Physician burnout solutions should be focused on subtraction not addition
I am naturally a problem solver, and I share this characteristic with most of my fellow physicians. When I felt burned out at one point in my career, I was certain that a literature search would help me solve the problem by giving me answers I could use to make my burnout a thing of the past.
My research, within the academic literature and information on the web, led to some …
Finding hope in the face of cancer
“My best friend’s mother arrived at our oncology outpatient department. She had recently been diagnosed with locally advanced breast cancer and was understandably apprehensive, filled with numerous questions. I took her medical history and performed an examination. She didn’t have any relatives with cancer, so all the treatments and terminology were completely unfamiliar to her. Her medical workup was completed, and she began neoadjuvant chemotherapy, with surgery planned for a …
Medical autonomy: the untold struggles of employed doctors
Physicians caught in the tentacles of employment as a means of possibly earning higher incomes and, unfortunately, believing such a platform of medical practice is the panacea of satisfaction and reaching your medical practice expectations that permeate your retirement with regrets.
During my 14 years of clinical medical practice in various settings, including the military, HMOs, and as a hospitalist, my experiences disrupted my initial career plans and intensified my desire …
Is personalized medicine worth the cost? [PODCAST]
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In this episode, we discuss personalized medicine with guest Ketan Desai, a physician-executive. We explore how Henry Ford’s mass production method influenced the pharmaceutical industry, and how personalized medicine presents new challenges. CAR T-cell therapy is an …
Confessions of a surgical resident: trials, tribulations, and the 26-hour shift
An excerpt from Twenty-Six.
5 a.m.
“Reminder to everyone, morning round at 6, lots of new patients,” flashes a message from Puta on the residents’ WhatsApp group.
It’s dawn, and the first rays of sunlight illuminate the corner of the bedroom. I roll over, but the alarm clock on my phone keeps ringing. …
How do we reduce hypertension in Black Americans?
Nearly half of all Americans have high blood pressure, but hypertension disproportionately affects Black Americans, with 56 percent of this population affected. The disparity is especially stark for stage II hypertension, which affects 42.1 percent of Black Americans compared with 28.7 percent of white Americans. “In the United States, at any decade of life, blacks have a higher prevalence of hypertension than that of …
Are these 6 habits making you unhappy?
We all know that life has its ups and downs.
And sometimes life gets really messy — and there are days and times that really suck! (No toxic positivity here.)
But we’re all just trying our best with what we have at that moment in time. (Don’t forget to give yourself some credit!)
That being said, there are also some habits that you may be (unconsciously) doing that are making …
From overworking to self-care: a pediatric neurologist’s journey [PODCAST]
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In this episode, we welcome Maria Xiang, a pediatric neurologist, join us to share her personal journey and insights on how to remain emotionally present in the midst of life’s challenges.
Maria opens up about how she believed that virtue and self-sacrifice were her protection, leading her to overwork and overprepare without considering her own …
The unintended consequences of ERAS: Are we losing unique applicants?
Residency applicants, especially today, come from diverse backgrounds, including various careers, SESs, gap years, and geographic location. Despite an increase in applicants from diverse backgrounds, the application process may still perpetuate inequities for students and presents operational challenges for reviewing committees. Many of these intrinsic challenges to the application process have been compounded by shifting incentives inspired by changes to the Step 1 exam switching to a pass/fail format.
In light …
When AI rises: the great reversal of human privilege and its impact on society
In a broad, ironic sense, the relationship between privileged humans and the marginalized wilderness has shifted over time. As humanity evolved and overcame its previous disadvantages, people began to consider the possibility of limiting human population growth to protect the environment. However, with the rapid expansion of artificial intelligence (AI), it seems that privileged humanity may eventually become marginalized itself. This raises questions about whether AI should be restricted or …
The hidden impact of health tech: How to regain control and prioritize patient care
Usually, patients remain unaware of the demands health care technology makes on the time and attention of physicians. The patient may sense the doctor is always rushing and perhaps not spending as much time with them as they would like, but they don’t realize that the computerization of the medical office is part of the reason why.
Health care providers, for their part, may feel the reliance on computer platforms has …
Overcoming obstacles: Increasing diversity in residency programs [PODCAST]
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Why the internet can’t replace your doctor
I saw a patient recently with a new brain tumor. She came with an internet search that suggested she had five years to live. I cannot beat that predictive confidence. The best I could do was to poke holes in the assumptions that servers and algorithms had made, to question the arc of the future, and finally to tell her that the tumor was small, likely benign, with minimal effect …
Are predatory medical publishers exploiting peer review system? Here’s a solution.
