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The quiet segregation no one talks about in medical school

Seema Pattni, MD

Education

May 3, 2025

I hated so much of medical school.

Not all of it.

I started eager,
positive and bright.
I was excited.

But I struggled to belong.

There was unwritten, informal
segregation.

Fresher’s week:
I was stoked to try out new things…
Hockey and rowing turned me away—
lack of experience.

I tried something more familiar:
Hindu society.
I was shocked—
they asked me what caste I was from.

It was even in the lecture theatre:
white rugby at the back,
serious Asians at the front,
party Asians in the middle,
cool …

C. Everett Koop’s defining stand against the tobacco industry [PODCAST]

The Podcast by KevinMD

Podcast

May 2, 2025

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Historian and ethicist Nigel Cameron discusses his article, “C. Everett Koop’s fearless fight against the tobacco industry,” drawn from his biography of the former U.S. surgeon general. He recounts how C. Everett …

Not all heroes wear capes: Sometimes they just speak up in meetings

All Levels Leadership

Physician

May 2, 2025

In medicine, heroism is often framed in dramatic, high-stakes terms: the code blue that saves a life, the pediatric cancer patient who returns to their family disease-free, or the impossible aneurysm that is successfully clipped by the neurosurgeon. But not all heroics come with a life-altering intervention. Sometimes, the most courageous act in a physician’s day happens in a conference room, during a faculty meeting, or after rounds—when someone chooses …

Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

Anonymous

Physician

May 2, 2025

Hypothetically, imagine you complete three years of internal medicine residency; working nights, managing complex cases, making real decisions. Then you’re told: To work in the hospital, in the in-patient setting, you must complete additional years of fellowship training.

At that point, a reasonable person might ask: Wait, what was residency for? If three years of supervised, graduated responsibility isn’t sufficient preparation, then either the residency is flawed, or the requirement is …

Why physicians are unlike the “average” investor

David B. Mandell, JD, MBA

Finance

May 2, 2025

An excerpt from Wealth Strategies for Today’s Physician: A Multi-Media Playbook.

Physicians of all specialties are different from the average U.S. investor in several important ways. This statement reflects data in key areas that impact fundamental aspects of investing and wealth management. It is important for physicians to realize these differences because most financial news, whether in print, online, or on television, is geared to the average investor. Therefore, media …

The hidden bias in how we treat chronic pain

Richard A. Lawhern, PhD

Meds

May 2, 2025

As a health care writer and data analyst, I hear frequently from patients who are being denied safe and effective pain care due to unscientific bias on the part of U.S. health care agencies—and sometimes on the part of otherwise once-reputable medical journals. These are among millions of U.S. citizens who are now being deserted by the medical profession.

Thousands, overcome by their pain and depression, have already …

The origin of medical licensing exams

Aamir Hussain, MD

Education

May 2, 2025

In January 2022, the United States Medical Licensing Examination (USMLE) Step 1 transitioned to a pass/fail format, sparking debate over how best to assess physician competence in an era where medical misinformation proliferates online. Although medical students loathe any mention of exams, we cannot deny that licensing exams are an important barrier to ensure baseline knowledge, and to prevent quacks and snake-oil salesmen from harming the public. This article explores …

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The origin of medical licensing exams

Focusing on medicine’s core, not administrative chores [PODCAST]

The Podcast by KevinMD

Podcast

May 1, 2025

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Physician executive Grace E. Terrell discusses her article, “Physicians must innovate and focus on medicine’s core, not chores.” She introduces the concept of “core vs. chore,” urging health care workers to distinguish …

When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding

Koketso Masenya

Policy

May 1, 2025

On the 20th of January 2025, President Donald Trump signed an executive order that initiated a freeze on foreign aid, including the President’s Emergency Plan for AIDS Relief (PEPFAR). This abrupt suspension of funding has triggered a global health crisis, undermining decades of progress in combating HIV/AIDS and endangering millions of lives across the globe.

PEPFAR and its global success

Launched in 2003 under …

Burnout isn’t ironclad—and neither are we

Tomi Mitchell, MD

Physician

May 1, 2025

Ah, burnout! That word is used so often in medicine that it now has its own ICD-10 code.

Medical professionals are no strangers to pushing beyond exhaustion, running on fumes, and convincing ourselves that a steady IV drip of caffeine and sheer willpower is an appropriate substitute for sleep.

