KevinMD.com

November 26, 2025Nov 26, 2025

Certified financial planner Michelle Neiswender discusses her article, "Why physicians should not be their own financial planner." Michelle explains why physicians, despite being brilliant, often make costly financial mistakes when managing their own money. She argues that financial planning is…

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Certified financial planner Michelle Neiswender discusses her article, “Why physicians should not be their own financial planner.” Michelle explains why physicians, despite being brilliant, often make costly financial mistakes when managing their own money. She argues that financial planning is a complex specialty (just like medicine) and that a doctor’s …

Physician voices

The H-1B crutch in rural health care

Anonymous

November 26, 2025Nov 26, 2025

In the vast, undulating expanse of rural America (those counties where the horizon stretches like a taut bowstring, evoking the stoic endurance of Steinbeck's Joads) one might expect the pulse of health care to beat with the resilient rhythm of…

In the vast, undulating expanse of rural America (those counties where the horizon stretches like a taut bowstring, evoking the stoic endurance of Steinbeck’s Joads) one might expect the pulse of health care to beat with the resilient rhythm of native ingenuity. Yet, as a recent study in the Journal of the American Medical Association reveals, physicians sponsored under the H-1B visa program are twice as prevalent in these bucolic …

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The H-1B crutch in rural health care

Conditions and diseases

Autism prevalence surveillance: a reckoning, not a crisis

Ronald L. Lindsay, MD

November 26, 2025Nov 26, 2025

A recent Wall Street Journal graphic traces the rise in autism prevalence among eight-year-olds from 2000 to 2020. The slope is unmistakable, upward, steady, and steep. But it's not a crisis. It's a reckoning. Each inflection point on that chart…

A recent Wall Street Journal graphic traces the rise in autism prevalence among eight-year-olds from 2000 to 2020. The slope is unmistakable, upward, steady, and steep. But it’s not a crisis. It’s a reckoning.

Each inflection point on that chart marks a milestone in institutional clarity:

2000: The CDC begins formal autism surveillance.
2007: The American Academy of Pediatrics urges universal screening at

…

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Physician voices

Physician income vs. burnout: Why working harder fails

Jerina Gani, MD, MPH

November 26, 2025Nov 26, 2025

I strongly believe that working harder in medicine is making us as doctors poorer, and it's quietly harming patients too. Not because we don't care, but because rushing destroys the very thing patients need most: Time, attention, and real care.…

I strongly believe that working harder in medicine is making us as doctors poorer, and it’s quietly harming patients too. Not because we don’t care, but because rushing destroys the very thing patients need most: Time, attention, and real care.

Let me explain.

If you’re a medical doctor or another primary care clinician, you’ve probably heard this your whole career: “Work harder. Work faster. See more patients. Push more. Do more.” And …

Conditions and diseases

Our relationship with medicine: a triumph

Joseph Shaw

November 26, 2025Nov 26, 2025

Take a look in your medicine cabinet. What you see isn't a sign of weakness; it's a testament to one of the greatest partnerships in modern life: the one between your body and medical science. From the vaccine you got…

Take a look in your medicine cabinet. What you see isn’t a sign of weakness; it’s a testament to one of the greatest partnerships in modern life: the one between your body and medical science. From the vaccine you got as a kid to the pill that keeps your blood pressure in check, these interventions aren’t just treating sickness. They are part of who you are. In a world still …

The Podcast by KevinMD

Rediscovering the sacred power of the patient story [PODCAST]

American College of Physicians & The Podcast by KevinMD

November 25, 2025Nov 25, 2025

Professor and senior associate dean of engagement Janet A. Jokela discusses her article, "Celebrating internal medicine through our human connections with patients." Janet shares moving stories from medical students who are discovering the profound importance of human connection, often for…

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Professor and senior associate dean of engagement Janet A. Jokela discusses her article, “Celebrating internal medicine through our human connections with patients.” Janet shares moving stories from medical students who are discovering the profound importance of human connection, often for the first time. She explores how these early, sacred connections …

Physician voices

The human element in clinical trials

Dr. Bodhibrata Banerjee

November 25, 2025Nov 25, 2025

I have often heard people speak of numerology, weaving destinies around digits. They say that behind every event in a person's life lies the hidden hand of numbers. I do not know if such beliefs hold scientific truth. Yet, in…

I have often heard people speak of numerology, weaving destinies around digits. They say that behind every event in a person’s life lies the hidden hand of numbers. I do not know if such beliefs hold scientific truth. Yet, in medicine, numbers certainly matter. Numbers fill our trial registers, power our statistics, shape our protocols. In research, life is reduced to codes, columns, and counts.

