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Formalized mentorship as a requirement for medical schools

Education

October 30, 2021

Mentorship is one of the cornerstones of growth as a clinician and student. Given that so much of medicine is learned outside of a classroom and through individual experiences, mentorship helps to clearly round out these experiences and help us grow as clinicians. I remember starting medical school and being told at every corner to look for mentors. I wanted to make sure that I was able to grow at …

Medicine is not a business: a poem

Drea Burbank, MD

Physician

October 30, 2021

Medicine is not a business
You fools.

Healing is your blueprint, activated
to complete itself.

A doctor does not broker it,
The best anyone can do is align you
With what you should be,
And stay out of the way.

(Like a teenager setting off an illegal firecracker.)

Mostly, you pay the doctor for the alignment,
And the nurse
To keep the doctor out of the way.

If you’re not ready,
to get on with the business of what you should be,
You come …

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Medicine is not a business: a poem

I bought into the stigmas about the mentally ill, until I became one of them [PODCAST]

The Podcast by KevinMD

Podcast

October 29, 2021

“Bipolar runs in my family, so I knew the harsh realities of this untreated illness. A family member faked his own death after a counterfeiting spending spree. My grandfather told people that I would die in a car accident, and he would take my body up to the mountain and …

Tomgirl and tomboy: Rethinking gender stereotypes [PODCAST]

The Podcast by KevinMD

Podcast

October 28, 2021

“How do we create a world where all of us can express our unique selves the way we choose without derisiveness and shame? I am not here to criticize the wonderful parents and caregivers who are reading this – they only love their children. Common sense must prevail. I only …

If the healers are sick, what happens to the rest of society?

Tomi Mitchell, MD

Physician

October 28, 2021

People often say health care professionals are often the worst patients. As health care professionals, we are well versed with what is needed to be healthy, but we struggle, like many other people, to consistently apply these principles.

Some reports indicate that as many as 50 percent of doctors experience symptoms of burnout, including emotional exhaustion, feel less enthusiastic about work, and lack personal accomplishment at some point during their career. …

Physician struggle with feelings of betrayal

Maire Daugharty, MD

Physician

October 28, 2021

We went into medicine to help people, and now we struggle with feelings of betrayal. We sacrificed so much. While our cohort in college went on to graduate and earn an income and start families, we continued with medical school, an all-in venture financially and personally, demanding all of our time, efforts, and attention. Then we trained. And trained some more. And then, finally, we went to work. We took …

The Public Service Loan Forgiveness waiver and its impact on physicians

Will Koster

Finance

October 28, 2021

The U.S. Department of Education recently announced some major changes to the rules and qualifications around the Public Service Loan Forgiveness (PSLF) Program. Now, for a limited period of time, borrowers may receive credit for past payments made on loans that would otherwise not qualify for PSLF.

The good news is that public service loan forgiveness is now available to more people. The bad news is that there will be more …

I do not want to be resilient [PODCAST]

The Podcast by KevinMD

Podcast

October 27, 2021

“We all know watching a module on resilience, sitting in a lecture about mindfulness, being told to practice more yoga and breathing techniques does not make you feel less burnout. It’s having the support and buy-in from your workplace, to actually have the time to do the things that feed …

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I do not want to be resilient [PODCAST]

How to navigate residency probation

Anonymous

Physician

October 27, 2021

The journey to becoming a physician is generally a linear path. Sure — there are exceptions, but for the most part, you can accurately predict what you will be doing in the future. For example, when you are in high school, the next step is college, then medical school, residency, possibly a fellowship, and finally your first job. (That’s approximately 16-18 years of your life!)

But what happens when things don’t …

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How to navigate residency probation

To booster or not booster? That is the question.

Denise Dawkins, RN, DNP

Conditions

October 27, 2021

Gen. Colin Powell , the first Black U.S. secretary of state, passed away this week due to COVID complications. Yes, Powell was fully vaccinated but immunocompromised. However, he had scheduled the booster but was too ill to receive it.

After President Joe Biden received his COVID-19 booster, many wondered if they needed a booster too.