I should know—I lived it. I was running a busy medical practice, managing over a dozen staff …

Biologics are not small molecules: the case for pre-allergy testing in an era of immune-based therapies

Robert Trent

Meds

May 1, 2025

“Once it’s in your body, there’s no taking it back.”

That’s what the infusion nurse told a friend of mine after administering the injection.

She had just started a biologic medication for an autoimmune condition. Immediately, her body reacted: nausea, then hives, then a terrifying tightening of her throat. She rushed back to the clinic. The IV steroids and Benadryl may have stopped the immediate effects, …

Clinicians must be scrupulously honest in and out of work

Daniel Sokol, JD

Conditions

May 1, 2025

An excerpt from From Error to Ethics: Five Essential Lessons from Teaching Clinicians in Trouble.

Clinicians must be scrupulously honest in and out of work

About 70 percent of the clinicians who attended the course had been accused of dishonest conduct. It is so common that the ‘dishonesty’ file on my computer contains eight sub-sections:

Cheating in exams
Defrauding the National Health Service
Dishonesty in job applications
Dishonesty in a non-medical …
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Clinicians must be scrupulously honest in and out of work

Pandemic reflections: a nurse anesthetist on trauma, loss, and finding hope [PODCAST]

The Podcast by KevinMD

Podcast

April 30, 2025

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Nurse anesthetist Christine King discusses her article, “The heartbreaking pandemic story I will never forget.” Reflecting on the COVID-19 pandemic five years later, she shares the profound impact of collective trauma through …

The stigma surrounding diabetes harms those living with the condition. It’s time to finally stamp it out.

Michael Vallis, PhD

Conditions

April 30, 2025

Canadians have rallied together like never before to support each other and stand up for Canada in the face of U.S. tariffs and annexation threats.

People living with diabetes need that same spirit of solidarity around them to defeat a persistent stigma about the condition that leaves them feeling blamed, shamed, and judged.

Negative perceptions about people with diabetes are not only misplaced, but they are also harmful …

Clinical research is evolving. Patient involvement is no longer optional.

Stephanie Ernst

Conditions

April 30, 2025

In January 2025, the International Council for Harmonisation (ICH) formally adopted the updated E6(R3) Good Clinical Practice (GCP) guidelines. Annex 1 and the revised 12 principles are already in effect. Annex 2 arrives in July. This is not just regulatory housekeeping. It is a clear message to the research world: Meaningful patient involvement is no longer aspirational. It is expected.

For decades, clinical research positioned patients as participants, …

The anesthesia spectrum: Guiding patients through comfort options in oral surgery

Dexter Mattox, MD, DMD

Meds

April 30, 2025

“Will I be asleep or awake during my procedure?” This is the first question many patients ask before oral surgery. It reveals a common misconception: That anesthesia works like a light switch.

It doesn’t.

Anesthesia exists on a spectrum with multiple options that can be tailored to your specific needs, procedure type, and anxiety level.

Beyond all-or-nothing

As an oral …

Ditching insurance: How direct pay models enable personalized patient care [PODCAST]

The Podcast by KevinMD

Podcast

April 29, 2025

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Family physician Jay K. Joshi discusses his article, “Why patients and doctors are ditching insurance for personalized care.” He explains that as traditional insurance becomes less accessible and covers fewer proactive and …

Are quotas a solution to physician shortages?

Jacob Murphy

Education

April 29, 2025

Taylor Walker, a 25-year-old pregnant woman, lived in a town of under 500 people in rural Nebraska. In 2019, she told NPR that after experiencing pregnancy pains, she endured a four-hour round-trip journey to see her physician only to discover her regular doctor was unavailable. In the end, she was forced to repeat this arduous trek multiple times just to receive necessary care. For Taylor and countless Americans, this …

Internal Medicine 2025: inspiration at the annual meeting

American College of Physicians

Physician

April 29, 2025

“So wonderful to see you!”

This phrase was heard repeatedly all over the convention hall at the recent American College of Physicians annual meeting, Internal Medicine 2025. Held in New Orleans last April, the meeting welcomed attendees …

A surgeon’s late-night crisis reveals the cost confusion in health care

Christine Ward, MD

Policy

April 29, 2025

During Trump’s first address to Congress, he continued to promise economic reform. In the wake of the administration’s brazen attempts to cut costs, we have watched in awe as combat veterans are fired from the VA, lifelong civil servants are left jobless, all while hearing the continuous insistence that the government must become more “efficient,” even in the face of Read more…

A surgeon’s late-night crisis reveals the cost confusion in health care