KevinMD.com

October 5, 2026Oct 5, 2026

For over a decade, the administrative burden in specialty medicine has quietly worsened. Orthopedic surgeons doing forty patients a day are spending more time in the EHR than in the room. Ambient AI scribes have changed that equation in ways that are only beginning to show up in the data. But the real opportunity isn’t efficiency for its own sake. It’s building toward a future where technology absorbs the mundane …

Podcast

ICU telemedicine done right is a program, not a doctor on a screen [PODCAST]

The Podcast by KevinMD

October 4, 2026Oct 4, 2026

A patient in intensive care gets worse at 2 a.m., and the hospital has no critical care doctor in the building. Chris Gallagher, a cardiologist and founder of Access TeleCare, has spent 15 years building virtual care programs inside hospitals,…

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Policy

Voting and health outcomes: the cycle doctors ignore

Jacob Player, MD, MPH

October 4, 2026Oct 4, 2026

Poor health can negatively impact any and all aspects of our lives, often discouraging us from participating fully in activities we otherwise would. It shouldn't be surprising, then, that those with worse health are also less likely to vote, or…

Poor health can negatively impact any and all aspects of our lives, often discouraging us from participating fully in activities we otherwise would. It shouldn’t be surprising, then, that those with worse health are also less likely to vote, or that voter participation is inversely associated with time spent in inpatient care. And while we may accept this at face value, the downstream consequences of this are often …

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Physicians

Whole-person care starts in the operating room

Jerron C. Hill, MD

October 4, 2026Oct 4, 2026

For most of my career, my work has begun at the moment a patient is most vulnerable. As an anesthesiologist, I meet people at the threshold of surgery, often anxious, sometimes in pain, and always placing extraordinary trust in a physician they may have met only minutes earlier. My responsibility is to protect them through an experience they cannot control and, under general anesthesia, cannot describe while it is happening.

That …

Physicians

What doctors are talking about in 2026: AI, pain, burnout

Insights by KevinMD

October 4, 2026Oct 4, 2026

Clinicians wrote about AI more than anything else this quarter. Readers spent their time elsewhere: on burnout, on pain and opioids, and on what medicine costs the people who practice it. The first Insights by KevinMD report.

What doctors are talking about in 2026: AI, pain, burnout

Tech

AI hallucinations can invent what colleagues think of you

Ronald L. Lindsay, MD

October 4, 2026Oct 4, 2026

As physicians, we are increasingly told that artificial intelligence will summarize our work, amplify our ideas, and help readers understand complex issues. But what happens when AI begins describing not what we have said, but what it imagines others think…

I recently conducted an informal experiment that exposed a troubling tendency in generative AI. After sharing excerpts from my manuscript The Autopsy, I asked Google’s Gemini a straightforward question: …

Conditions

Losing your athletic identity after a heart diagnosis

Loryn Kromrey, MD

October 4, 2026Oct 4, 2026

A routine EKG at my annual physical was supposed to be uneventful. Instead, it ended my marathon career. This past winter, I was diagnosed with arrhythmogenic right ventricular cardiomyopathy (ARVC), a rare inherited heart disease associated with ventricular arrhythmias, sudden…

A routine EKG at my annual physical was supposed to be uneventful. Instead, it ended my marathon career.

This past winter, I was diagnosed with arrhythmogenic right ventricular cardiomyopathy (ARVC), a rare inherited heart disease associated with ventricular arrhythmias, sudden cardiac arrest, and an increased risk of life-threatening events during intense endurance exercise. I had no symptoms. No warning signs. I felt like the healthiest version of myself. Yet suddenly I …

Policy

Lancaster County measles outbreak exposes a crisis of trust

Arthur Lazarus, MD, MBA

October 4, 2026Oct 4, 2026

For ten years, I lived with my family, 45 minutes from the rolling clover fields and dairy farms of Lancaster County, Pennsylvania, iconic markers of a world defined by quiet tradition. Yet in the fall of 2026, this peaceful landscape has become a dark microcosm of modern medicine’s greatest crisis: the weaponization of politics, the spread of bad-faith disinformation, and the collapse of public trust in the medical profession.

As Pennsylvania …

Physicians

Slowing down in medicine starts with being interruptible

Sherry M. Adkins, MD, MPH

October 4, 2026Oct 4, 2026

One morning I sat on the porch with a cup of tea and read slowly. Birds moved somewhere beyond the yard. Wind passed through the trees. The locusts were already loud. Nothing remarkable happened. And yet, after a while, I…

One morning I sat on the porch with a cup of tea and read slowly. Birds moved somewhere beyond the yard. Wind passed through the trees. The locusts were already loud. Nothing remarkable happened.

