KevinMD.com

March 6, 2023Mar 6, 2023

In this episode, we welcome Jennifer Shaer, a pediatrician, to discuss the issue of physician suicide rates and how the holidays can impact mental health. Despite being one of the happiest countries in the world, Scandinavian countries like Finland and…

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Social media in medicine

Blogging for beginners: tips for success in any niche

Aaron Morgenstein, MD & Claire Unis, MD

March 6, 2023Mar 6, 2023

There’s a blog for everyone! Whether you cannot get enough awkward family pictures, epidemiologist input, cat humor, vegetarian cooking recipes, menopause tips, or love to geek out on pie charts – there’s a blogger out there creating content for you.…

What this means – aside from endless entertainment possibilities – is that no matter how obscure your niche may be, opportunity abounds for you to start blogging, too.

Why blog?

Blogging allows you …

Conditions and diseases

The curious cases of the Tenerife plane crash and medical errors: What we see through the Swiss cheese model

Alisa Sano, MPH

March 6, 2023Mar 6, 2023

"Even a room with flammable gas will not explode unless someone strikes a match." – Dr. Bob Wachter Case 1: On March 27, 1977, two 747s collided on the runway at Tenerife in the Canary Islands, killing 583 people. On…

“Even a room with flammable gas will not explode unless someone strikes a match.”
– Dr. Bob Wachter

Case 1:

On March 27, 1977, two 747s collided on the runway at Tenerife in the Canary Islands, killing 583 people. On a foggy morning, the KLM 747 was waiting for clearance to take off. Captain Van Zanten was a well-known pilot with excellent safety records. The KLM crew spotted a Pan Am 747 taxiing …

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Physician voices

Physicians spending more time with computers than patients

Steven Reznick, MD

March 6, 2023Mar 6, 20233

Recently I tried to log onto my hospital system's electronic health record to check on the status of a patient. This patient is elderly, severely mentally incapacitated, and being cared for by physicians on the neurology service. Her son, a…

Recently I tried to log onto my hospital system’s electronic health record to check on the status of a patient. This patient is elderly, severely mentally incapacitated, and being cared for by physicians on the neurology service. Her son, a practicing physician at the same facility, had not received a return phone call from any of the inpatient physicians and wanted to know why his mom needed a lumbar puncture …

Physician voices

The addictive quest for achievement and its dangerous consequences

Dawn Baker, MD

March 6, 2023Mar 6, 2023

An excerpt from Lean Out: A Professional Woman's Guide to Finding Authentic Work-Life Balance. In the third grade, my teacher identified me as a high achiever. Aside from recognition, he "rewarded" me with the opportunity to write an extra report…

An excerpt from Lean Out: A Professional Woman’s Guide to Finding Authentic Work-Life Balance.

In the third grade, my teacher identified me as a high achiever. Aside from recognition, he “rewarded” me with the opportunity to write an extra report on a topic of my choosing every month. Being young and not having many commitments on my time, I happily accepted the additional challenge and added work. This began the …

The Podcast by KevinMD

KevinMD on the Medical Entrepreneur podcast

The Podcast by KevinMD

March 5, 2023Mar 5, 2023

In this episode, I'm on the other side of the microphone. I'm interviewed by Adam Sewell at the Medical Entrepreneur podcast. I share insights on the non-linear paths physicians can take with their degrees and their options beyond clinical medicine.…

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In this episode, I’m on the other side of the microphone. I’m interviewed by Adam Sewell at the Medical Entrepreneur podcast. I share insights on the non-linear paths physicians can take with their degrees and their options beyond clinical medicine. We also delve into the topic of physician burnout and …

Physician voices

The invisible graveyard of every physician’s career: Why every doctor needs a “badness” plan

Maryna Mammoliti, MD

March 5, 2023Mar 5, 2023

As physicians, we all know what "badness" is in medicine. "Badness" is a word many physicians use to convey a painful, complicated, tragic, or adverse clinical experience. Badness is usually some bad, particularly emotional "bad." Due to medical training most…

As physicians, we all know what “badness” is in medicine. “Badness” is a word many physicians use to convey a painful, complicated, tragic, or adverse clinical experience. Badness is usually some bad, particularly emotional “bad.” Due to medical training most physicians struggle to describe their emotions or even allow themselves to acknowledge emotions, especially around distressing patient cases. The word “badness” frequently conveys to others how awful the event was, …

Conditions and diseases

“Eat less and move more” is not the solution: What I wish my thin colleagues understood about obesity

Jennifer Gauntt, MD

March 5, 2023Mar 5, 20232

I have been overweight or obese since I hit puberty. I have gained and lost the same 60 pounds half a dozen times in my adult life. I've never been one to try a fad diet – I research the…

I have been overweight or obese since I hit puberty. I have gained and lost the same 60 pounds half a dozen times in my adult life. I’ve never been one to try a fad diet – I research the data and follow a scientifically sound plan. I understand that the only way to lose a pound is to have a 3,500-calorie deficit. Losing weight is actually quite simple. But …

Physician voices

From doctor to worried family member: a call for more humanized care in the ICU

Dr. Zsuzsa Csik

March 5, 2023Mar 5, 2023

Recently I had the unfortunate experience of changing my perspective from being a doctor to becoming a worried family member. My father spent five weeks in a hospital with a severe infection. Visiting hours were restricted to one hour per…

Recently I had the unfortunate experience of changing my perspective from being a doctor to becoming a worried family member.

My father spent five weeks in a hospital with a severe infection. Visiting hours were restricted to one hour per day – the aftermath of COVID – and getting information about his therapy, prognosis, etc., was nearly impossible.

