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Caring at a cost: workplace violence and my exit from nursing

Conditions

January 21, 2024

In 2013, I graduated with a BSN, drawn to nursing by a love for science and a passion for helping others. The promise of good pay, job security, and growth opportunities was a marketing pitch so convincing I never thought to question it. Before my first clinical experience, I vividly recall having to attend a self-defense class. At the time, it struck me as both odd and somewhat amusing that …

Navigating controversy: dialectics in conflict resolution [PODCAST]

The Podcast by KevinMD

Podcast

January 20, 2024

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We’re joined by Jill Wener, an internal medicine physician, as we delve into the transformative concept of dialectics. Join us for an exploration of how dialectical thinking can help you navigate complex emotions, foster better health care …

How gender and race deepen the cancer care divide

Meera Ravindranathan, MD

Physician

January 20, 2024

In 2023, roughly 2 million people will have been diagnosed with some form of cancer, and while cancer can affect everyone, it does not affect everyone equally. Women – especially women of color and women with lower socioeconomic standing – often face significant hurdles when it comes to accessing the health care they need to prevent, treat, and survive cancer.

The downstream effect

Although there have been significant efforts to address …

Just how personal should personal statements be on medical school applications?

Arthur Lazarus, MD, MBA

Education

January 20, 2024

I read an essay advocating the disclosure of personal trauma on medical school applications as a means of overcoming stigma and taboo often associated with rape and other forms of trauma. The authors lamented that a culture of silence persists in medicine despite movements such as #MeToo. They concluded: “We, as physicians, have a duty to reduce shame to promote recovery in both our patients and in ourselves.”

Not …

From timed essays to time mastery: a doctor’s journey through the power of belief

Sofia Dobrin, MD

Education

January 20, 2024

One of my most stressful high school class memories was an AP English class I took during my junior year. Each week, we had timed writings where we were given a specific amount of time to write an essay on a given topic. As soon as the timer went off, we had to put our pencils down and raise our hands, signaling that we were done, regardless of what was …

Domestic violence awareness in medicine [PODCAST]

The Podcast by KevinMD

Podcast

January 19, 2024

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Join medical student Leana Pande. We’ll explore the vital role health care practitioners play in addressing intimate partner violence (IPV). Discover how education, training, patient-centered care, and risk assessment tools can empower health care providers to make …

A call for LGBTQ+ inclusion in medicine’s definition of “underrepresented”

Mel Ebeling and Cortlyn Brown, MD

Education

January 19, 2024

In an impromptu listing of all the diseases his children had, I never would have guessed that the next word to come out of my attending’s mouth was “gay.” As an LGBTQ+ medical student with scars on my chest to prove it, this encounter only added to the collection of instances where I felt the weight of being underrepresented in medicine. Or am I?

Each year, the Association of American …

Confusing correlation with causation: the most common error in science

L. Joseph Parker, MD

Physician

January 19, 2024

The universe can be a very confusing place.

Quite often, things will happen together or one-after-another that will cause even learned people to connect two events as causative when they are not. These misattributions are not just of academic concern. They can have real-world consequences.

In 1347, a plague began to sweep through Europe. At the time, no one knew what caused plagues, and the germ theory of disease was centuries away. …

A heartfelt plea: the power of emotions in health care

Victoria Goodheart, DO

Physician

January 19, 2024

I leaned over the bed’s railing, straining to hear the morphine-slurred words spilling out of his chapped lips. “Make them stop laughing,” he said, referring to the cohort of young nurses giggling around the code cart in the hallway. “I’m in here suffering, in pain, and I shouldn’t have to hear laughter. Tell them to stop. Tell their boss. It’s so unprofessional.” After spitting out the last spiteful words of …

How value-based care can address health inequities

Michael Poku, MD, MBA

Policy

January 19, 2024

Often the key to solving a troublesome problem is approaching it from a different direction. As 19th-century mathematician Carl Gustav Jacob Jacobi wisely noted (and as popularized by renowned investor Charlie Munger), “Invert, always invert.”

