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From punitive measures to radical compassion for late charting

Physician

July 11, 2024

A few years into my faculty career, my division chief met with me to discuss late charts. “Britt, charts,” she said. “You just have to make it happen.” I don’t remember much about the specifics of what was said in that meeting, but I know exactly how I felt: a flood of shame overlying simmering anger. This someone that I respected, someone who had carved a way for the department …

Avoid these common mistakes in your first doctor employment contract [PODCAST]

The Podcast by KevinMD

Podcast

July 10, 2024

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Join us for an insightful episode as we navigate the complexities of negotiating your first employment contract as a doctor. Our guest, attorney Ethan A. Nkana, shares invaluable advice on avoiding common mistakes, …

Why my 5-year-old is helping with my PhD thesis

Qiuyu Julia Chen

Conditions

July 10, 2024

My five-year-old daughter is helping me with my PhD thesis. I wish she didn’t have to.

No, she’s not a prodigy (even if she is very clever!), and I’m not that desperate for assistance. She just happens to be a subject matter expert.

My thesis in human nutrition is on food marketing to kids and every time we go to a grocery store together, I see that marketing at work. She is …

Surviving medical residency: the untold story of resilience and hope

Dr. Damane Zehra

Physician

July 10, 2024

Working as a resident in medicine can be tiring. You are expected to study, pass exams, take care of your patients without making any mistakes, keep your seniors happy, have friendly ties with your co-workers, work extremely long hours, and avoid conflict at all times. No one will ever think of your well-being or happiness. You’ll be blamed and criticized even when your work is exceptional. You have to deal …

Balancing diabetes and mental health: the medication challenge [PODCAST]

The Podcast by KevinMD

Podcast

July 9, 2024

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We sit down with Jennifer Jonsson, a patient advocate, to explore the complex world of medication interactions and their impact on mental health. Jennifer shares her personal journey of managing ADHD, bipolar disorder, …

To anesthetize, or not to anesthetize: a pervasive dilemma of the GLP-1 era

Deepak Gupta, MD

Meds

July 9, 2024

Since the United States Food and Drug Administration approved exenatide in 2005, it took decades for the American Society of Anesthesiologists (ASA) to identify and address perioperative safety concerns, if any, among patients using glucagon-like peptide-1 receptor agonists (GLP-1 RAs) such as exenatide. This delay could be due to several factors: GLP-1 RAs were initially used only for managing diabetes and later for obesity, and now potentially for a wide …

A group of 4 successful surgeons negotiate better contracts: a case study

Contract Diagnostics

Finance

July 9, 2024

How can a group of dedicated general surgeons transform their compensation and work conditions in six months? Here’s their story.

The group’s story: facts and dynamics

Four general surgeons, one NP, and one PA for a specific physician have been practicing at a small community hospital with three ancillary facilities in the Northeast for many years. The group and staffing have been dependable, without turnover, for the past three years. Three physicians …

Mastering patient inquiries: Streamline your practice communication

Rushi Nagalla and Sandhya V. Koppula, MD

Physician

July 9, 2024

Better three hours too soon than a minute too late.”
-William Shakespeare

“Oh, I forgot to ask my doctor something” is a line as old as time itself. This happens within 0.6 seconds of starting the ride back home. So you then decide to call the office. Then you’re probably greeted with a “listen carefully to our menu options.” It’ll be a long day before you get a hold of anyone. Even …

Key strategies for private medical practices [PODCAST]

The Podcast by KevinMD

Podcast

July 8, 2024

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

We dive into the challenges and strategies for private medical practices to thrive, featuring our guest, pediatrician Nneka Unachukwu. We discuss the importance of adopting an entrepreneurial mindset, effective business practices, and the …

Transform relationships: Embrace real interactions over digital distractions

Richard A. Lawhern, PhD

Conditions

July 8, 2024

As a health care writer and subject matter expert in public health policy for the treatment of chronic pain and opioid addiction, I spend a lot of time online reading or writing. Nearing the age of 80, I have time for such occupations. In that context, I recently ran into a quite profound quotation on Facebook:

I lived when simply waiting was a large part of ordinary life: when we waited, …

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Transform relationships: Embrace real interactions over digital distractions

Where did the physician to physician courtesy go?