As a medical student, the jargon …

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The human element in clinical trials

Conditions and diseases

Is direct primary care sustainable in a downturn?

Dana Y. Lujan, MBA

November 25, 2025Nov 25, 2025

Primary care innovation has always been framed around access, autonomy, burnout, and patient experience. Direct primary care (DPC) in particular is often positioned as a solution for physicians exhausted by fee-for-service complexity and for patients who want a more personal…

This article focuses on how the broader economic landscape has shifted in ways that directly affect DPC, especially in light of the rapidly evolving national discussion around …

Physician voices

The Silicon Valley primary care doctor shortage

George F. Smith, MD

November 25, 2025Nov 25, 2025

Not long ago, a friend told me, "I switched insurance and can't find a doctor who will take me." Another said, "I left Kaiser after going on Medicare and now no one will see me." These aren't isolated complaints. They've…

Not long ago, a friend told me, “I switched insurance and can’t find a doctor who will take me.” Another said, “I left Kaiser after going on Medicare and now no one will see me.” These aren’t isolated complaints. They’ve become the new reality in Silicon Valley: It’s easier to buy a multimillion-dollar home than to find a new primary care doctor.

I saw this problem firsthand before I retired from …

The Podcast by KevinMD

Transforming patient fear into understanding through clear communication [PODCAST]

The Podcast by KevinMD

November 24, 2025Nov 24, 2025

Counselor and certified coach Mary Remón and oncologist Tiffany Troso-Sandoval discuss their article, "Clear communication is kind patient care." They explore the common scenario of patients leaving the office more confused and anxious than when they arrived, overwhelmed by medical…

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Counselor and certified coach Mary Remón and oncologist Tiffany Troso-Sandoval discuss their article, “Clear communication is kind patient care.” They explore the common scenario of patients leaving the office more confused and anxious than when they arrived, overwhelmed by medical jargon and frightening online research. Mary and Tiffany address the …

Conditions and diseases

How movement improves pelvic floor function

Martina Ambardjieva, MD

November 24, 2025Nov 24, 2025

Most people exercise to improve cardiovascular fitness, metabolic health, or mood, but regular physical activity also plays a significant role in sexual and urinary function. As a urologist, I routinely see how movement influences two intimate yet essential systems: the…

When patients present with urinary leakage, erectile changes, or reduced libido, they often expect a prescription or procedure. Yet for many, measurable improvement begins …

Conditions and diseases

How immigrant physicians solved a U.S. crisis

Eram Alam, PhD

November 24, 2025Nov 24, 2025

Adapted from The Care of Foreigners: How Immigrant Physicians Changed US Healthcare. Copyright 2025. Published with permission of Johns Hopkins University Press. In the decades following the passage of the Hart-Celler Immigration and Nationality Act of 1965, the face of…

In the decades following the passage of the Hart-Celler Immigration and Nationality Act of 1965, the face of American medicine irrevocably changed. This bill expedited the rapid entry of physicians from post-colonial Asian nations into the U.S. in significant numbers. In this migratory flow, South Asian physicians, in …

Conditions and diseases

Pediatric leadership silence on FDA ADHD recall

Ronald L. Lindsay, MD

November 24, 2025Nov 24, 2025

"The FDA has issued a nationwide recall of lisdexamfetamine capsules." That sentence in Newsweek magazine should have triggered alerts, guidance, and coordinated response. Instead, the silence from pediatric leadership has been deafening. Newsweek turned to the FDA and the American…

“The FDA has issued a nationwide recall of lisdexamfetamine capsules.”

That sentence in Newsweek magazine should have triggered alerts, guidance, and coordinated response. Instead, the silence from pediatric leadership has been deafening. Newsweek turned to the FDA and the American Academy of Family Physicians. Where are the leadership of the American Academy of Pediatrics (AAP) and the Society for Developmental and Behavioral Pediatrics? Silent. Why?

