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Join Amna Shabbir, an internal medicine physician, as she shares her personal journey and reflections on physician burnout and its impact on family dynamics. Amna opens up about her early exposure to burnout through her mother’s experiences …
Understanding the hidden effects of burnout on physician families [PODCAST]
There are a few clinical scenarios that stand out to me from my undergraduate medical education. I completed a combined MD/MPH program, and I remember coming back from the year of public health, inserted between years two and three of medical school, feeling rusty and often in the way. One conversation I’ll always remember is one I overheard between an attending on my family medicine rotation (my first rotation of …
The surprising impact of medical students on patients
The call came in during a busy workday. My comprehensive primary care clinic had been built over a decade of hard work and had a general practice clinic staffed by a very capable former surgeon and several nurse practitioners, as well as a pain management program and an addiction treatment clinic. We also had several counselors on staff. I immediately recognized the voice on the other end of the line …
The persecution of pain management doctors
As someone who had an early life in rural Nigeria, I strongly believe that the diet debates are out-of-touch elite pastimes born out of food glut in Western societies. For survival, all living things evolved and adapted to scarcity, and humans have been appropriately described as opportunistic omnivores who would eat whatever is available. How supposedly omnivorous humans turned out to be sharply divided into tribalistic die-hard vegan, keto, Mediterranean, …
The ketogenic diet: a historical perspective and survival consequences
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Join Earl Stewart, Jr., an internal medicine physician, as we discuss the critical need for electronic health record (EHR) systems to address the impact of climate change on patient health. Earl highlights the limitations of current EHRs …
How EHRs can impact climate change [PODCAST]
The old adage of “do what you love, and you’ll never work a day in your life” may have misled an entire generation.
While researching individuals with high career satisfaction, psychologists Ryan and Deci found that the introspective “follow your passion” approach was rarely a major factor. Instead of relying on some intrinsic passion, people who loved their jobs were found to have work that fulfilled three specific psychological needs: autonomy, …
The 3 things that make people love their work (and why medicine falls short)
Recently, growing attention has been given to the fact that some types of surgery may be overrated. This article succinctly summarizes the situation, citing dozens of studies showing that some orthopedic surgeries popular in past decades had no better results than non-invasive treatments.
This issue is deeply personal to me. In 2020, during the pandemic, I sustained an injury to my left knee, experiencing severe pain, swelling, and loss of …
Optimize your knee injury recovery without surgery
Over the past decade, the medical field has witnessed a profound shift—a transformative movement fueled by the commitment to render patient-centered, cost-effective care. This sweeping change is characterized by the transition from a volume-based to a value-based model of health care. While several medical specialties have responded to this call for change and started implementing value-based systems, dermatology has been relatively slow on the uptake. The need for a robust …
Dermatology at a crossroads: an urgent case for value-based care
My wife, Ruth, passed away in April, and I am currently struggling with the immense loss. I deeply miss her, and for the most part, I feel terrible. I haven’t reached a point of “getting over it.”
Since her death, numerous people, including relatives, friends, acquaintances, and caring individuals throughout my day, have approached me with the same question: How am I doing? Despite multiple attempts to respond, I still haven’t …
Grief and healing: Navigating loss and meaningful connections
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Join John R. Mehall, a cardiothoracic surgeon and physician executive. We explore the lasting impact of the global pandemic on hospitals in the United States, uncover the underlying financial crisis often overlooked by headlines, and discuss innovative …
Unmasking the truth about ECMO [PODCAST]
Congratulations! Maybe you matched, maybe you scrambled. Either way, you’re here, and after four years of reading and watching, you are about to finally start doing. Get all those practical skills: Intubate! Drop central lines! Insert chest tubes! Sign verbal orders within 24 hours! Write medicolegally bulletproof notes that also capture all the RVUs necessary to maximize billing.
As you embark on your journey to becoming an EM doc, let me …
The rewards and challenges of emergency medicine
Artificial intelligence (AI) has rapidly ingratiated itself in the health care landscape, emerging as a powerful tool with the potential to revolutionize various aspects of clinical practice. From enhancing diagnostic precision to streamlining administrative workflows, AI is touted as a solution to many of health care’s long-standing inefficiencies. Yet, the transformative power of AI is a double-edged sword, and its integration may bear unintended repercussions for not …
AI in health care: Could it be an unexpected catalyst for physician burnout?
I spent years researching and writing about the health care crisis. It was depressing and isolating — traumatizing. When I met someone with more reach, it was a relief to be able to stop.
Early on, it was obvious to me that our medical health care crisis is actually a mental health crisis. It is about disconnectedness and devaluation of relationships, a basic need. Evidence abounds. The Read more…
How trauma, health care, and kindness are the keys to contagious change
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Join Susan Biali Haas, a physician and author of The Resilient Life: Manage Stress, Prevent Burnout, & Strengthen Your Mental and Physical Health. In this episode, we delve into the personality traits that contribute to physician burnout …
Uncovering the personality traits that drive physician burnout [PODCAST]
It is well documented that the under-represented often suffer from less than ideal health care in the U.S. This has been apparent for more than a century and is one of the reasons the U.S. has the worst health care outcomes compared to all other developed countries. It is also well-documented that concordance between patients and providers in race, ethnicity, and, in some cases, gender leads to better health care …
How BIPOC doctors and patients suffer in the U.S. health care system
I was diagnosed with multiple sclerosis during my second year of medical school. It happened while I was on a neurology rotation when I approached the neurologist after a lecture and expressed my suspicion of a flare-up. Subsequently, a lumbar puncture and a contrast brain MRI confirmed the diagnosis, leading to my treatment with IV steroids and later disease-modifying medications.
It has now been 18 years since my diagnosis, during which …
From medical student to MS warrior: Navigating life with multiple sclerosis
Physician burnout and the shortage of physicians are pressing issues within the health care industry, often unnoticed by the general public until their own health is at stake. The erosion of the title “doctor” and the increasing encroachment on physician authority have contributed significantly to this problem. Physicians have allowed the interference of the federal government, burdensome regulations, and insurance company restrictions to impede their ability to provide quality care. …
The core problem behind physician burnout: loss of independence
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Join Brett Mollard, a radiologist who delves into the exciting future of radiology and the role of artificial intelligence (AI). As we explore the impact of AI on radiology, Brett answers the recurring questions about the potential …
How artificial intelligence is transforming radiology [PODCAST]
Since before the COVID-19 pandemic, anecdotal evidence and small survey-based studies show that women were leaving academic medicine in droves and were not returning— up to 40 percent of women leave medicine or go to a part-time position within six years of finishing residency. One landmark study pointed out the rarity of women in leadership positions— thirty-five years ago, less than 11 percent of women faculty were …
I am one of those women who left academic medicine
If you are a patient, we all are at some point. Undoubtedly, you have experienced some of the difficulties patients face today in getting approved for and receiving medical care in a timely fashion. From scheduling doctor visits to undergoing tests, procedures, obtaining medications, and even surgeries, the process can be challenging.
It’s easy to be tempted to blame your doctor for the long wait times to schedule an appointment, the …
The struggle is real for patients and doctors
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