How do I get accepted to medical school? This is the question at the forefront of every premedical student’s mind. As the competitiveness of each medical school application cycle increases and it feels like all those applying have cured cancer, dedicated their entire lives to some amazing community service effort, achieved a perfect MCAT score, and found time to invent a time machine, the importance of good writing and weaving …
A recent Time magazine article, “Women Live Longer Than Men—But Not in Medicine,” confirmed what many of us have long felt in our bones: Being a woman in medicine comes at a cost.
A staggering one.
Women physicians are dying younger than male physicians. Younger than women in the general population.
And that’s just what the mortality data shows.
The morbidity—the chronic health issues, the …
The electronic health record (EHR) has solved the illegibility issue of handwritten notes, but the downside and unintended consequences have been of equal or greater importance. The cult of the EHR “copy and paste” (CP) club in hospital care makes defending a Medicare billing audit a daunting task should a physician be required to justify their level of professional billing codes. The much more important issue, however, is that patient …
Imagine this: Two attending surgeons undertake a surgical procedure on a patient. The surgical residents have draped the patient; the surgical tech and the circulating nurse are ready to begin the operation. The surgical attendings enter the OR, scrub in, and move to the next order of business: “How are we going to bill for this procedure?”
Often, there is an unspoken—and spoken—consensus that the medical field is a lucrative one. …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Internal medicine physician Corinne Rao discusses the article, “The Faustian bargain of modern medicine.” In this episode, Corinne explores the modern health care system’s trade-offs, comparing the traditional independence of private practice …
Throughout my residency, I’ve had the opportunity to perform autopsies on many different people from different walks of life. One case in particular stood out to me. The decedent was not in the greatest state of health at the time of death and subsequent postmortem examination. After I removed his heart from the pericardial sac and began dissecting each coronary artery in sequential tangential sections back to their origins on …
The song from the Broadway musical Hamilton, “(Yorktown) The World Turned Upside Down,” is stuck in my head. Indeed, these are no ordinary times. We have a measles outbreak in the U.S. that has resulted in numerous …
My wife once told me, “It was like everyone was your friend.” And she may be right. I connect well with others and take an honest interest in them. In practice, I always ask where they are from. I find that a great opener, and even Alzheimer’s patients and the elderly can often answer that one. I have done that since my paramedic days.
Don’t get me wrong, though, as I …
Health care systems worldwide are grappling with access, efficiency, and sustainability challenges. In Canada, the debate over public versus private care is especially charged, and nowhere is this more evident than in Quebec. The province has the highest number of physicians practicing outside the public system in the country—yet they still account for only 2 percent of all doctors. Instead of vilifying these professionals, policymakers should be asking: What lessons …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Board-certified pediatric endocrinologist, field medical director for type 1 diabetes immunology (T1D) at Sanofi, and T1D survivor Shara Bialo discusses the article, “Improving type 1 diabetes screening awareness among women is critical. …
Many moons ago, I worked in a forensics lab for a pair of professors who were husband and wife—a chemistry dynamic duo. I had a wonderful time in bench research, learning about different explosives and even doing site visits in Los Alamos, where many of the greatest scientific minds came together to help the U.S. win the war against the Axis powers during World War II. It was a surreal …
Data fidelity refers to the accuracy with which information—“data”—qualifies and demonstrates the characteristics of the origin—“source.” The emergence of artificial intelligence in data monitoring has necessitated an elevated level of accuracy.
We are discussing the specific topic of data fidelity and accuracy because of recent events surrounding the Department of Government Efficiency (DOGE) audits of the Social Security Administration master file, which found a significant number of presumably “deceased …
A few years ago, I visited my brother and his family while I was still in school. I had run out of cash and needed to top up before starting our end-of-semester exams. My sister-in-law, a virtuous woman well-loved in our family, invited me to join her and my brother at the wedding of one of her close friends. As we were getting ready to leave, she pulled me aside …
ADVERTISEMENT
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Neurohospitalist and clinical neurophysiologist Franklyn Rocha Cabrero discusses the article, “Missing prescription: long-term parental leave for fathers in medicine.” In this episode, Franklyn delves into the systemic and societal barriers that hinder …
The tragic and shocking murder of the UnitedHealthcare CEO has ignited a nationwide conversation about the flaws in the health care system, often accompanied by misdirected anger toward physicians. The rhetoric suggesting that physician salaries are the root of the problem oversimplifies a complex issue and distracts from systemic failures.
Physician salaries account for only about 8 percent of …
It became my go-to daily practice and changed everything.
Mondays and me: a rocky start
For years, I dreaded Mondays. They felt like a tidal wave of catch-up work after the weekend.
During fellowship, the schedule was structured so that one fellow covered the entire weekend. This setup gave the others a real break—time to rest, recover, and reconnect with family and friends. But then …
ADVERTISEMENT
Clinical trials have traditionally served as the cornerstone of medical advancements, yet the industry is now undergoing an unprecedented transformation. Innovations in artificial intelligence (AI), decentralized trial designs, and evolving regulatory frameworks are paving the way for a more efficient, accessible, and technologically advanced future. However, as we embrace these changes, an important question remains—are we fully prepared for what lies ahead?
The shift to decentralized trials
One …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Health law attorney Dennis Hursh discusses his article, “Doctors beware: How vague contracts put your job at risk,” revealing how poorly defined termination clauses in physician employment agreements leave doctors vulnerable to …
The 340B drug discount program was enacted more than 30 years ago to lower the cost of medications so providers could deliver more comprehensive services for vulnerable patients. As care delivery has evolved greatly over that time, the program has not appropriately changed to match it and is no longer effectively meeting its original intent. The program’s rapid growth and misaligned incentives have led to a muddied, complex system with …
ADVERTISEMENT
Have you ever thought about moving to Europe?
Life has bogged you down a little. Your job may get boring. Are you feeling the drag of burnout? Try something different, have a new experience, and mix things up.
But the biggest problem? You’re a physician.
Fortunately, physicians in the U.S. enjoy some of the highest salaries in the world. There is no need to worry about searching …
Get free updates delivered free to your inbox.