I have been a registered nurse for over 38 years, and …

Why now is the time to get patients back to in-person routine care [PODCAST]

The Podcast by KevinMD

Podcast

October 26, 2021

“As the next wave of the pandemic unfolds, the rise in cases is once again straining health care systems. But that’s not the only reason hospitals and health systems could experience an influx of emergency or critical care visits. Findings from the National Poll on Healthy Aging based at the …

The dream patient that makes a doctor very happy

Suneel Dhand, MD

Conditions

October 26, 2021

Mr. Williams is a 52-year old male who has been following me for some time. He has just been started on metformin for newly diagnosed diabetes. Lisinopril is his only other medication for high blood pressure. When he had his yearly physical, he was also found to have a high LDL “bad” cholesterol of 150. His BMI is 29, significantly overweight and touching obesity levels.

I sat down with him for …

Protein calorie malnutrition is devastating for patients

Steve Snodgrass, MD

Conditions

October 26, 2021

I am a former chief of surgery and a scientific entrepreneur.

My practice consisted of patients who suffered from serious injuries and illnesses. Concerning the latter, a significant number had cancer, especially breast cancer. The issue all patient groups have in common to a certain degree is protein calorie malnutrition (PCM). The most dramatically affected are those stricken with a malignancy. PCM leads to increased morbidity, mortality, …

Carry on, my weary one: Persevering in the aftermath [PODCAST]

The Podcast by KevinMD

Podcast

October 25, 2021

“Frontline workers may have temporarily experienced a heightened sense of personal success and gratification, but I doubt many of us are still able to feel satisfied at this point, after all the repeated moral injuries and losing so many patients. COVID-19 assuredly changed me. The virus changed my residency …

Why private equity is a dangerous employer

Kara Grant

Policy

October 25, 2021

About 4 months after emergency medicine physician Jessica (a pseudonym used out of fear of retaliation from her employer) joined a Michigan hospital in 2014, the department’s staffing group was bought out by TeamHealth, a staffing firm backed by the private-equity behemoth Blackstone.

Ever since Emergency Medicine Specialists (EMS) — which touts itself as one of the oldest emergency physician groups in Michigan — was acquired by TeamHealth, “it’s been …

Which is better: Psychotherapy using video or in-person while wearing masks?

Steven Reidbord, MD

Physician

October 25, 2021

At the very start of the pandemic last year, I met with a couple of patients in the office while we wore masks. Based on that limited experience, I quickly concluded that seeing each other’s faces was of paramount importance, even if over video. That, plus the infection risk, led me to close my office to in-person appointments. For more than a year, I exclusively conducted …

Why it may be time for doctors to unionize

Karen S. Sibert, MD

Physician

October 25, 2021

Remember the dark days of the pandemic, when the true risk of caring for COVID patients started to become clear? Remember when you could be censured by a nursing supervisor or administrator for wearing a mask in public areas lest you frighten patients or visitors?

Right around then, a third-year resident at UCLA decided to wear a mask wherever he went in the hospital, as testing wasn’t readily …

Physician suicide: Where are the leaders? [PODCAST]

The Podcast by KevinMD

Podcast

October 24, 2021

“As a mother, a physician, and an educator, I refuse to accept this as normal. It is not! What should we tell the parents of these young physicians? How do we explain to them that their dream of being a doctor became a nightmare with a tragic ending? What do …

The success of Australian firearms regulation: What it could mean for children

Christopher Johnson, MD

Policy

October 24, 2021

An article in the New England Journal of Medicine in 2018 noted the sad milestone that firearms were causing 15% of all deaths in children and adolescents. Somewhat encouraging, a later study showed states with stricter firearm laws correlated with lower numbers of firearm deaths in children. The relationship was quite linear, as you can see below. The authors had specific criteria for weak vs. strong gun laws: if …

4 money mistakes everyone makes

Cory Fawcett, MD

Finance

October 24, 2021

Over the last 32 years, I have been following the literature concerning money, investing, and debt. In the last few years, I started writing about the topic as well as sharing my knowledge with other physicians through one-on-one financial coaching. Through the years, I have seen many people make the same mistakes when projecting financial goals, and they make them year after year.

When all of the answers are at our …

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4 money mistakes everyone makes