For a better practitioner and better outcomes, we need to start teaching this

Physician
October 12, 2022

Current medical education promotes and encourages the textbook approach to learning, while interactive patient-centered learning rarely happens. Although rote learning plays a critical role in medical education, applying what is learned deepens the understanding and application of rote-learned materials. Undergraduate students can learn with supervision from instructors and patients, so they are prepared to practice medicine with excellence.

These trainees are learning the latest available techniques but lack the experiential wisdom …

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Take steps (literally) to prevent dementia

Conditions
October 12, 2022

A recent study out of England found that walking just under 10,000 steps a day reduces a person’s risk of developing dementia by 50 percent. Pick up the pace to a “brisk” walk (over 40 steps per minute), and that risk goes down even further. Perhaps most strikingly, the authors found that even a low number of daily steps was associated with a reduced risk of dementia.

The walking study …

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KevinMD on the Stay Off My Operating Table podcast

Podcast
October 11, 2022
YouTube video

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In this special episode, KevinMD is on the other side of the microphone as he’s interviewed by cardiothoracic surgeon Philip Ovadia and patient advocate Jack Heald, originally aired on the Stay Off My Operating Table podcast. …

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Primary Care 2.0: new thinking and practice redesign

Physician
October 11, 2022

The Doctors Company

A patient of mine — we’ll call her Ruby — is a 79-year-old woman from the same part of rural Tennessee as my mother. Her recent successful experiences with treatment illustrate some of the themes that my colleagues and I encountered when we undertook an 18-month practice-design-thinking process. Let’s start with Ruby’s example and then dig into Primary Care …

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America is a magnet for global STEM talent

Physician
October 11, 2022

This essay is inspired in part by my recent encounter with a scientist at NASA’s Jet Propulsion Laboratory (JPL). For starters, the National Aeronautics and Space Administration — or NASA for short — is an agency of the U.S. government responsible for America’s space program and aeronautics research. JPL, NASA’s research and development center located in Pasadena, California, produces spacecraft called rovers used in extra-planetary explorations.

It turns out that this …

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Bridging the gap between art and science for better health

Physician
October 11, 2022

The myth that people are either right-brain dominant (creative and artistic) or left-brain dominant (logical, good at math, etc.) is just that – a myth. The truth is, we only have one brain – and the corpus callosum joins the left and right cerebral hemispheres because they are meant to work together. Numerous examples of people have excelled in both the sciences and arts.

Albert Einstein is remembered for being one …

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A pediatrician reflects after a difficult conversation [PODCAST]

Podcast
October 10, 2022
YouTube video

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“There is silence, then the words from the family flow forth. Angry, accusatory, confused, dismissive, worried, ugly, personal. The words cut deeply, and when I pick up the next chart, I feel as though I am still …

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I went to Ukraine to help. Here’s what you can do.

Policy
October 10, 2022

I went to Poland and Ukraine in April and May of 2022, hoping to support the Ukrainian people in their defense of their country and democracy itself.

Vladimir Putin had put the world in a vise.

“Let me do what I want, or you will risk nuclear war,” was the implication. We’ve seen this before, I thought. Putin is Mussolini, Hitler and Stalin all rolled into one, and he needs to be …

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What hospitals can learn from the RaDonda Vaught case

Policy
October 10, 2022

In response to a medication administration error that led to the death of a 75-year-old patient, RaDonda Vaught, a registered nurse working in Tennessee, was recently found guilty of criminally negligent homicide and gross negligence of an impaired adult.

As a result, she was sentenced to three years of probation with the promise that her criminal record would be expunged if she successfully completes the sentence.

Months after this …

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Working in medicine isn’t an all-or-nothing situation

Physician
October 10, 2022

I have recently undergone (yet another) transition and am now back to living at home with my family full time instead of in an apartment half of the time. So wonderful most of the time … I think.

It is amazing and a very big wake-up call that I missed many of my children’s lives. And that those two years I will never get back, but it’s also just so hard …

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Miscarriages in a post-Roe world [PODCAST]

Podcast
October 9, 2022
YouTube video

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“The consequences of making miscarriage management unsafe will land most heavily on the marginalized and vulnerable. Our appalling maternal mortality rate in people of color will increase by miscarrying while Black. Our country and health care system …

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Health care’s dirty secret

Conditions
October 9, 2022

Health care has a dirty little secret. And if you aren’t part of the club, chances are that you don’t know anything about it. Aside from COVID-19, short staffing, and the lack of hospital beds to accommodate those who need them, another crisis has been overshadowed and hidden from public view.

What is the secret? Health care is dangerous.

In fact, so many doctors and nurses are choosing to leave the bedside …

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The focus of the internet of things (IoT) must pivot to achieve health care potential

Tech
October 9, 2022

In many ways, internet of things (IoT) is a double-edged sword: connected devices are capturing huge volumes and varieties of data that can be mined for everything from potentially life-saving health care information to guidance toward peak athletic performance, but it is incredibly difficult to convert that raw data into truly meaningful and actionable insights.

IDC projects that, by 2025, IoT devices will generate more than 73 zettabytes of data globally …

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What does it mean to truly be an ally?

Policy
October 9, 2022

The University of Utah Physician Assistant Students Supporting Equity and Diversity (PASSED) group believes it’s important to discuss what it truly means to be an ally. This term has recently become more popular; however, it seems that “allyship” is being confused with “generalized/passive acknowledgment.” The definition of an ally is one who unites themselves with another to promote a common interest. Allyship calls for understanding the constant oppression that plagues …

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Exploring the critical gaps in Canada’s health workforce planning [PODCAST]

Podcast
October 8, 2022
YouTube video

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“We need to stop simply clapping our hands in support of health workers — and start planning to create better workforce conditions for them.  Let’s make improved health workforce science in Canada a key legacy in support …

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It doesn’t matter where you are in the health care hierarchy

Conditions
October 8, 2022

He was in the Ivy League for med school. His dad was an MD, and they lived not too far from this small town. Daddy’s house, a “mini-mansion,” was right around the corner.

After successfully completing his residency, Dr. David became our ER physician. This was a big deal—a big fish in a little pond.
He had an aura of wealth about him. He had an arrogance about him, too.

He was new …

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Families come in various forms

Education
October 8, 2022

I was nervous, but I knew what I needed to do. I reminded myself that I would have regrets if I did not initiate the conversation I envisioned in the proceeding days. After a resident with whom I worked closely on my family medicine rotation gave me feedback on my performance, I asked if it would be OK to give him some feedback. He willingly agreed. After telling him how …

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What my 10 year old is teaching me about boundaries

Physician
October 8, 2022

My youngest daughter turned ten on Saturday.

I have been in awe of the privilege, joy, and honor I have been given to raise my beautiful, spirited, brilliant, and incredibly loving kids.

One of the most unexpected, amusing, and honestly humbling things I experience with my kids comes from my work as a personal and executive coach, facilitator, speaker, and teacher for mission-driven and heart-centered physicians and helping professionals. Because they know …

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