From patient-centered care to paperwork-centered practice: the decline of primary care
A lot has been written about physician burnout, often it is attributed to the administrative burden, with some estimates that U.S. physicians spend an average of 1.84 hours a day completing documentation outside work hours. I’ve felt for some time that the administrative burden in primary care is increasing, but not due to the commonly cited endless EHR clicks or the burden of insurance companies’ forms and prior authorizations. It’s …
Equalizing the future of medical residencies: standardizing work hours and wages
In the United States, work hours are traditionally recorded on a weekly basis, and salaries are paid every two weeks. However, full-time employees (FTEs) work for a full year and receive a W-2 annually. FTEs are usually hired based on an annual wage divided into 26 bi-weekly paychecks. Tracking weekly work hours can lead to inconsistencies in time recording, so it might be better for both employers and FTEs to …
Uncovering the overwhelming impact of the advanced maternal age patient on nursing
Imagine you have a busy full-time job. You get married at age 31. You and your new partner travel to Italy, Ireland, and Hawaii before settling with the kids. You both make pretty good money, so you buy a house. Of course, it needs furniture. And you have to have the new I-phone that just came out. You’re finally ready to get pregnant, but after two years, it hasn’t happened. …
Celebrate Banana Cream Pie Day with your friendly hospitalist
I am smart, I swear.
I graduated near the top of my class in medical school, I swear.
I kicked butt on the Step exams, I swear.
But ask me to manage someone’s diabetes or hypertension; No, thank you!
Thank God for hospitalists, a set of remarkable physicians that allow me to do my job effectively. Without them, I would be lost. Would you really want me, an orthopedic surgeon, to manage complex medical …
A human’s a human, no matter how small
Theodore Geisel, known by his pen name Dr. Seuss, wrote hundreds of children’s stories that continue to shape young children’s development to this day. Dr. Seuss was a lifelong Democrat and favored many of FDR’s New Deal policies. However, an NPR article notes his widow mentioned that she did not like it when his characters were used to push particular political points of view. The book …
TikTok takeover: How social media consumed my life [PODCAST]
The vital importance of climate change education in medical schools
I may have less direct patient interaction as a radiologist than in other medical specialties. Still, I have a unique vantage point from which to observe the overall picture of the hospital. I see the prevalence of diseases affecting our patients and their demographics. While working at a children’s hospital in the Pacific Northwest, I have repeatedly witnessed the devastating effects of wildfires over the past few summers, interpreting and …
Retiring from medicine: the good, the bad, and the ugly
I retired as a physician at age 70, when COVID-19 came to town and the clinic I was working closed. During these past three years, I have had the luxury of a long view of my career. Every now and then, I feel the urge to pick up my stethoscope again and return to the practice of medicine. I’m tempted by the several good aspects of being a doctor.
The good
The conversations …
The unpredictable wave: a physician’s journey through seizures
The first seizure I remember was like a wave in the ocean. Over my head, sudden dizziness, ready to go over the crest, then down into the dark. The dark was just not there. Or anywhere. Coming up was like being thrown out into the flotsam and jetsam, not knowing which way was up—seeing but not. A slow coming to the shore, a slow return. I knew I was there, …
Size-inclusive medicine: a response to AAP’s guidelines for the treatment of children and adolescents with obesity
We are a grassroots advocacy organization of medical students across the country, focused on making health care more equitable for patients in larger bodies. We join the physicians, eating disorder professionals, and community members who raise concerns regarding the AAP’s most recent clinical guidelines, “Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity.”
The new AAP guidelines are based on science that grossly misrepresents the …
Addressing disparities in gynecological care for women with physical disabilities
I recently read a story in which a woman named H. Lee, who has muscular dystrophy, details a decade-long struggle to receive adequate cervical cancer screening. Providers have been unable to find her cervix due to the curvature of her spine, examined her in her wheelchair because there were no height-adjustable examination tables, and outright turned her away for “liability reasons.”
By the time she finds an accessible provider, she …
Reducing burnout and improving patient care with ambient clinical intelligence
This article is sponsored by the Nuance® Dragon® Ambient eXperience, an AI-powered, voice-enabled ambient clinical intelligence (ACI) solution that automatically documents patient encounters at the point of care.
Nuance Communications, Inc., now part of Microsoft, is a technology pioneer with market …
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From suffering to healing: the role of trauma in chronic pain
“Trauma is perhaps the most avoided, ignored, belittled, denied, misunderstood and untreated cause of human suffering.”
