The shifting landscape of gastroenterology manpower and compensation

Physician
September 21, 2023

The field of gastroenterology in the United States has undergone a significant transformation over the past 5 to 10 years, driven by a confluence of historical changes in training programs, changing demographics among GI doctors due to the relatively new specialty of GI endoscopy, and a dwindling supply of gastroenterologists. These factors have culminated in a notable impact on gastroenterology physician salaries and have raised important questions about the future …

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I’m tired of being a distracted doctor

Tech
September 21, 2023

As I pull into clinic, my intention is always the same: be fully present with each patient. By the time I’m two patients in, the reality is always different.

We’ve all read the mindfulness quotes about the virtues of being “in the moment,” but somewhere after the first couple visits of the day we face a decision—to shift our attention away from patients and toward the computer screen with the aspiration …

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Diverse paths to financial freedom for doctors [PODCAST]

Podcast
September 20, 2023
YouTube video

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Join Cobin Soelberg, an anesthesiologist and financial planner. Discover the secrets to achieving financial independence as a physician, the importance of consistency in wealth-building, and the myriad paths to financial freedom. Gain valuable insights into managing your …

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AI-driven diagnostics and beyond

Tech
September 20, 2023

Years from now, the notion of simple telemedicine will seem quaint. Keep in mind that as recently as a decade ago, most physicians would have denied that telemedicine could ever play a role in the medical profession. Physicians would have argued that this would dismantle the fundamental unit of medical care – the in-person office visit.

Physicians would have rigidly maintained that they had to be face-to-face with their patients. Doctors …

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Applying the differential diagnosis method to investing

Finance
September 20, 2023

For those of us in the field of medicine, the differential diagnosis method is second nature. It involves considering a list of potential causes (differential diagnoses) for a patient’s symptoms and systematically narrowing down the possibilities through evaluation, testing, and clinical judgment. This method helps us arrive at the most likely diagnosis and, subsequently, the most appropriate treatment plan.

Now, let’s apply this concept to investing.

Symptom recognition in investing

In medicine, patients …

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Pediatricians grapple with guns in America, from Band-Aids to bullets

Policy
September 20, 2023

“My best friend was murdered while we were walking home from school.”

The once lively thirteen-year-old boy now slumped in the chair across from me, his words spilling out with newfound heaviness. As I looked at him during what was supposed to be a routine well-child check, I couldn’t shake the air of depression that suddenly choked the room. In the months that followed, I received a call from his school: …

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13.1 million missing Americans since 1980. Where’s the outrage?

Meds
September 20, 2023

Americans die younger than people living in other wealthy nations. A lot younger. That’s been the case since the early 1980s, and it’s getting worse. A lot worse. Since 1980, 13.1 million American lives have been lost relative to other wealthy nations.

Did we even see this in the news? The entire population of the Los Angeles metropolitan statistical area lost in a little over 40 years. Over 2 million were …

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Surgical procedures for inpatients: Addressing socioeconomic urgencies

Physician
September 20, 2023

Inpatients require surgical procedures, raising the question of whether these procedures should be scheduled as elective or emergent. Traditionally, surgeries were deemed emergencies solely when there were physical, psychological, or rarely, spiritual imperatives, necessitating immediate action to avert irrevocable harm to patients’ bodies, minds, and souls. Now, the debate centers on whether surgical procedures can be considered emergencies to mitigate socioeconomic risks. These risks could lead to profound and lasting …

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Balancing motherhood and medicine [PODCAST]

Podcast
September 19, 2023
YouTube video

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Join Eleanor Menzin, a pediatrician, to explore the intricate dance of motherhood and medicine. In this heartfelt discussion, we delve into her personal journey, navigating the dual roles of a working parent and health care professional. From …

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Are we doing enough to help chronic pain sufferers?

Conditions
September 19, 2023

One in five adults in the U.S. suffers from chronic pain. We see these patients every day—but do we really hear them when they confide in us about their pain?

