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The decline of professionalism in medicine: a structural diagnosis

Physician

January 15, 2026

Most physicians sense it, even if they struggle to name it.

Something fundamental has changed in medicine. Not the science. Not the patients. Not even, at root, the doctors themselves. What has changed is the status of medicine as a profession, and with it, the psychological footing that once made the work bearable.

For much of the last century, medicine functioned as a profession in the classical sense. That meant more than …

The patchwork era of medical board certification

Brian Hudes, MD

Physician

January 15, 2026

The phrase “board-certified” once carried a universal meaning. A physician had met rigorous training and testing standards and could practice confidently anywhere in the country. That clarity has faded. Today, certification and recertification requirements differ not only by specialty but also by which board you happen to fall under. What was once a single national standard has splintered into a patchwork of rules, fees, and timelines that seem designed less …

Physician suicide represents a silent epidemic demanding urgent reform [PODCAST]

The Podcast by KevinMD

Podcast

January 14, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article “Physician suicide prevention: a call to action.” Muhamad opens with the tragic losses of Dr. Nolan R. Williams and Dr. …

How neurodiversity in relationships shapes communication

Farid Sabet-Sharghi, MD

Physician

January 14, 2026

One of the marks of a good physician is the ability to approach illness from two complementary angles. We bring scientific knowledge, training, and objectivity to understand what is happening in the body. But the work doesn’t end there. What truly elevates a clinician is the willingness to honor how the patient experiences their illness, the internal narrative that no lab test can measure.

This dual lens is not unique to …

Physician suicide: a daughter-in-law’s story of loss and grief

Carrie Friedman, NP

Conditions

January 14, 2026

When my father-in-law died by suicide, our family did not just lose a person. We lost the gravitational center of a small universe.

He was a giant in my eyes. Not because of his curriculum vitae, though his was extraordinary, but because of the way he moved through the world: steady, modest, and relentlessly devoted to the people who needed him.

He had survived what should have broken a human being. As …

Why lifestyle matters more than BPC-157 and semaglutide

Shiv K. Goel, MD

Physician

January 14, 2026

“Doc, can you prescribe me some BPC-157 with sermorelin, and maybe semaglutide too?”

He didn’t come in asking about his sleep.

He didn’t mention that his last meal the night before was at 11:30 p.m., eaten in front of a laptop glowing with unanswered emails.

He didn’t bring up the statin he’d been taking for years, the creeping fatigue he’d started to normalize, or the way his waistline had slowly expanded as his …

How deductive reasoning changes medical malpractice lawsuits

Howard Smith, MD

Physician

January 14, 2026

Most recognize me from posts about deductive reasoning on KevinMD, but I never explain deductive reasoning’s effect on a conventional medical malpractice lawsuit. Here is how it affects such a lawsuit.

All medical malpractice lawsuits have four things in common:

All have an underlying complication, either an error-of-nature, which is caused by random chance, or a medical error, which is caused by the medical intervention.
All test the premise that there …
Read more…

How deductive reasoning changes medical malpractice lawsuits

Personal memories reveal the transformation of HIV care over four decades [PODCAST]

American College of Physicians & The Podcast by KevinMD

Podcast

January 13, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Professor and senior associate dean of engagement Janet A. Jokela discusses her article “Reflecting on the significance of World AIDS Day from the 1980s to now.” Janet shares harrowing memories from her …

How blaming women for a baby’s sex persisted through history

George F. Smith, MD

Physician

January 13, 2026

It doesn’t take much to understand that women have had it tough throughout history. While seemingly in our age there is near parity (with many women heads of state in Mexico, Italy, Moldova, Iceland, etc.), they only gained the right to vote in the U.S. 105 years ago (with the 19th Amendment to the Constitution), which was 50 years after Black men in 1870 (the 15th Amendment). There have always …

The “patient carryover crisis”: Why hospital readmissions persist

Rafiat Banwo, OTD

Conditions

January 13, 2026

In hospital boardrooms across America, the “30-day readmission rate” is treated as a financial vital sign. It determines reimbursement levels under the Hospital Readmissions Reduction Program (HRRP); it influences star ratings; and increasingly, under new Department of Justice scrutiny, it serves as a barometer for potential “substandard care” investigations.

Yet, despite decades of regulation and millions spent on discharge planning software, the needle on preventable readmissions barely moves.