Therefore, when we consider ways to transform our current health care system in the U.S. to deliver more reliable, equitable, cost-effective value, we should explore the factors that perpetuate a continued unreliable, wasteful system that propagates …

AI’s role in health care law enforcement [PODCAST]

The Podcast by KevinMD

Podcast

January 18, 2024

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L. Joseph Parker, a research physician, sheds light on how AI has been employed to target physicians and reshape the landscape of health care, especially in the context of the opioid crisis. Discover the ethical and legal …

Navigating the growing interest of private equity in pediatrics

Mick Connors, MD

Physician

January 18, 2024

My overall feeling is that independent practices cannot survive in isolation, nor can they single-handedly drive the transformation needed for value-based care, population health, or to ensure that the most vulnerable have the primary care access they need. We do require financial partners and investment. However, it’s crucial to ensure that we align with the right partners who share a vision that will continuously improve pediatrics for the long term.

During …

Prostate cancer privacy vs. public right to know: Secretary of Defense Lloyd Austin’s dilemma

Catherine Diamond, MD

Conditions

January 18, 2024

First, a disclaimer. I do not know Secretary of Defense Lloyd Austin, and I am not involved in his medical care. As an academic infectious disease physician, I am ignorant of the internecine hierarchy of the Defense Department. However, I listen to the news and thus am aware of his recent prostate cancer diagnosis and treatment. On National Public Radio, reporters were discussing why the secretary of defense did not …

Lessons from treating a transgender patient

Francisco M. Torres, MD

Physician

January 18, 2024

I was recently reminded that you always learn something from your patients, no matter how long your medical profession is. I was reminded of this when I had the opportunity to treat a young person in transition. I reviewed the chart before walking into the exam room. Among other things, it listed the patient’s chief complaint (i.e., in this case, lower back pain), age of nineteen, female sex, and a …

From reluctant journaling to healing words: How writing unveiled my life’s journey

Beverly Joyce, MD

Physician

January 18, 2024

Journaling was never my thing. I would buy a pretty journal with great intentions of writing in it regularly. I would write in it daily for a week or two, then forget for a few days, and then forget about it altogether. When I started writing to process some emotions about my mother and my relationship with her, my journal writing was meant to be a brief and cathartic exercise. …

Data tokenization in health care [PODCAST]

The Podcast by KevinMD

Podcast

January 17, 2024

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

Join Adam Mariano, a health care executive. We’ll delve into the world of Big Data and tokenization in health care, exploring how these technologies are revolutionizing patient insights, data security, and health care outcomes. Learn about the …

How community health needs assessments can assist emergency providers in tackling social determinants of health

Benjamin O. Aiwonodagbon, MD, MPH, Mary O. Peter, MD, MPH, Peter S. Yun, MD, MPH, and Emmanuel C. Ohuabunwa, MD, MBA

Policy

January 17, 2024

Dr. Gray is a young, bright emergency medicine physician who recently relocated to Austin, Texas, to start his first job as an attending. Nervous and excited, Dr. Gray is eager to explore the lively city of Austin and start practicing emergency medicine on his own. After a few months in the city, he noticed higher rates of obesity, homelessness, and uncontrolled diabetes among his patients compared to his prior practice …

My journey of missed journaling opportunities in the world of medicine

Arthur Lazarus, MD, MBA

Physician

January 17, 2024

An excerpt from Medicine on Fire: A Narrative Travelogue.

I regret not keeping a diary or journal to write about patient encounters and interactions with peers, residents and attendings, not to mention the sundry characters connected to the academic health center where I trained and practiced. Had I done that, I would have had a lot more material to write about, and my …

Enhancing patient care: strategies for physicians to prevent medical gaslighting

Kara Wada, MD

Physician

January 17, 2024

As physicians, our primary goal is to provide the best possible care to our patients. However, even with the best intentions, medical gaslighting can occur, leading to patient distress and potentially harmful outcomes. Medical gaslighting is not often intentional. It can happen when physicians, under time constraints, facing diagnostic challenges, or experiencing burnout, inadvertently invalidate a patient’s symptoms or concerns.

Just a few years ago, I found myself on the other …

What doctors can learn from actors about artificial intelligence

Surgical Fitness Research Pod & Yoshihiro Katsuura, MD

Tech

January 17, 2024

Artificial intelligence (AI) promises to revolutionize the practice of medicine by expanding our knowledge and reducing our workload. However, physicians should tread carefully and take heed of the example set by other industries. For example, AI was at the core of the negotiations in the recent 2023 Screen Actors Guild (SAG) and Writers Guild of America (WGA) strike. “AI was a dealbreaker,” said Fran Drescher, a union leader of the …

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