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EMRs and insurance: a pediatrician’s success story

Physician

April 10, 2024

I am a pediatrician who trained in a residency program that taught us insurance companies were evil entities intent on profits over patient care. As ICD codes and CPT codes expanded, my colleagues complained that these were ways insurers could deny care and keep them from making a living. When electronic medical records (EMR) entered the scene, many doctors complained again about the tyranny of spending all their time typing …

Suspicions of medical child abuse delayed my child’s cancer diagnosis

Holly Cantley

Conditions

April 10, 2024

It was November 2014. I was leaving the parking structure of my local children’s hospital when I realized, “They don’t believe us.”

I didn’t know it at the time, but it would take seven more months to find the cause of my eight-year-old daughter’s unremitting abdominal pain. An ultrasound ultimately revealed a malignant mass on the adrenal gland. Ultrasound is a rudimentary imaging technique, so why did it take …

Cadaver heads, Botox, and an ophthalmologist turned comedian [PODCAST]

The Podcast by KevinMD

Podcast

April 9, 2024

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

Join ophthalmologist Jade Wong as she shares her firsthand experience of attending a Botox training session that took an unexpected turn when cadaver heads became the teaching tools. Discover the initial shock and …

The overlooked impact of childbirth: hidden pelvic floor damage

Sarah Boyles, MD, MPH

Conditions

April 9, 2024

Most women, about 60 percent of us, have a biological child. And while the birth of a child is often eagerly anticipated at the end of pregnancy, there are common concerns about the impact and process of delivery. Women worry about all kinds of things. We worry about poor pain control, long labor, deviating from a carefully crafted birth plan, vaginal tearing, and pooping on the floor. Obstetricians have …

A specialist’s journey in health care advocacy

Kara Wada, MD

Physician

April 9, 2024

As an allergy, immunology, and autoimmune disease specialist, I frequently see patients whose stories are a harsh indictment of our medical system. They’ve been dismissed, misdiagnosed, and forced to navigate a maze designed for quick fixes, not the complexities they endure. These unseen patients fight multi-system illnesses that defy textbooks. Their journeys highlight just how broken our approach to chronic disease truly is.

Playing “medical hot potato,” they bounce between specialists …

Bridging communication gaps in residency training

Anonymous

Physician

April 9, 2024

Older physicians often bemoan what’s perceived as a decline in professionalism during residency training. Caps on the number of inpatients assigned to an intern or resident. Duty hour limits. Wellness retreats. While these may be imperfect, they’re at least aligned with or heading in the direction of what is the right way to balance the rigors of a lifetime of training in and practicing medicine with the safety, quality, and …

Integrated coaching in physician residency training [PODCAST]

The Podcast by KevinMD

Podcast

April 8, 2024

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We sit down with psychiatrist Lind Grant-Oyeye to explore the transformative power of integrated coaching in physician residency training. We delve into the nuances of integrated coaching, its structured approach to continuous growth, …

The role of AI in medical education: Embrace it or fear it?

Amelia Mercado and J. Wesley Boyd, MD, PhD

Tech

April 8, 2024

Artificial intelligence is upon us and likely will forever change the way we interact with learning and education. Despite this reality, educational institutions seem to fall into either of two camps. One camp seems loath to acknowledge that AI exists. A faculty member who helps with curriculum development at one medical school recently shared, “We don’t know what to do about AI. Do we act like it’s not there, or …

Empowering patients: Navigating medical information with AI

Robert Pearl, MD

Tech

April 8, 2024

An excerpt from ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.

Imagine a ship at sea, its engine idle. The boat drifts dangerously close to the shoals, a mere hundred yards from land. The captain, fearing the worst, radios for help. The lighthouse watchman responds, sending an experienced mechanic named Charlie to the rescue.

With a single precise hit of his hammer, Charlie gets the …

Plaintiff attorneys and their contingency fees: causes of chaos in medical malpractice litigation

Howard Smith, MD

Physician

April 8, 2024

In the English Rule, the losing party in a lawsuit pays all legal costs. It is accepted worldwide; however, in the United States, it was replaced by the American Rule. In the American Rule, both the plaintiff and defendant in a lawsuit pay their own legal costs. Of course, there are exceptions.