Thankfully, my father recovered and was discharged. He was more than happy to go …

Physician voices

From cancer survivor to thriving mind: a journey to true healing and purpose

Samone Zarabi, MD

March 5, 2023Mar 5, 2023

"I own the world!" was my exact thought when my doctors entered my bone-marrow transplant unit and said I was cancer-free! That joyous moment lasted a few seconds because they immediately declared, "Be careful, you have a 30 percent chance…

“I own the world!” was my exact thought when my doctors entered my bone-marrow transplant unit and said I was cancer-free! That joyous moment lasted a few seconds because they immediately declared, “Be careful, you have a 30 percent chance of recurrence from the same cancer and X percent chance of XYZ …”

I don’t remember the entire conversation as I stopped listening. My body became numb, and I was pushed …

The Podcast by KevinMD

Wrongful prolongation of life: a growing concern in the health care system [PODCAST]

The Podcast by KevinMD

March 4, 2023Mar 4, 2023

In this episode, we sit down with patient advocate Althea Halchuck to discuss the importance of advance directives in end-of-life care. We delve into the story of Dr. Gerald Greenberg, a New York dentist who was diagnosed with early-onset dementia…

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Health policy

The private health care debate in Canada: What’s the real issue?

Jean Paul Brutus, MD

March 4, 2023Mar 4, 2023

The growing role of private health care in Canada is a hot topic at the moment. Provincial governments are outsourcing elective surgeries to the private sector and are considering or debating the option. Many Canadians are in favor because they…

Many Canadians are in favor because they recognize that the public health care system is failing. Many are against it because they fear it will increase inequalities in access to care for the most vulnerable populations, particularly

…

Physician voices

Why physician-led health care leads to quality patient care

Peter Angood, MD

March 4, 2023Mar 4, 2023

Excerpted from Physician Leadership: More Valuable Than Ever — A White Paper from the American Association for Physician Leadership. Physician leadership is an essential element required to provide optimal patient-centered care. To succeed, health care must be quality-centered, safe, streamlined,…

Excerpted from Physician Leadership: More Valuable Than Ever — A White Paper from the American Association for Physician Leadership.

Physician leadership is an essential element required to provide optimal patient-centered care. To succeed, health care must be quality-centered, safe, streamlined, measured, evidence-based, value-driven, innovative, fair, equitable, and physician-led.

The American Association for Physician Leadership (AAPL) is focused on the personal transformation of all physicians, and through them, the organizations they serve. …

Physician finance

Retirement planning: Understanding sequence of returns risk

Jordan Bilodeau, CFP

March 4, 2023Mar 4, 2023

Retirement planning should start at the onset of your professional career. Like many things in finance, the earlier, the better. Many residents and fellows can save into a retirement plan and receive matching contributions even during their training. Over the next 30-plus years as a medical provider, your investment returns will play a role in your preparedness for retirement, but returns are not the only important variable. You’ll also have …

Conditions and diseases

Navigating gender identity confusion in a high-stress environment

Debbie Moore-Black, RN

March 4, 2023Mar 4, 20233

As nurses in behavioral health, we were not well-versed in the field. After 33 years in ICU nursing, I left the unit expecting behavioral health to be an easier transition. However, the comparison between the two was like comparing apples…

One day, we admitted a 33-year-old female patient who was constantly angry and had outbursts, hitting patients and staff members without …

The Podcast by KevinMD

Become your own health advocate: Navigating the doctor shortage [PODCAST]

The Podcast by KevinMD

March 3, 2023Mar 3, 2023

In this episode, Ann M. Hester, a board-certified internal medicine physician, dives into the perfect storm brewing in the U.S. health care system and what we can do to prepare for it. The country is facing a projected shortage of…

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Physician voices

Don’t hold your breath: Non-competes are unlikely to disappear for physicians

Aaron Morgenstein, MD

March 3, 2023Mar 3, 20233

Physician non-compete clauses have been a controversial topic for many years. These clauses within contractual agreements prevent physicians from joining or operating a competing practice within a certain distance or timeframe. With the Federal Trade Commission (FTC) looking into non-compete…

On January 5, 2023, the FTC proposed a new rule that would ban employers from imposing …

Physician voices

The power of a simple form: a doctor’s experiment in building trust with patients

Anonymous

March 3, 2023Mar 3, 20233

While we appreciate the importance of trust, not all patients have the same windows of opportunity to establish it with their physicians. The nature of each specialty and the severity of the patient’s condition influence how quickly and deeply trust can be created and maintained. The STEMI patient will quickly learn to trust the interventional cardiologist, and the trauma victim, and the surgeon.

Not surprisingly, it’s very challenging for physicians

…

Physician voices

Patients vs. customers: the ethics of health care as a business

Jean Paul Brutus, MD

March 3, 2023Mar 3, 2023

Medicine is both a business and a profession, with the business aspect being the provision of health care services for a fee and the professional aspect being the delivery of medical care for the patient's benefit. The business of medicine…

The business of medicine refers to the broader economic and political systems that shape the health care industry, such as government policies, insurance regulations, and the influence of pharmaceutical companies and other industry stakeholders.

The terms …

Physician voices

The hidden consequences of portal message fees

Eddie Fatakhov, MD, MBA

March 3, 2023Mar 3, 20233

As the health care industry continues to evolve, many practices and hospitals have turned to electronic portals to communicate between patients and their providers. However, some practices have begun charging patients a fee for responding to messages sent through these portals. While this may seem like a viable solution for increasing revenue, it could ultimately have negative implications for the care of patients.

One major issue with charging patients for portal …

Real physician voices, twice a week

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