A wonderful senior resident helped me understand the goal of rounding. Rounds should focus primarily on understanding the key problems and the diagnostic and therapeutic approaches to those problems. She suggested that some rounds spend too much time on “minutia” that the resident could handle, and not enough on understanding the big issues. According to her, rounds work best when we spend our time addressing the problems that the patient …
This article is sponsored by Careers by KevinMD.com.
What makes any particular job a “bad” one? Maybe the pay is too low. Perhaps the hours don’t work with your other commitments. It could be the commute is too long, or the opportunity for advancement is too little. A job might be bad because it has a poor …
Our country is at risk of losing an iconic institution that has played a pivotal role in the history of medical education. A school, which has produced some of the boldest pioneers in medicine, could lose accreditation upon the opening of a new hospital that will shunt away 40 percent of their current patients. Scores of our brightest potential medical students will be ripped away from the communities that desperately …
I use social media. Specifically, I use Facebook, Twitter, and LinkedIn. In the beginning, I did so for utilitarian purposes. As a columnist and aspiring writer of books, these were (and indeed are) useful marketing tools.
I have, in the past, carried around a note-pad to jot down ideas. I was never without my note-pad. I always wanted a small legal-pad with a blue or black gel-ink pen. It was my …
It was my first day of orientation at medical school. In a hallway stood a coat rack overflowing with white garments. I set down my accumulated papers, reached for a hanger and — for the first time ever — shrugged first one arm and then the other into a white coat.
It was too large, but I had no other options. The unisex coats ran from XXS to XXL, but the …
I spent my early and mid-career years working in a pediatric intensive care unit (PICU) at a large academic center. We did almost everything except for a few things esoteric at the time — small bowel transplants, a few kinds of experimental surgery. I’m now in my late career (but have no plans to quit anytime soon!) and work in a smaller PICU. I am frequently confronted with the issue …
Disability can be a devastating outcome to a doctor’s career and self-image. Think about it: You busted your butt to learn how to do a Whipple procedure, end up getting into a skiing accident that ends your career right there. No worries, because you purchased the appropriate coverage of own-occupation disability insurance, right?
Having disability insurance certainly provides a protective cushion, especially you are the sole breadwinner. This is a no-brainer, …
This article is sponsored by Careers by KevinMD.com.
After spending a decade in college and medical school, followed by internships and residency, seeking additional guidance at the beginning of your career may seem excessive. You’ve already taken direction from dozens of leaders; isn’t it time to cut your own path?
Yes and no. You’ll make plenty of your …
A guest column by the American College of Physicians, exclusive to KevinMD.com.
I distinctly recall during residency a much older and well-respected clinical teacher periodically opining that what was needed in a particular patient case was “a dose of the tincture of time.”
For those less familiar with more historic terminology, a tincture is an alcoholic …
It’s been a little over two years since I started this journey of blogging about passive income, and I’ve learned so much along the way. The term “passive income” has come to mean something very different to me over these years.
I used to think that passive income was simply earning money in a way that isn’t proportional to the time you put in. And while this is …
I was recently seeing a rather complicated medical patient in the hospital. We were treating both a heart and kidney condition, and things were not going so well. To spare anyone non-medical who is reading this the scientific details of the bodily processes involved, we were essentially balancing hydrating, with the need to get rid of excess fluid. After seeing the patient, I spoke with the nurse, went over the …
First impressions are critical. We are taught early in our careers that first impressions truly matter. Whether interviewing for medical school or a residency program, our goal is to make a positive first impression in hopes of making the cut at each checkpoint in our early careers.
These processes in our academic lives and careers are exhausting. As residencies and medical schools are becoming more competitive, the importance of first impressions …
To my wife,
Let’s just start at the beginning.
When we first met, you thought I was arrogant and prideful. For two and a half years we would rarely talk while we walked past each other in our small college town. At the time, we never could have imagined that one day we would get married. In a twist of irony, two weeks before we started dating you still didn’t know as …
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A number of media outlets recently featured a story about a Florida general surgeon who removed a normal kidney from a woman who was undergoing spine surgery. How could this have occurred?
The 51-year-old patient who had been injured in a car crash was scheduled for an anterior lumbar interbody fusion (ALIF) of the fifth lumbar to the first sacral vertebra. The general surgeon’s role was to provide …
Have you ever been to a doctor’s office and felt that your evaluation was rushed? Have you been seen in the emergency room and felt that you were just a number in a long series of patients? Have you ever seen the same doctor for years and felt like the doctor just met you for the first time each visit?
Chances are we’ve all experienced this as patients. If we’re honest, …
This article is sponsored by Careers by KevinMD.com.
As rewarding as working in emergency medicine can be, it also comes with some significant potential downsides. According to some recent studies, stress and burnout rates in the emergency room are some of the worst in the medical field. But don’t let that dampen your enthusiasm. Managing the proper …
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When Jason Kilar graduated from college he experienced tremendous personal and professional adversity. Three days after graduation, Kilar’s father ended his own life after battling bipolar disorder.
Kilar also battled professional valleys. In the months after graduation, the work-life he had long envisioned couldn’t have seemed further from the reality he faced.
After building shelves at a local store and hustling to find a job that he actually loved, this is what …
Moving to the Bay Area from the Midwest was a culture shock in many ways. I was amazed by the diversity, the food, the openness of opinions. And I was struck by the traffic, the stark differences driving from one community to another and the homelessness — you could see signs of it everywhere. As time went on, I acclimated to these changes. Working in the hospital, I got used …
Corporate health care mentality set up nurses up to be inhuman while holding us to superhuman expectations. We’re told to be caring — but not allowed to do it. It’s time to demand that we stop being abandoned and dismissed by dysfunctional leadership.
Early in my nursing career, I was assigned to the pediatric area for one shift in a busy emergency department (ED). Our team received notification of an incoming …
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A couple of years ago, I read an article by Dr. Profeta at LinkedIn called “These four words that may offend you … may also just save you.” He was invited to talk about burnout in medicine and did not get a warm reception.
“It’s just a job.”
The “it” in this case is medicine. Medicine, just like any other, is just a job. Let that sink in. Everything …
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