In theory, the American Rule encourages meritorious lawsuits and discourages frivolous and even malicious ones. It is noteworthy that, …

Dream jobs and dream contracts: restrictive covenant nightmares

Shakeel Ahmed, MD

Physician

April 8, 2024

“The limits of tyrants are prescribed by the endurance of those whom they oppress.”
— Frederick Douglass

For doctors beginning their postgraduate professional lives, there are several options. One is the proverbial “hanging up the shingle,” a folk saying meaning going out on one’s own. The advantage is that this doctor is his/her own boss, can run the practice any way desired, and reap all the profits; the downside is such a …

Responsibility, burnout, and self-care [PODCAST]

The Podcast by KevinMD

Podcast

April 7, 2024

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We welcome Mary Braun, an internal medicine physician. Mary shares her insights on how perceptions of responsibility for patient outcomes have evolved throughout her career, particularly in light of systemic challenges like the …

Why South Korean resident physicians are quitting

Joo-Young Lee, MD and Jinwook Park, MD

Education

April 7, 2024

In February 2024, the resident physicians in South Korea resigned in waves. This was not a strike; striking seemed meaningless, and the residents went right on quitting. This occurred after the Korean government promulgated health care reform plans to tackle major problems brewing under the nation’s universal health insurance system. One of the plans–to increase the medical school quota across the nation by 66 percent …

Navigating the tides: Finding balance in the unyielding world of medicine

Harvey Castro, MD, MBA

Physician

April 7, 2024

In the relentless pursuit of saving lives and advancing health care, medical professionals often find themselves on the frontline, where the high stakes of their profession can blur the lines between personal well-being and professional obligations. The noble calling to medicine is, without doubt, a source of immense fulfillment and pride. Yet, this very dedication can sometimes push us towards an imbalance, impacting not just our well-being but also the …

Ode to the gap year(s) before medical school

Ilaria Simeone

Education

April 7, 2024

Taking gap year(s) before medical school does not mean that you have failed or that you are “lesser than” as a student. These are the words I needed to hear as a resolute pre-med student who used to proudly proclaim that I was “going straight through” to med school. It was like a badge of honor—why do anything that would delay my path to becoming a physician?

The pre-med years …

A young surgeon’s night: from calm to chaos

Carol Scott-Conner, MD, PhD

Physician

April 7, 2024

When you are a young academic general surgeon, even the nights are sometimes good. A good on-call night unfolds something like this. You might have spent the day working in the operating room or in the clinic seeing patients. Your on-call typically begins at 5 p.m., although occasionally, a colleague may ask to sign out early. This call period will not end until 7 or 8 a.m. the next morning, …

Finances in dual-doctor households [PODCAST]

The Podcast by KevinMD

Podcast

April 6, 2024

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

Join us for an insightful discussion on managing finances in dual high-income earner households, featuring Shane Tenny, a financial planner. In this episode, we delve into the unique challenges faced by couples in …

Confronting colon cancer: a daughter’s regretful journey

Debbie Moore-Black, RN

Conditions

April 6, 2024

My mother. 63 years old. Colon cancer.

She first noticed rectal bleeding. She made excuses. Maybe it’s hemorrhoids.

She put her physician on a pedestal. He said, “You’re too young to die,” and there was no need for further tests.

Her daughters, both RNs (one an ICU nurse, the other an anesthetist), pleaded with her to get a colonoscopy. She refused. We pleaded with her getting a second opinion. She refused. Her once-plump …

The abuser’s playbook: the weaponization of mental health

Chloe N. L. Lee, MD, MPH

Conditions

April 6, 2024

I almost didn’t write this piece. Almost.

I feared it might be seen as provocative like I was asking for trouble. But that is exactly the attitude that has silenced victims of harassment and stalking for too long.

The short version of the story is that an unwanted presence continues to plague my life, bringing only turmoil and vitriolic spite with every intrusion. In his eyes, our “dynamic” was “volatile” …

The curse of the excellent doctor

Dr. Damane Zehra

Physician

April 6, 2024

The reward for good work is always more work. The employer becomes dependent on the quality of work that you do because he knows that you, as a person, are a workaholic and perfectionist. You put your heart and soul into everything you do. No other employers can do the kind of work that you do. But don’t ever think that you would be appreciated for your hard work. You …

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The curse of the excellent doctor

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