With the booming economy of predatory publishing in medicine, it is time to rethink what constitutes peer review and how peers are being standardized.
Perhaps with the absence of standardization for anonymous peers, manuscripts should undergo a pre-publication trial solely by editors (judges) rather than awaiting trial by peers (juries) unless the recruitment of editors is not standardized as well.
By suggesting peer reviewers at the time of manuscript submissions, authors might …
Proud dental school patient shows off a rare gold foil filling
I treat at the dental school in my community, Louisville, Kentucky. I have been a patient there for more than 30 years, so I have had many soon-to-be licensed dentists and dental hygienists look at my teeth. I have never had a bad experience or a clunker as a student in all those years.
Students come from everywhere in America and beyond. Recently, I had one from Afghanistan, another from Syria, …
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Uncovering the hidden causes of Alzheimer’s disease [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes!
Join us on this episode as we welcome Arnold Eiser, an internal medicine physician, as he shares his insights on Alzheimer’s disease. Arnold believes that Alzheimer’s may be largely preventable, despite conventional wisdom suggesting otherwise. He argues …
Ratcheting down the hypercompetitive medical school application process
Premedical students are more stressed out and burned out than ever. It’s easy to see why: pre-med courses, medical school admissions committee expectations, and application process and cost are daunting and, in their current iteration, often harmful to students and society.
I am an emergency medicine and internal medicine physician at public and private teaching hospitals and direct and teach undergraduate courses at an affiliated university. I mentor/advise pre-med (particularly …
The crystal ball of cinema: How movies predict the future of technology
The world of cinema has always been a platform for creative minds to explore and express ideas about the future. Movies, especially those in the science fiction genre, have a unique ability to inspire innovation and predict future technologies. The intriguing portrayal of artificial intelligence (AI) and advanced technology in films often encourages researchers to transform these visions into reality. This article …
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Why an apology matters in medicine
March was Endometriosis Awareness Month, and my journey with the disease involved a medical error. The apology I received restored trust in my care, a pivotal moment I hope can occur between more patients and physicians.
Medical error disclosure to patients, where a medical professional reports and explains a medical mistake to a patient, is encouraged by the Joint Commission …
Past Week
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What’s driving medical students away from primary care?
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A faster path to becoming a doctor is possible—here’s how
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Why no medical malpractice firm responded to my scientific protocol
-
A world without antidepressants: What could possibly go wrong?
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Reimagining diabetes care with nutrition, not prescriptions
-
Bridging the digital divide: Addressing health inequities through home-based AI solutions
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Past 6 Months
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Internal Medicine 2025: inspiration at the annual meeting
-
The silent crisis hurting pain patients and their doctors
-
What’s driving medical students away from primary care?
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What happened to real care in health care?
-
Are quotas a solution to physician shortages?
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How to build a culture where physicians feel valued [PODCAST]
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Recent Posts
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Reimagining diabetes care with nutrition, not prescriptions
-
Why funding cuts to academic medical centers impact all of us [PODCAST]
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What’s driving medical students away from primary care?
-
When rock bottom is a turning point: Why the turmoil at HHS may be a blessing in disguise
-
How grief transformed a psychiatrist’s approach to patient care
-
A speech pathologist’s key to better, safer patient care
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Past Week
-
What’s driving medical students away from primary care?
-
A faster path to becoming a doctor is possible—here’s how
-
Why no medical malpractice firm responded to my scientific protocol
-
A world without antidepressants: What could possibly go wrong?
-
Reimagining diabetes care with nutrition, not prescriptions
-
Bridging the digital divide: Addressing health inequities through home-based AI solutions
-
Past 6 Months
-
Internal Medicine 2025: inspiration at the annual meeting
-
The silent crisis hurting pain patients and their doctors
-
What’s driving medical students away from primary care?
-
What happened to real care in health care?
-
Are quotas a solution to physician shortages?
-
How to build a culture where physicians feel valued [PODCAST]
-
Recent Posts
-
Reimagining diabetes care with nutrition, not prescriptions
-
Why funding cuts to academic medical centers impact all of us [PODCAST]
-
What’s driving medical students away from primary care?
-
When rock bottom is a turning point: Why the turmoil at HHS may be a blessing in disguise
-
How grief transformed a psychiatrist’s approach to patient care
-
A speech pathologist’s key to better, safer patient care
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