On a hot and humid July afternoon, the white coat ceremony for the class of 2025 at the Herbert Wertheim College of Medicine was in full swing. As I walked onstage, slipped into my brand-new white coat, and accepted the coveted “medical student” title I had spent years working for, I thought about why I was embarking on this journey: my family of Vietnam War refugees, my brother who has …
My experience with repeating a year of medical school
For 21 years, I have had the privilege and honor of coaching and mentoring medical students. Most of this mentoring takes place in my outpatient internal medicine-pediatrics practice, where each student spends two to three days with me every week for a month-long rotation. Additionally, I have been fortunate enough to work with students from all years as a facilitator in the REACH and 4C coaching programs. Throughout these experiences, …
An elder mentor’s message to new medical students
In every aspect of our lives, whether it is online banking or shopping, we rely on technology to make things better, more convenient, and more efficient. Yet in health care, and particularly cancer care, that is not the case. Oncology has been revolutionized in recent decades by therapies targeted to specific biomarkers and immunotherapy. Despite being a leader in therapeutic innovation, oncology lags behind in adopting easy-to-use apps and other …
Why oncology is ripe for digital innovation
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In this episode, we delve into the serious consequences of fecal impaction and chronic constipation on patients’ well-being and health care costs. Our guest, Mahesh Moolani, an internal medicine physician and author of Tough Decisions In Care …
Chronic constipation treatment with pulsed irrigation evacuation [PODCAST]
The recent failures of Silicon Valley Bank (SVB) and First Republic Bank understandably spurred concern among industry and regulatory leaders about the health of the overall banking industry. Certainly, investigating the reasons leading to their collapse is important so we can identify and prevent it from becoming a larger trend.
The reason to prevent future losses of similar banks, however, has microeconomic impacts that go beyond the dollars-and-cents and market-confidence impacts …
Why digital health startups still need banking partners like SVB and First Republic
The visit is winding down. You’re getting ready to go, hand on the doorknob, saying goodbye. And then you hear, “Doc, one more thing.” Or perhaps you’re more familiar with the patient who has a laundry list of issues all to be addressed in the fifteen-minute appointment slot.
These visits have in common that they are both certain to back you up. Have multiple in the day, and you are …
5 tips for ending office visits on time
Gender-affirming health care (GAH) is a rapidly developing sector within the medical profession that can include indirect therapies such as counseling, direct therapies such as hormone treatments, puberty blockers, or gender-affirming surgeries. A main ethical concern with GAH resides in its use on adolescents, and this paper will primarily explore the use of puberty blockers, sometimes called GnRH analogues, on minors.
Considering that most children start puberty around the age of …
Can minors truly consent to reversible puberty blockers in gender-affirming health care?
Obesity is unquestionably a major risk factor for disease and an increasingly serious societal problem, but is it actually a disease? I would argue that obesity, defined purely by a BMI of >30, is really just a number – an objective finding. In the long-honored tradition of medical science, an objective finding is not a disease, unless it is tied to a pathogenesis. For example, anemia is just a number, …
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Join us as we explore the intersection of medicine and art. Our guest, Farid Alsabeh, a clinical psychologist, delves into the rich tradition of medical poetry during the Islamic Golden Era. Discover how Arabic poets transformed scientific …
Unlocking the mystical world of medical poetry [PODCAST]
During my first week as an intern, a question weighed heavily on my mind: “How am I going to survive my night shift rotation?” Soon after, another question arose: “How can I make the most of my night shifts and continue to learn and grow?” I reached out to senior residents and faculty members to learn from their experiences and seek their advice.
I understand that you may have similar questions …
Internship survival guide: Thriving on the night floor rotation
Since December 2022, I have attended over 60 medical appointments, ranging from 15 minutes to as long as 6 hours. Some appointments were as short as 15 minutes, while others required a minimum of 3 hours. Through these numerous health care visits, which collectively amount to more than 60 hours, I have gained valuable insights. Here are my top 10 tips based on my experiences:
Check the location and plan ahead. …
Insider secrets: 10 must-know tips for mastering medical appointments
“I can’t afford higher,” Bobby’s (identifying information changed) mom explains when asked about his low dose. As Bobby’s dermatologist, I prescribed Accutane, curing 80 percent of acne with a six-month course. Insurance denied, requiring doxycycline. I rarely give antibiotics, following World Health Organization (WHO) recommendations. Antibiotics build resistance and aren’t curative, resulting in more scarring. Rejecting Medicaid’s incorrect treatment, Bobby’s mom is paying for the appropriate treatment, …
Insurance profits over patients’ lives: Doctors battle for proper care 33 times a week
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Join Paula Muto, a vascular surgeon, and Jeffrey Gold, a family physician, as they discuss the state of the health care system. Explore the evolution of primary care, the challenges of fragmented patient care, and the impact …
Discover the power of direct primary care and patient-centric solutions [PODCAST]
Few problems in health care are more vexing or persistent than physician burnout. It’s a problem that poses a serious threat to patient care, no different from the spread of a virus or the impact of cigarette smoke. And it has only gotten worse since the pandemic.
Burned-out physicians are less effective as healers. They don’t connect as well with patients, undermining the therapeutic benefits of a close clinician-patient relationship. They …
Physician burnout is a threat, no different from the spread of a virus—here’s how to fix it
ERAS is now open, and medical students all over are compiling their applications to match into residency. As someone who is in a field they desired to pursue while in college but took a circuitous route there (four years as a generalist in the Air Force, practicing after completing an internship), I cannot help but wonder if some of our residency match systems is a contributing factor to burnout.
Many studies …
Residency match system and flexibility: the hidden factors behind burnout
The opioid crisis continues to ravage communities, and everyone, including politicians and federal agents, has a plan. However, no one has an actual solution.
It’s time to examine the crisis from a more detailed perspective: the clinical perceptions that form during a clinical encounter between a physician and a patient. It is here that we see the true effects of opioid policy and understand why they are so ineffective.
At the end …
How legal liabilities and skewed decision-making plague clinical encounters
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Join Gail Gazelle, an internal medicine physician, physician coach, and author of Mindful MD: 6 Ways Mindfulness Restores Your Autonomy and Cures Healthcare Burnout, where we explore the transformative power of mindfulness in health care. In …
Mastering mindfulness: Restoring autonomy and curing burnout for physicians [PODCAST]
Most of the racially debated issues these days can be summed up by the terms “critical race theory” and “wokeism” – terms that have become the defining issues of our time even though half the people can’t explain them and the other half use them for political gain to dictate how history is taught, stripping it of any mention of slavery, racism, and LGBTQ+ people. So, I’d like to reframe the …
On Juneteenth I learned the ugly truth of my new hometown. It restored my faith in humanity.
The advances of AI, specifically models like GPT-4 from OpenAI, have given rise to powerful tools capable of generating human-like text responses. These models are invaluable in myriad contexts, from customer service and support systems to educational tools and content generators. However, these capabilities also present unique challenges, including the generation of ‘hallucination’ results. In AI, hallucinations refer to instances when the model provides information that, although plausible, is not …
Lowering hallucination results with ChatGPT
We’re in a rapidly growing food allergy epidemic. 1 in 13 American children have food allergies—a number that’s only growing. Private insurance claims of anaphylactic food reactions, which are severe and potentially life-threatening, rose 377 percent from 2007 to 2016. Yet despite their increased prevalence in recent years, one thing hasn’t changed: Undermining the very real risks and anxieties associated with living with food allergies.
Beyond the risk of …
Food allergies are not preferences. Let’s start treating them that way.
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