The industry is failing …

How flight surgeon training mirrors medical residency stress

Avishek Kumar, MD

Conditions

January 13, 2026

The room went quiet the way rooms do before something consequential, when conversation thins and all you can hear is the pulse in your ears.

“Captain Kumar,” the instructor said, “you have an in-flight engine failure. What do you do?”

I stood at attention, spine locked, as my classmates turned toward me with the focused expectation of a clinical team evaluating a tenuous presentation. A bead of sweat slid down my temple. …

Economic reality tests the limits of subscription medicine [PODCAST]

The Podcast by KevinMD

Podcast

January 12, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Health care strategist Dana Y. Lujan discusses her article “Is direct primary care sustainable in a downturn?” Dana explains how the rising cost of living and subscription fatigue are challenging the retail …

Why ACIP’s ruling on universal hepatitis B vaccination endangers newborns

A. Lane Baldwin, MD

Physician

January 12, 2026

On December 5, I started my hospital shift learning that the ACIP (Advisory Committee on Immunization Practices) had voted against offering universal administration of hepatitis B vaccine at birth, opposing the long-standing practice endorsed by experts. After a long day of examining newborn babies and counseling families, my mind drifted back to the announcement and unearthed a memory of a boy named Sam.

Sam was born a healthy newborn to loving …

AI in medicine: Why it won’t replace doctors but will redefine them

Tod Stillson, MD

Tech

January 12, 2026

I have spent my career practicing medicine in the real world: caring for patients, managing uncertainty, and making decisions where the stakes are personal and immediate. In recent years, I have also spent considerable time designing and deploying medical software that uses artificial intelligence in live clinical environments. Together, these experiences have reshaped how I think about the future of our profession.

That combination of experiences has led me to a …

Claude for Healthcare vs. administrative burden: a physician’s review

Shiv K. Goel, MD

Tech

January 12, 2026

Last week, I spent over two hours on a prior authorization for a patient who needed a medication she’d been stable on for years. Two hours of hold music, transferred calls, and faxed forms, while patients waited.

That same week, Anthropic announced Claude for Healthcare: An AI system that can verify coverage requirements, build claims appeals, and streamline prior authorizations in minutes. OpenAI launched ChatGPT Health days earlier. Both promise to …

The burden of being both doctor and family: an ethical reflection

Francisco M. Torres, MD

Physician

January 12, 2026

I come from a long line of physicians. My grandfather was a pioneer in pharmacy and biochemistry, so influential that a museum now bears his name. My father, also a doctor, was cut from a very different cloth. I have written before about our strained relationship and the heavy expectations placed on a child born into a family with a reputation to uphold. Those tensions shaped my early views …

A physician father on the Dobbs decision and reproductive rights

Travis Walker, MD, MPH

Physician

January 12, 2026

I proudly bear the title of “Dad,” and my daughter is five (going on 15), fiery, carefree, and unmistakably precocious, yet still my silly, innocent, sweet little girl. I imagine many girls with older brothers develop a similarly spirited personality. However, with her brothers being slightly older, I’ve watched that same innocence gradually diminish in them, as they are being slowly exposed to life’s complexities through school, friends, and their …

Navigating the medical system requires specific life skills [PODCAST]

The Podcast by KevinMD

Podcast

January 11, 2026

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Otolaryngologist Alan P. Feren and patient advocate Joyce Griggs discuss their article “Why health self-advocacy is an essential life skill.” Alan and Joyce share the personal journey of becoming a “chief health executive” …

A school nurse’s story of trauma and nurse burnout

Debbie Moore-Black, RN

Conditions

January 11, 2026

School had just started for the new school year. It was hot and humid. I had just retired from ICU nursing and behavioral health, a 46-year career and never skipping a beat. After several months of retirement, I couldn’t sit still. I was bored and had that nagging feeling that I wasn’t done yet with my career. Maybe that nagging feeling was guilt. Like you can’t quit. You can’t stop. …

WISeR Medicare pilot: the new “AI death panel”?

Arthur Lazarus, MD, MBA

Physician

January 11, 2026

There are many ways to say “no” in medicine.
“No, this antibiotic won’t help a viral infection.”
“No, this test won’t change our management.”
“No, that surgery carries more risk than benefit.”

And then there is the newest way:
“No, the algorithm doesn’t prioritize your health.”

Welcome to WISeR, short for “Wasteful and Inappropriate Service Reduction,” a Medicare pilot program that promises to usher artificial intelligence into health care decision-making with all the subtlety of …

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