Two years ago, my wife and I spent our 20th wedding anniversary in Charleston, SC, a city steeped in national history, both good and bad. Nothing could be more iconic of good history than Fort Sumter, and nothing more iconic of bad history than the Old Slave Market on Chalmers Street. We learned a great deal about how our country grappled with its shortcomings. The Great American Experiment, through blood …
This article is sponsored by Medici.
Telemedicine has increased exponentially since the rise of COVID-19. It reduces COVID-19 exposure risk for both patients and providers. In many ways, telehealth has become an essential service for physicians and other health service workers. Still, with the rapid rise of the pandemic, many providers have difficulty navigating the billing side of …
“We desperately want to be part of it. For most of us, this pandemic has tapped at a foundational, altruistic urge to do our part. Our friends and loved ones are on the frontlines, their faces creased by masks worn all day, their eyes bloodshot, their foreheads grooved by too-tight goggles. Our friends and loved ones risk their lives while we …
Even before the pandemic, the U.S. health care system needed a significant overhaul. For too long, we have operated in a reactive mode, prioritizing treating illness over ensuring health and wellness. In the post-COVID-19 era, stakes are even higher. Our health care system faces an unprecedented demand surge from millions who put their own care on hold over the past several months. How we approach this impending surge will determine …
“When the director of my general surgery program asked for a report on how the pandemic was affecting the residents, I queried my colleagues, promising anonymity to encourage candor. I received a wide variety of responses and reactions. Some are thriving; others are not.
In the end, I cannot decide if things are going well or not. That may be because everything …
“Few physicians feel properly prepared to face the fear caused by this pandemic. I certainly did not. However, we continue to show up every day for our colleagues and our patients. We continue to focus on our jobs and the things that we can do to help. Let’s not forget to find moments throughout the day to recognize that we are …
“Today, we got called on a patient in the ICU who recently had a new brain mass removed surgically. The specimen came back positive for an aggressive brain tumor known as glioblastoma multiforme. We discussed his diagnosis and prognosis with him at bedside alone, with his wife and daughter on speakerphone given visitor restrictions due to the current coronavirus pandemic.
Unfortunately, this …
Work is a necessary part of life. More than simply a means to a paycheck, work gives individuals a sense of dignity and accomplishment. Feeling as though one is participating in meaningful work, whether it is contributing to a massive project or an individual artistic pursuit, allows one to feel as though they have a purpose.
While this urge to create or work appears to be a universal human trait, the …
“The events over the last couple of weeks have affected me deeply. Of course, I’m concerned about a novel virus that is infecting and killing people. But, I’m more distraught over the reaction of the people, the response of the state and federal governments, the blatant disregard of science/epidemiology, and the warnings of our physicians on the front lines.
Most of us …
“Most physicians have spent decades training for the day that they see their first patient or perform their first surgery. This extended time involved to become a physician does not leave a lot of spare time in college or medical school for most physicians to take any significant coursework in economics, finance, or investing. Yet, physicians have a tremendous amount of …
When I matched into anesthesiology residency in 2002, I assumed that the entire four years of training were guaranteed to me, barring any gross failure on my part. A package deal, essentially. I hadn’t heard of anyone not finishing.
For me, residency was exhaustingly tolerable, yet gratefully formative – interspersed with warm camraderie, the occasional difficult patient or frustrating attending, satisfying progress, and finite episodes of survivable misery. I had a …
“Each morning before the doctors came in for rounds; I’d paint feverishly whatever abstraction came to mind and what evolved from my situation. When I completed my pieces, I felt like I had not only gotten out my frustrations and worry, but also found a place of joy and gratitude. I would put each canvas outside my hospital room, and soon …
Opiates relieve pain and can transport people to their apparent happy place. So does marijuana. Lyrica, the seizure-turned-pain medication, caused enough of a buzz in early study participants that it became a controlled substance. The anesthetic ketamine is now used for treatment-resistant depression.
Years ago, we had to be very specific about the location and classification of our patients’ pain. When pain then became a self-reported vital sign and chronic opioid …
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“Do all physicians and scientists not on the frontlines of this pandemic feel this, or is it unique to women? Women in medicine and science have long struggled with the sense of never having ‘done enough’ and have pushed themselves even harder to get the same recognition accorded our male colleagues. Does that make us more vulnerable to guilt, or are …
Physicians have not been immune to the economic impact of the pandemic. There have been several furloughs and reductions in RVUs. Although physicians are high earning professionals, many start careers well into their 30s and are saddled with tremendous debt, and the need for financial planning cannot be ignored.
There has been a lot of buzz about investing in commercial real estate through syndication. This option may become more and more …
Over the last few days, physicians and nurses across the country have taken a knee, galvanized by the recent death of George Floyd, as well as the disproportionate effect of the coronavirus pandemic on African-American families. The White Coats for Black Lives movement firmly identifies racism as a public health issue and calls on everyone in the health care system to take action.
As physicians, we can see what …
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On February 12, 2020, the United States Medical Licensing Examination (USMLE) announced that, “the USMLE program will change score reporting for Step 1 from a three-digit numeric score to reporting only a pass/fail outcome” as early as January 1, 2022. This change will have a major impact on medical education. USMLE has not announced a complete plan for the transition to pass/fail score reporting. USMLE’s careful …
Thank you for listening to the podcast. There were some audio difficulties, which I hope you can overlook. It certainly does not take away from Dr. Sheikh’s message and her wonderful interview.
“‘It’s a strange time to be having a baby,’ my patient said as she sat alone in her labor room. The state order to shelter-in-place in California had left her …
“You have to work twice as hard to get half as far.”
As a black woman, this sentiment has haunted me for my entire life. Minority individuals are consistently forced to go above and beyond to prove themselves, regardless of the setting. Unfortunately, medical education is no different. Black and Hispanic students, often referred to as underrepresented minority (URM) students, consistently face racial bias, which places them at a disadvantage to …
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“As a nearly graduated medical student, I have come to the conclusion that the focus of medical school is split between training and distinguishing medical students. Modern pedagogy has not found its way into the modern medical school classroom. Preclinical students spend mounds of time on impossible tasks, like memorizing First Aid for the USMLE Step 1, without learning concrete skills …
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