The recall that should have sparked action

In …

Physician voices

How relationships predict physician burnout risk

Tomi Mitchell, MD

November 24, 2025Nov 24, 2025

We entered medicine with a shared calling (to heal, to serve, and to make a difference). Yet somewhere along the journey, between the never-ending charting, late-night calls, and invisible emotional burdens, many of us forgot how to heal ourselves. Every…

Every few months, another survey or report confirms what so many of us already sense in our bones: physicians are burning out at staggering rates. But what remains under-discussed, and perhaps even …

Conditions and diseases

The ethical conflict of the Charlie Gard case

Timothy Lesaca, MD

November 24, 2025Nov 24, 2025

Some cases linger in our memory because of the humanity at their center. The case of Charlie Gard, which unfolded in England in 2017, is one of those. It took place within the National Health Service and under a legal framework in which courts decide a child’s treatment when parents and clinicians cannot agree. Before it became a global controversy, before it drew international headlines, it began as something far …

Physician voices

Preserving your sense of self as a doctor

Camille C. Imbo, MD

November 24, 2025Nov 24, 2025

My fourth year of OB/GYN residency there was an essay contest about what it meant to be an advocate for women's health while preserving your sense of self. I sent a screenshot of the contest to my then-boyfriend, now-husband. He…

My fourth year of OB/GYN residency there was an essay contest about what it meant to be an advocate for women’s health while preserving your sense of self. I sent a screenshot of the contest to my then-boyfriend, now-husband. He replied, “You want to add something else to your to-do list?” He was joking, but he wasn’t wrong. Just a few days prior, I was hyperventilating from all the things …

The Podcast by KevinMD

Understanding the hidden weight bias that harms patient care [PODCAST]

The Podcast by KevinMD

November 23, 2025Nov 23, 2025

Registered nurse June Pomeroy discusses her article, "How physician obesity affects patient care." June explores the complex realities of weight bias within the medical field, examining how a physician's own struggle with obesity can impact patient care. She highlights the…

Listen on Apple Podcasts · Spotify

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Registered nurse June Pomeroy discusses her article, “How physician obesity affects patient care.” June explores the complex realities of weight bias within the medical field, examining how a physician’s own struggle with obesity can impact patient care. She highlights the professional stigma physicians face and the documented bias from patients, …

Conditions and diseases

The ethics of mandatory Tay-Sachs testing

Sheryl J. Nicholson, MPH, MDiv

November 23, 2025Nov 23, 2025

Introduction Tay-Sachs disease is a devastating genetic disorder that primarily affects individuals of Ashkenazi Jewish descent, though it is also found among Cajuns in Louisiana and French-Canadians. This fatal condition typically manifests within the first six months of life and…

Introduction

Tay-Sachs disease is a devastating genetic disorder that primarily affects individuals of Ashkenazi Jewish descent, though it is also found among Cajuns in Louisiana and French-Canadians. This fatal condition typically manifests within the first six months of life and leads to progressive neurological deterioration, often resulting in death by age five. As medical science advances, the question arises: Should genetic testing for Tay-Sachs be mandatory for all individuals of reproductive …

Physician voices

The geometry of communication in medicine

Patrick Hudson, MD

November 23, 2025Nov 23, 2025

For most of my training, I assumed communication was a straight line. Say the thing. The other person hears the thing. Why complicate it? Only much later, in a small seminar room at St. John’s College in Santa Fe, did a tutor named Charlie Fasanaro loosen that idea. He walked us through Euclid the way you might guide a child who is learning to see. I had no sense then …

Physician voices

Why I became a pediatrician: a doctor’s story

Jamie S. Hutton, MD

November 23, 2025Nov 23, 2025

One of the first questions you're asked when applying to medical school is: Why do you want to be a doctor? For most, the answer is some version of "I want to help people." But for me, that was never…

One of the first questions you’re asked when applying to medical school is: Why do you want to be a doctor? For most, the answer is some version of “I want to help people.” But for me, that was never the real question. It was always “Why do you want to be a pediatrician?”

I’ve known since I was very young that I wanted to work with children. I’ve always loved …

Real physician voices, twice a week

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