And yet, after a while, I had the strange sense that my mind had returned to me. There was enough. Enough time to finish the paragraph. Enough quiet to notice the air. Enough room for one thought …

Conditions

Studying chronic pain suicide risk after opioid tapering

Kayvan Haddadan, MD

October 4, 2026Oct 4, 2026

CSI:OPIOIDs (Clinical Context of Suicide Following Opioid Transitions) is a rigorous scientific research study that systematically examines suicides occurring after prescription opioid dose reductions or discontinuations in patients with long-term (chronic) pain. Using psychological autopsy methods using detailed interviews with bereaved survivors combined with medical record review where obtainable, it seeks to characterize the multifactorial demographic, societal, clinical, and health-system factors involved. The study began as a pilot supported by …

Policy

Why milk banks in emergencies must plan like blood banks

Sharron Bransburg-Zabary, PhD

October 4, 2026Oct 4, 2026

As more families depend on human milk banks to meet the vital health and nutritional needs of babies, these facilities should implement emergency response plans, similar to those in blood and tissue banks and other critical medical services. Human milk is a lifesaving resource for preterm, low-birth-weight, and critically ill infants, with the World Health Organization recommending pasteurized donor milk for babies who are unable to receive their …

Podcast

Why women doctors leave in their forties and what keeps them [PODCAST]

The Podcast by KevinMD

October 3, 2026Oct 3, 2026

Women physicians are walking away from practice in their forties, and not because they stopped loving the work. Dawn Sears is a gastroenterologist of 25 years and the founder of GutGirlMD Consulting, where she coaches physicians and runs Women in…

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Physicians

The physician independent contractor path is a third option

Paul B. Johnson, MD

October 3, 2026Oct 3, 2026

For much of my medical training, I assumed there were two basic career paths for physicians. You could become an employed physician, trading some autonomy for stability and institutional support. Or you could own a practice, accepting the administrative and…

I ultimately chose neither.

For approximately a decade, I have built my clinical career primarily as an independent contractor. As an …

Education

Should medical student research be banned?

Joshua P. Parreco, MD

October 3, 2026Oct 3, 2026

I run student and resident research projects as a trauma surgeon. For years the emails trickled in. This year they do not. Students arrive with a question and a draft and ask to be put on a paper. Large language models made literature searches, coding, chart review, and a first manuscript cheaper. They noticed.

On August 20, Will Flanary, better known as Dr. Glaucomflecken, titled a podcast episode “Medical Student …

Policy

3 ways communities can ease the loneliness epidemic

Tista S. Ghosh, MD, MPH

October 3, 2026Oct 3, 2026

Imagine if we only treated lung cancer and never tackled smoking. Is that what we're doing with depression? We always ask people struggling with depression to reach out. But maybe we should also ask whether anyone is within reach. Every…

Imagine if we only treated lung cancer and never tackled smoking. Is that what we’re doing with depression? We always ask people struggling with depression to reach out. But maybe we should also ask whether anyone is within reach.

Every October, Depression Awareness Month urges us to recognize the symptoms and seek help. As a physician, I support that message. As a public health and preventive medicine practitioner, I also ask …

Physicians

Dual-physician couples don’t need work-life balance

Dr. Saulat Sajjad Sheikh & Inna Massaro, DO, MMM

October 3, 2026Oct 3, 2026

We get asked this all the time: "How do you do it? How do you raise kids, manage a household, remember that someone needs poster board for school tomorrow, get everyone to practice, and somehow sustain two demanding physician careers?"…

We get asked this all the time: “How do you do it? How do you raise kids, manage a household, remember that someone needs poster board for school tomorrow, get everyone to practice, and somehow sustain two demanding physician careers?” The answer is: not gracefully. We have calendars. We have systems. We have childcare. We outsource things. We occasionally feed our children cereal for dinner, and somewhere, at almost all …

Finance

The 457(b) plan risks physicians sign without knowing

Mike Chando, MBA

October 3, 2026Oct 3, 2026

On a Tuesday evening, Dr. Anna Reyes is offered a partnership in an independent group across town. Accepting means leaving the nonprofit health system that employs her, and the buy-in requires capital within the year. Anna is hypothetical. That night,…

That night, she opens the statement for the 457(b) deferred compensation plan she has funded for eight years. The balance is about $500,000. She wants to know how much of it she can …

Policy

The developmental pediatrician shortage is about to deepen

Ronald L. Lindsay, MD

October 3, 2026Oct 3, 2026

A recent Guardian article described a troubling reality unfolding across England: Nearly 1 million people are waiting for ADHD assessments, approximately 295,000 are awaiting autism evaluations, and some National Health Service (NHS) regions have imposed minimum waiting periods of two years before patients can even be assessed. “Two-year waiting times highlight NHS struggle with rise in ADHD and autism awareness” reported that overwhelmed health systems are struggling to keep …

Podcast

Loneliness, not weakness, is driving women out of medicine [PODCAST]

The Podcast by KevinMD

October 2, 2026Oct 2, 2026

Medical training hands you a ready-made group of friends. Then it ends, and many women physicians find themselves starting over alone in a new city. Cassie Burton Greenbaum is a pediatric critical care physician and the founder of Off Service…

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Physicians

My first year as an attending physician almost broke me

Elizabeth Rubin Ribak, MD

October 2, 2026Oct 2, 2026

I can finally write this essay almost five years out. That's how long it took me to fully heal. To process. To gain perspective. I graduated residency in June 2020 at the height of COVID. I, along with my family,…

I can finally write this essay almost five years out. That’s how long it took me to fully heal. To process. To gain perspective.

I graduated residency in June 2020 at the height of COVID. I, along with my family, including my husband, two preschoolers, a four-month-old infant, and two dogs, drove from Miami to Chicago to complete an amazing fellowship. The year was perfect, though masked, sometimes scary, and full …

Real physician voices, twice a week

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