In my work with thousands of overstressed physicians and over 175 health care organizations, I have repeatedly learned one lesson: resilience training alone is not sufficient to rein in the epidemic of physician burnout.
If you believe, as I do, that physicians are the canary in the coal mine of medicine, then it is clear the epidemic of physician burnout is an indictment of the conditions of the mine, not the …
Are you tired of spending hours deciphering your colleagues’ EMR notes or struggling to understand your own? Excessive details in documentation can lead to confusion and decreased productivity. Leonardo da Vinci once said, “Simplicity is the ultimate sophistication.” It’s time to declutter your documentation and unlock the benefits of clear, structured clinical notes.
Why you should write clearer notes
Bloated notes clutter up space on your screen and in your thought process, …
Oncology is a kind of specialty in medicine that involves seeing the same patients for many years. This can be beneficial when your patient is cured in cases of limited-stage disease or if the disease is stable on treatment for a long period of time in cases of advanced disease. In both scenarios, you follow the patient closely regularly and form a strong bond with them, even if you don’t …
An excerpt from The Sea Glass Epidemic.
… It was at this time the mouse asked Beth if he could bring over some friends. Naturally, Beth assumed the mouse was talking about other mice. Much to her surprise, the mouse ran into the kitchen, walked under the doorway into the laundry room, and disappeared behind the water heater.
“Be right back,” he called over his shoulder. A few minutes later, the …
I have a cat.
That’s my go-to answer when people ask me if I have children. It’s just easier than saying my refusal to take FDA-approved medications for severe obsessive-compulsive disorder (OCD) stole a decade of what could have been normal life from me.
Studies show it takes an average of 17 years for patients with OCD to receive adequate therapy. Thankfully, in the past ten years, this duration is starting …
Clueless at the time, when I applied to medical school, I imagined myself one day making house calls, good ol’ Doc Schwab, paid in chickens and pies, smiles, and blackberry jam. There I’d be, delivering babies on kitchen tables, patching up Old Lady Jones’s leg on the sofa, shaking out thermometers, and feeling foreheads. One of my roommates in med school was the son of such a doctor, although instead …
Just like distracted driving, there can be a term called distracted detecting; however, when one delves further, one realizes that distracted driving itself is one form of distracted detecting. Distracted detecting can be understood through the prey-predator analogy within the animal kingdom, with particular relevance during vulnerable adolescence. This concept is detailed in books co-authored by Barbara Natterson-Horowitz and Kathryn Bowers, titled Zoobiquity: The Astonishing Connection Between Human and …
I read an array of medical literature, both technical and public. But despite my education, experience, and reasonable intelligence, I find myself bewildered by the overwhelming deluge of information and recommendations: frequently contradictory, at times inaccurate, and often meaningless, that presently inundates individuals. If I can be befuddled, what about the average person with a high school diploma or a bachelor’s degree and little medical experience?
Perhaps there is so much …
“I broke our only promise,” swelling with guilt, Sarah wept as she stumbled out of the front door. Two years ago, her father asked her to never leave him in a nursing home. They pinky promised.
But how could anyone have predicted what would follow in the upcoming years? His dementia progressively worsened, complicated by falls every three months. Despite balancing his growing needs while also providing for her family, there …
Drug use has a complicated history in the Western World. Not quite two hundred years ago, starting in the Fall of 1839, Britain attacked the nation of China for having the audacity to ban an addictive substance, opium, that the British were selling to the Chinese people. Opiate addiction was rampant in China at the time, and the emperor had issued a prohibition on the drug. Britain destroyed much …
“Ms. Lupo is a 39-year-old female presenting to the ED with a chief complaint of unilateral dead arm.” So read a hypothetical patient scenario during my class one day. As a team of first-year medical students, our job was to review the patient’s case, including history of present illness, past medical history, family history, and symptoms, to diagnose and formulate a care plan to treat Ms. Lupo’s arm. Within seconds, …
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As physicians, many of us were drawn to the medical field by a profound desire to serve humanity and alleviate suffering. We hear buzzwords in corporate work about values-led teams, but in the house of medicine, we have always been led by a strong sense of values. This calling propelled us through the rigorous demands of medical training—endless hours of study, countless lectures, sleepless nights, and missed personal milestones. We …
In my research on the case selection criteria used by plaintiff medical malpractice attorneys, one very prominent plaintiff attorney in Maryland spills the beans. He proudly proclaims, “We, who are plaintiff attorneys, take on medical malpractice caused by doctors, but we only accept 1 out of every 37.5 cases we review.” This is done unselfishly and without appreciation.
Seen another way, 87,000 medical malpractice cases are filed every year in the …
Over thirty years as a physician, I have proudly and intentionally developed my subspecialty in pain management. As an interventional physiatrist, it is my chosen calling to improve the quality of life of people in pain and help them get moving again. I’ve had the privilege of overseeing many remarkable recoveries, including those by patients who had little hope when they first came to my office. Though this has been …
There are few things more satisfying than seeing young people and older adults interacting with each other and building an effortless sense of community and belonging. Robust communities include all ages. But such spaces need help to develop and thrive.
Global Intergenerational Week, a celebration of the power of bringing together younger and older people for the benefit of all, has completed its third year. Started in Scotland, this positive initiative …
I suffered through burnout twice in my career. Each episode was similar in that feelings of fatigue, exhaustion, and emotional overwhelm were predominant. Each time I felt like a failure as a mother and a physician. However, each episode of burnout differed by involving different triggers and calling into focus different aspects of my work-life imbalance.
For each episode of burnout, I was able to employ some particular methods to recover. …
When Luther Vandross released Dance with My Father in May 2003, he was hospitalized, recovering from a stroke. Despite his condition and minimal promotion, the song quickly became one of the most requested tracks of the time. Its profound emotional impact resonated widely, earning Vandross accolades for Song of the Year and Best Male R&B Vocal Performance at the 2004 Grammy Awards.
Vandross was just eight years old when his father …
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