As health care providers, no matter our discipline, we can do more to truly listen and consider the best referral pathway for pain sufferers. We should never assume they’re making it up, that it’s in their heads, or that nothing …

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Unlocking your full earning potential: a physician’s journey to a $70,000 salary boost

Finance
September 19, 2023

In the demanding world of health care, physicians often dedicate their lives to patient care and burdensome administrative work, leaving little time to navigate the intricacies of their compensation and how it has stayed the same over the years. Many physicians unknowingly leave significant sums of money on the table, uncertain about how to maximize their earnings.

A goal for all physicians should be to understand their true market value. You …

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Health care wins, losses, and lessons

Policy
September 19, 2023

Albert Einstein determined that time is relative. And when it comes to health care, five years can be both a long and a short amount of time.

In August 2018, I launched the Fixing Healthcare podcast. At the time, the medium felt like the perfect auditory companion to the books and articles I’d been writing. By bringing on world-renowned guests and engaging in difficult but meaningful discussions, I hoped the show would have …

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I’m a doctor, and I almost died during childbirth

Physician
September 19, 2023
YouTube video

There is an alarming health crisis happening in the U.S.–– Black women are dying at a disproportionate rate during pregnancy and childbirth.

According to the CDC, Black women are three times more likely to die from a pregnancy-related cause than White women. Though childbirth complications are not exclusive to Black women, these shocking statistics underscore systemic challenges and distinct issues that other racial groups may not encounter. These …

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Lessons taught by Bell’s palsy

Conditions
September 19, 2023

Recently, after a week of a viral illness that I most likely picked up from one of my patients as a pediatrician, I noticed that one side of my tongue felt as though I had dental anesthesia. During the day, this slowly progressed, but as night came, the progression rapidly intensified with my lips and eyelids on this same side now drooping. While I suspected Bell’s palsy, considering that I’m …

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Samuel Shem on 50 years of American medicine [PODCAST]

Podcast
September 18, 2023
YouTube video

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Join Samuel Shem, a renowned novelist, playwright, activist, Rhodes Scholar, and professor in medical humanities at NYU School of Medicine. We’ll dive into his latest novel, Our Hospital, which marks the culmination of The Healing Quartet, spanning …

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The role of income in medical school acceptance

Education
September 18, 2023

It was during my general surgery rotation that I had an encounter with a urologist attending while waiting for pending surgery to occur. As we made small talk about the medical field, our conversation gravitated toward the topic of medical school admissions. The attending shared their opinion on the pressing issue of diversity among medical students, specifically in terms of socioeconomic status (SES). They discussed how the lack of representation …

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Ketamine for mental health conditions: What every primary care physician needs to know

Meds
September 18, 2023

Wait times to find high-quality mental health support continue to be an issue, lagging from weeks to months in, leading to primary care physicians (PCPs) assuming a large role in addressing the pressing shortage of mental health services. Acting as the point of entry into the mental health care system, PCPs are encountering patients with complex mental health challenges who are often unable to secure appointments with specialists for …

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Maximizing care amidst provider shortages: the power of measurement-based care

Policy
September 18, 2023

Since the pandemic, the shortage of behavioral health professionals has become more dire as the need for more comprehensive mental health care has increased. As of March 2023, 160 million Americans lived in areas with mental health professional shortages. 55% of counties in the U.S. have no psychiatrists, and 77% report a severe shortage.

In some states, such as Maine, there was a 50% drop in the number of …

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Unthinkable choices in childbirth emergencies

Conditions
September 18, 2023

Firefighters and doctors stand beside you on your worst days. On our best days, we help you sidestep disaster. On our worst days, we make gruesome decisions, so you don’t have to.

Andrea’s family barely survived the pandemic. Her husband lost his job and her beloved grandmother lost her life. But after years of setbacks, today was move-in day.

The seaside bungalow was not as big as she’d hoped, but still perfect. …

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How compassionate leadership saved this physician [PODCAST]

Podcast
September 17, 2023
YouTube video

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Join Anjani Mahabashya, a physician advisor, as she shares her remarkable journey from hospitalist to her current role. Discover how hope, networking, and empathy played pivotal roles in her transformation. Explore the power of compassionate leadership in …

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