– Peter Levine, PhD, Developer of Somatic Experiencing Therapy
One frequent cause of treatment-resistant chronic pain is unresolved trauma, yet few health care providers and patients are aware of the connection, and, as a result, it is rarely addressed. This leads to considerable unnecessary suffering and misguided attempts at pain treatment that often do more harm …
Good doctors vs. bad hospitals: the battle for patient care
The public and the politicians may be missing the boat when they do not question the role of hospitals in the present health care debate. The hospitals have hung themselves out to be the “good guys” who hire and keep good doctors and promote the practice of good medicine. They portray themselves as the pillars of communities.
But in 1999, the Institute of Medicine reported that 98,000 deaths occurred in hospitals …
The physician-patient connection: Ensuring mutual understanding
Do patients truly understand?
The question is not meant to be rhetorical. I have many conversations throughout the day with patients across all socioeconomic backgrounds and with varying levels of education.
The discussions include details surrounding their disease-specific particulars, treatment options, and surgical protocols. Patients digest my thoughts and then respond with specific questions of their own. They ask for instructions as well as the nuances of the healing process.
I confess that …
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Educating health care professionals on effective communication in rare disease diagnoses is crucial to improving the rare disease patient narrative
For over 14 years, the last day of February, a month known for its rare number of days, has been recognized by organizations across the globe as Rare Disease Day. With over 300 million patients worldwide impacted by 7,000+ rare diseases, the day serves as an international campaign to raise awareness around rare diseases and advocate for improved care for rare disease patients.
An often overlooked aspect of the rare …
Why human touch matters in health care: the limitations of AI
Artificial intelligence (AI) can transform many industries, including health care. AI can improve the accuracy and efficacy of medical diagnoses and treatments due to its ability to analyze vast amounts of data and make predictions. However, there are many reasons why AI cannot replace human clinicians. Despite its impressive capabilities, AI still lacks critical qualities essential for providing quality medical care. This article will explore ten reasons AI cannot replace …
Navigating the ethical minefield of assisted suicide [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes!
Join us as we delve into the controversial topic of assisted suicide with our guest, Nicholas S. Tito, a medical student. This thought-provoking episode will explore the Western world’s growing support for legally assisted euthanasia and the …
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The power of personal stories in vaccination awareness
“How was your Thanksgiving?”
This may seem like an odd question to ask at the end of January, but I had not seen Ahmed (not real name) and his mother since his last infant well visit in late October. This family moved to central Ohio about two years ago, escaping the ravages of living in a country that has seen a civil war for the better of 20 years. Ahmed’s mom …
Past Week
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How smartphones are stealing your focus—and what you can do about it
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Overcoming the curse of knowledge: Why doctors need to translate medicine [PODCAST]
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The heartbreaking pandemic story I will never forget
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How Earth Day can inspire better health for doctors and patients
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Why female physicians are done asking for permission
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Spreading hope one card at a time for doctors’ well-being [PODCAST]
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Past 6 Months
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How trade wars could destroy the U.S. health care system
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How hospitals are quietly taking control of physicians
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The silent crisis hurting pain patients and their doctors
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How the system hunts physicians who refuse to kneel
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Doctors don’t need yoga, they need time to smoke
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What happened to real care in health care?
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Recent Posts
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Overcoming the curse of knowledge: Why doctors need to translate medicine [PODCAST]
-
Signing bonuses and taxes: What physicians should know
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Learning to trust your body again: Healing the hidden wounds of medical training
-
Love, empathy, and the triangle of exhaustion: Why humanity must come first
-
How smartphones are stealing your focus—and what you can do about it
-
Practical advice for physicians seeking joy and well-being [PODCAST]
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Past Week
-
How smartphones are stealing your focus—and what you can do about it
-
Overcoming the curse of knowledge: Why doctors need to translate medicine [PODCAST]
-
The heartbreaking pandemic story I will never forget
-
How Earth Day can inspire better health for doctors and patients
-
Why female physicians are done asking for permission
-
Spreading hope one card at a time for doctors’ well-being [PODCAST]
-
Past 6 Months
-
How trade wars could destroy the U.S. health care system
-
How hospitals are quietly taking control of physicians
-
The silent crisis hurting pain patients and their doctors
-
How the system hunts physicians who refuse to kneel
-
Doctors don’t need yoga, they need time to smoke
-
What happened to real care in health care?
-
Recent Posts
-
Overcoming the curse of knowledge: Why doctors need to translate medicine [PODCAST]
-
Signing bonuses and taxes: What physicians should know
-
Learning to trust your body again: Healing the hidden wounds of medical training
-
Love, empathy, and the triangle of exhaustion: Why humanity must come first
-
How smartphones are stealing your focus—and what you can do about it
-
Practical advice for physicians seeking joy and well-being [PODCAST]
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