinking can help you navigate complex emotions, foster better health care …

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How gender and race deepen the cancer care divide

Physician
January 20, 2024

In 2023, roughly 2 million people will have been diagnosed with some form of cancer, and while cancer can affect everyone, it does not affect everyone equally. Women – especially women of color and women with lower socioeconomic standing – often face significant hurdles when it comes to accessing the health care they need to prevent, treat, and survive cancer.

The downstream effect

Although there have been significant efforts to address …

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Just how personal should personal statements be on medical school applications?

Education
January 20, 2024

I read an essay advocating the disclosure of personal trauma on medical school applications as a means of overcoming stigma and taboo often associated with rape and other forms of trauma. The authors lamented that a culture of silence persists in medicine despite movements such as #MeToo. They concluded: “We, as physicians, have a duty to reduce shame to promote recovery in both our patients and in ourselves.”

Not …

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From timed essays to time mastery: a doctor’s journey through the power of belief

Education
January 20, 2024

One of my most stressful high school class memories was an AP English class I took during my junior year. Each week, we had timed writings where we were given a specific amount of time to write an essay on a given topic. As soon as the timer went off, we had to put our pencils down and raise our hands, signaling that we were done, regardless of what was …

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Domestic violence awareness in medicine [PODCAST]

Podcast
January 19, 2024
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Join medical student Leana Pande. We’ll explore the vital role health care practitioners play in addressing intimate partner violence (IPV). Discover how education, training, patient-centered care, and risk assessment tools can empower health care providers to make …

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A call for LGBTQ+ inclusion in medicine’s definition of “underrepresented”

Education
January 19, 2024

In an impromptu listing of all the diseases his children had, I never would have guessed that the next word to come out of my attending’s mouth was “gay.” As an LGBTQ+ medical student with scars on my chest to prove it, this encounter only added to the collection of instances where I felt the weight of being underrepresented in medicine. Or am I?

Each year, the Association of American …

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Confusing correlation with causation: the most common error in science

Physician
January 19, 2024

The universe can be a very confusing place.

Quite often, things will happen together or one-after-another that will cause even learned people to connect two events as causative when they are not. These misattributions are not just of academic concern. They can have real-world consequences.

In 1347, a plague began to sweep through Europe. At the time, no one knew what caused plagues, and the germ theory of disease was centuries away. …

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A heartfelt plea: the power of emotions in health care

Physician
January 19, 2024

I leaned over the bed’s railing, straining to hear the morphine-slurred words spilling out of his chapped lips. “Make them stop laughing,” he said, referring to the cohort of young nurses giggling around the code cart in the hallway. “I’m in here suffering, in pain, and I shouldn’t have to hear laughter. Tell them to stop. Tell their boss. It’s so unprofessional.” After spitting out the last spiteful words of …

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