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“Without a strong rural health care system, our nation’s ability to expand and contract with surges in demand will become very limited. When hospitals work together, they can better ensure that no community is left without a …
Keeping rural hospitals in the game [PODCAST]
The superior doctor prevents sickness. The mediocre doctor attends to impending sickness. The inferior doctor treats actual sickness.”
– Chinese Proverb
The management of diabetes today requires an understanding of the concept of the circular economy in eliminating waste and pollution, circulating products and materials at their highest level, and regenerating nature.
Today, we saw a 64-year-old woman for her follow-up visit to the diabetes clinic. She is our typical Oklahoma patient with …
The environmental impact of the diabetes epidemic
The goal of making a hospital pediatric program a greater presence in the community hinges upon two areas, building community and alliance with local pediatricians and creating more visibility in the public arena. Both are not mutually exclusive, and each affects the other. The goal is to create a positive experience for both areas that will enhance each individually as they connect with one another.
Unfortunately, if not done correctly, negative …
If growing a hospital pediatric program was only this easy
“Nothing is certain except death and taxes.”
Physicians are commonly offered one, two, and three-year employment contracts that appear ironclad and have automatic renewal clauses. The length of these contracts encourages us to believe we can confidently make major financial decisions based on expected income. Moreover, we want to believe that enduring years of training and oppressive loans have finally resulted in financial success. So, we read contracts hoping these agreements …
Physicians are only good for 90 days
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“I have come to appreciate why doctors find self-directed patients challenging, if not downright difficult. I wish all docs would engage with us, hear us out, and offer an explanation and further discussion when they disagree. The …
Urging patience with patient self-advocacy [PODCAST]
The market for health administrators in the U.S. is projected to grow 28 percent from 2021 to 2031, growing more rapidly than the average for all other occupations.
Traditionally, those in health administration work in hospitals, large health systems, health plan organizations, and consulting firms. However, health administration has the potential to contribute value to every component of the U.S. health care …
The powerful role of administrative leaders in high-value primary care
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
My physician grandfather believed medicine was the noblest profession, a career that combined making an honest living with a meaningful difference. Inspired by his passion, I followed in his footsteps, believing I was on the path to a lucrative life of helping people in need.
The reality has …
Investing today in early-career physicians’ unique needs fuels tomorrow’s health care leaders
As a physician, do you know the average salary for your specialty and location? What about the average signing or relocation bonus? If you don’t know or are unsure of how to get that information, you are not alone.
In a society where most employees hesitate to openly share compensation numbers, it can be difficult to determine what you should be earning, physician or otherwise. Unfortunately, employers benefit much more from …
Negotiating a raise with the right compensation data
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“With regard to health care in the USA, the quote from Dickens is twice correct. We are in the best of times for knowledge, capability, and potential. We also are in the worst of times with regard …
Health care is upside down [PODCAST]
“If it ain’t written down, it didn’t happen.”
We’ve heard that before. And it’s so true. Good medical documentation is essential because it reflects your clinical thought process. Your notes are crucial for continuing care, ensuring you are compliant with billing, and protecting you in case of a lawsuit. Your notes are the expression of your digital identity as a physician.
When I started using templates many years ago, the most obvious …
How templates can make you a better doctor
As is the case throughout the country, central Ohio is in the midst of a viral surge with an unusually high number of ill children for this time of the year, leading to long delays in our urgent cares and emergency departments, in our primary care offices, and with over capacity inpatient units. It’s an extremely busy time for all of us and honestly makes for tiring and stressful days. …
Advice from a pediatrician during the viral surge
Have you ever gone on a retreat?
I’m not talking about the Scouts of America kind, and I’m not talking about the one day the residents took off training to do team-building exercises and trust walks. Nope, family vacations do not count, as we all know that we need a vacation from our vacation when we get home.
Have you ever just gone away, disconnected from everything else, and connected to yourself?
Does …
Why physicians should go on a retreat
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“Yes, the opioid crisis in this country has caused a reckoning in the medical field about how to treat patient pain. Ignoring the pain will not make it go away.
Options are available beyond opioids, and policymakers and …
Addressing pain in patient experience surveys [PODCAST]
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When you begin to pay close attention, you notice how what used to be so easy becomes complicated. When you step back and watch things unfold in front of you, you realize that what once was enough is simply too much. Dementia peels back the layers of our lives, and you begin to understand that less becomes more in the world of dementia.
The signs were there for a long time. …
Dementia peels back the layers of our lives
October 27th is the 30th anniversary of the Mammography Quality Standards Act (MQSA). Congress enacted this law to safeguard nationwide access to quality mammography to detect breast cancer in its earliest, most treatable stages. With this Act, the federal government accredits, inspects, and certifies mammography facilities and standardizes mammography equipment, quality assurance, recordkeeping, and communication of results.
What’s missing from the …
Better guidelines that consider breast density are critical for women’s health
You’ve been swallowing things your entire life: breast milk (or formula), food––maybe a marble or small Lego. But did you know that swallowing pills is different?
Let’s start with how not to swallow a pill.
Sorry, but Bruce Willis in all five Die Hard movies is incorrect. You don’t just take a small handful of aspirin, toss them into your mouth, and jerk your head back while swallowing.
Not to mention, if you have …
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“It has now been almost four years since I transitioned to academia. I see fewer patients per day and take fewer call. I also have more time with each patient, more time to recharge, more time for …
Toughness is not defined by a dollar amount [PODCAST]
In my recent TEDx Talk titled, Why Black Patients Don’t Trust the Healthcare System, I explored racially-based medical algorithms and their impact on health outcomes for Black patients. As a physician, I believe such algorithms have no place in the modern healthcare system, as they can affect how Black patients are diagnosed and the morbidity and mortality rates in the community.
A study published as recently …
Ensuring equitable, quality treatment of pain in Black and marginalized people
The pandemic has brutalized health care such that the term “institutional betrayal” (IB) is becoming part of the physician vernacular. This cringe-worthy term is being used to point a finger of shame at health care leaders and systems who presumably are failing to support and protect their workers adequately.
Indeed, we depend on our employers for our safety and well-being. With staffing shortages, lack of supplies and lower revenue, employees bear …
Institutional betrayal vs. courage
The Oxford dictionary defines insidious as “proceeding in a gradual, subtle way but with harmful effects.” Most people associate this term with clever criminals. I am writing this to ask you to think about it in another way.
Perhaps the greatest joy a person can experience is welcoming a child into the world with so many dreams and visions for the future. Ideally, those dreams come true. But not always. Sometimes …
Doctors: Dig deeper when children can’t gain weight
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