Should older physicians face competency tests?

Physician
September 28, 2025

Commercial airline pilots are required to retire at 65 under Federal Aviation Administration regulations. It’s not ageism; it’s safety. Yet physicians, whose decisions can be just as life-or-death, face no such requirement. As a former internist, chief medical officer, and hospital CEO, I have seen what happens when physicians practice past their prime. The results can be dangerous, heartbreaking, and entirely preventable.

When “going out on top” doesn’t happen

During my tenure …

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Why self-care is not enough for clinicians

Conditions
September 28, 2025

Sarah, an emergency room nurse with eight years of experience, did not leave because she stopped caring. She left because the numbers no longer worked. Student loans outpaced her wages, overtime became mandatory without premium pay, and patient loads rose to unsafe levels. Eventually, the arithmetic of her life and work collapsed.

Sarah’s story is not unusual. Across the country, clinicians are leaving medicine in numbers that no longer feel like …

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Why physicians and surgeons leave their first job, and what would help

Physician
September 28, 2025

Each academic year, I have watched as a new class of residents and fellows prepares to graduate and launch their medical careers. They step out of the structured training environment into a professional world that is exciting, expansive, and, for many, overwhelming. Clinically, they are well trained. But residency rarely prepares physicians to recognize and advocate for what they truly need to thrive in practice. The data reflect this gap. …

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How humor helps build trust and connection in pediatric oncology [PODCAST]

Podcast
September 27, 2025
YouTube video

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Physician-scientist Diego R. Hijano discusses his article “How humor builds trust in pediatric oncology.” Diego shares how personal loss and his own cultural and linguistic experiences shaped his approach to care, teaching …

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Treating the economy like a crashing patient

Policy
September 27, 2025

We all know the look of a patient about to crash. The monitor has not flatlined yet, but the story is already in the vitals: The pulse is racing, the pressure is dropping, the skin is clammy.

That is the U.S. economy right now. Debt overload looks like a chronic hemorrhage. High interest rates are a sustained hypertensive crisis. Political paralysis is the family arguing in the hallway while the patient …

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Choosing a retirement plan for your medical clinic

Finance
September 27, 2025

Physicians who are also business owners have two jobs: treating patients and running their business. Hiring and keeping employees is one of the job descriptions of the latter. It is no surprise that choosing and maintaining employee benefits is not at the top of an exciting to-do list. Even if hospital systems are not your direct competition, they are often competing for …

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Expanding the Parkinson’s universe of care for patients, caregivers, clinicians, and communities

Conditions
September 27, 2025

An excerpt from The Parkinson’s Plan: A New Path to Prevention and Treatment.

The Parkinson’s universe

In 2002, we proposed a simple Parkinson’s care model. The patient is the sun, and all multidisciplinary care should orbit around the patient, not the doctors. The sun is vital but only part of the universe. It is time to expand our Parkinson’s care model.

The caregivers

If we …

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How to choose the right doctor for you

Conditions
September 27, 2025

An excerpt from Scary Diagnosis: Navigating Fear, Finding Strength, and Securing the Health Care You Deserve.

Doctors are the centerpiece of the health care system. In large part, they have designed it, written its rules, lobbied the government to support it financially, and, through doctor-friendly regulation, they are its main financial beneficiaries. For most patients, their doctor is not just the centerpiece of a huge system; they represent the entire …

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How one physician redesigned her practice to find joy in primary care again [PODCAST]

Podcast
September 26, 2025
YouTube video

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Primary care physician Jerina Gani discusses her article “My journey to loving primary care again.” Jerina shares her deeply personal story of nearly walking away from medicine after burnout, exhaustion, and endless …

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AI in your health care: a double-edged digital disruptor

Tech
September 26, 2025

Introduction: a double-edged disruptor

Artificial intelligence (AI) has quickly insinuated itself and is transforming nearly every corner of modern life. Health care is no exception. With the rise of advanced chatbots, symptom checkers, and health-focused algorithms, patients now have 24/7 access to vast medical knowledge at their fingertips in seconds. The excitement is understandable: AI can demystify medical “doctor-speak” or jargon, suggest possible diagnoses and treatment options, and empower patients to …

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The crisis of antisemitism in our hospitals

Policy
September 26, 2025

On October 7, 2023, more than 1,200 people were murdered in a single day in the Hamas-led terror attacks in southern Israel, and over 250 individuals were taken hostage. This was the deadliest antisemitic attack since the Holocaust. For many Jewish health care workers, it marked a devastating shift: Our hospitals and clinics were no longer safe, not because of external conflict, but simply because we are Jewish. We had …

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Why the future of AI in medicine is patient-facing

Tech
September 26, 2025

I love technology. I love the health care AI I use every week including Viz.ai and OpenEvidence and Glass Health. I am generally a tech optimist. And even as cries of overhype on artificial intelligence start wading into the public discourse, I truly believe that AI will as fundamentally alter society and health care as the internet or the mobile phone.

But, I am convinced the whole industry is doing AI …

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Why mild and female hemophilia must be recognized

Conditions
September 26, 2025

People living with inherited bleeding disorders (including those with mild and moderate hemophilia and females affected by hemophilia) face persistent unmet needs that are often overlooked in clinical research and treatment guidelines. About twenty percent of mild hemophilia cases experience serious bleeding episodes, challenging current assumptions of their benign course.

Unmet needs

Diagnosis and awareness: Patients with mild and moderate hemophilia often face a delayed or missed diagnosis, leading to unrecognized and …

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Crypto trading’s impact on mental and physical health

Conditions
September 26, 2025

In 2024, centralized cryptocurrency exchanges recorded approximately USD 18.4 trillion in trading volume, with Binance alone accounting for forty percent (~USD 7.7 trillion). While the total number of cryptocurrency holders exceeded 600 million globally, active traders (those engaging in high-frequency or large-scale trading) appear limited to thirty to sixty million monthly users. Epidemiological data indicate these traders skew male (≈sixty-one percent), primarily aged 25 to 34 (thirty-four percent of owners), …

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Why nurse-initiated sepsis protocols are transforming patient care and hospital efficiency [PODCAST]

Podcast
September 25, 2025
YouTube video

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Chief nursing officer Rhonda Collins discusses her article “Nurse-initiated protocols for sepsis: a strategic imperative for patient care and hospital operations.” Rhonda explains why sepsis, the leading cause of death in U.S. …

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The art of pretending in medicine and family

Education
September 25, 2025

“Do you have a key?” my grandma asks me. I hesitate and she repeats herself, “Do you have a key to this place?” She is sitting in a hospital chair behind one of those hospital tables with a tray full of hospital food in front of her. She is practically skin and bones; her shirt and pajama pants are hanging off of her. My mom is sitting on the bed, …

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Digital mental health’s $20 billion blind spot

Tech
September 25, 2025

As a founder in digital mental health, I’ve watched our industry celebrate reaching $8.34 billion in valuation while systematically failing 40 percent of the population. This isn’t just a moral failure, it’s a $20 billion market opportunity that’s being ignored because of cultural blindness. For physicians trying to refer diverse patients to digital mental health resources, the options are frustratingly inadequate. With the total U.S. behavioral health market valued …

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A doctor’s duty on 9/11 in a small town

Physician
September 25, 2025

The vow was not ceremonial. It was lived.

We were in Waverly, Ohio on 9/11, a town that did not make headlines, but held its own kind of gravity. The clinic was open. Kathy was chasing after Robert, age 8, who had darted toward the library at the end of the street, eager to explore its corners before school resumed. She did not call him back. She followed. That was the …

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