Maria Ramirez Hubbard, MD

Physician

July 8, 2024

In recent years, the medical landscape has seen significant changes, not all of them favorable. One of the most noticeable shifts is the increasing reliance on physician extenders—such as nurse practitioners (NPs) and physician assistants (PAs)—to handle a substantial portion of patient care. While this model works well for a broad segment of the population, it doesn’t suit everyone’s needs. As a physician myself, I understand the importance of efficient …

Can local health care survive in a world of mega-corporations? [PODCAST]

The Podcast by KevinMD

Podcast

July 7, 2024

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

We delve into the evolution of health care with our guest, Brian R. Jackson, a pathologist. Once a local industry where doctors and hospitals were deeply integrated into their communities, health care has …

President Biden’s debate performance: episode or condition?

Arthur Lazarus, MD, MBA

Conditions

July 7, 2024

Former House Speaker Nancy Pelosi, D-Calif., said that it is valid for people to ask whether Joe Biden’s June 27, 2024 debate performance against Donald Trump, which was weak at best and incoherent at worst, was just “an episode” or part of a “condition.”

“I think it’s a legitimate question to say, is this an episode, or is this a condition,” Pelosi remarked less than a week after the debate.

“It was …

The ethical dilemma of accessible parking permits

Francisco M. Torres, MD

Physician

July 7, 2024

As a pain management physician, I often receive requests to authorize or renew patients’ accessible parking permits. These usually are routine, but not always. One morning, a patient, whom I’ll refer to as Steve, came into my clinic.

Steve was mainly a healthy man in his 40s. He had had chronic pain since an accident on a construction job site several years ago. He had successfully filed for disability, with a …

Toxic energy: Confronting the carcinogenic risks of fossil fuels

Elissa Klein

Policy

July 7, 2024

The evidence is clear: Proximity to fossil fuel infrastructure poses a significant cancer risk to millions of Americans. Studies consistently link exposure to pollutants like benzene, polycyclic aromatic hydrocarbons (PAHs), and particulate matter from fossil fuel facilities to elevated rates of lung cancer, leukemia, and other malignancies.

Alarmingly, 17.6 million Americans live in close proximity to active oil and gas wells, transportation pipelines, and processing facilities, …

Uncovering hidden challenges: Women in medicine [PODCAST]

The Podcast by KevinMD

Podcast

July 6, 2024

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Join Hala Sabry, an emergency physician and the founder of the Physician Moms Group. We will dive deep into the multifaceted challenges faced by women in medicine beyond the often-discussed issues of childcare …

Can AI truly improve hospital staffing?

Maria Iliakova, MD

Tech

July 6, 2024

By now, you have probably heard of AI and tools like ChatGPT. But you still may be wondering how these tools apply to your clinical practice.

Let me share an experience I recently had that completely changed how I think about AI (artificial intelligence) in health care.

In one of the MBA classes I am taking at NYU, we write code to help analyze large datasets. …

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Can AI truly improve hospital staffing?

The hidden truths in medicine: What doctors may not always disclose

Shakeel Ahmed, MD

Physician

July 6, 2024

“The art of medicine consists in amusing the patient while nature cures the disease.”
– Voltaire

The medical profession is rooted in trust and transparency, but there are certain realities that doctors may not readily disclose to their patients. Recognizing these truths can empower patients to make more informed decisions about their health and well-being.

Doctors are highly trained and knowledgeable, yet they are not infallible. They may not always identify the exact …

Photography made me a better doctor [PODCAST]

The Podcast by KevinMD

Podcast

July 5, 2024

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

Join us for an insightful discussion with Moksha Patel, an internal medicine physician, as we explore the fascinating parallels between clinical reasoning and photography. Moksha shares how principles like focus, zoom, and flash …

Medicare’s 14-day rule is hurting cancer patients

Sean Jordan, MD

Policy

July 5, 2024

It is no secret that we are making great strides in reducing the mortality of lung cancer. From improving screening rates which have reduced the chances of dying from lung cancer due to earlier detection, increased adoption of minimally invasive surgical techniques, and exciting new drugs that have been shown to improve survival even in metastatic disease, there is reason to be hopeful in what has usually been a devastating …

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