Patients often comment on my attire other than my white coat, particularly my impractical footwear, until I finally broke down and purchased Danskos to avoid being called out for my truthful impracticality. It is amazing how patients care more about my orthotics than remembering the reason they scheduled a visit with me, and God bless them for that.
I am in family medicine, and I thrive on personal and genuine relationships where …
Over 100,000 medical and surgical resident physicians and fellows (combined, “house staff”) are the first-line physicians for most patients in the nation’s 1,100+ teaching hospitals. Maximum weekly work hours regulated by the Accreditation Council for Graduate Medical Education (ACGME) are colloquially cited to be 80 per week. Notably, however, they are 80 hours averaged over 4 weeks (88 with “sound educational rationale”), without maximum weekly hour …
“At first, it may seem strange that ‘physician’ and ‘side gig’ are even used in the same sentence. After all, the average physician in the United States is already working more than a 40 hour work week and struggling with issues related to work-life balance. As someone who talks about physician …
This article is sponsored by Augmedix: Ambient medical documentation and live clinical support powered by virtual scribes.
2020 was a remarkable year by almost any standard. In health care especially, we’ve seen COVID-19 catalyze years of growth and innovation in less than 12 months. Assistive technologies were developed to meet challenges in record time, and encouragingly positive changes in how we practice medicine …
Years and years ago, everyone always walked up a mountain of snow and ice barefoot while dragging a carriage behind them to get to school, and their stethoscopes were made of bamboo. They were hard, hard times, and it was a time-honored tradition to hear the talk from our attendings about how hard training used to be and always elicited an internal groan. The follow up refrain frequently heard in …
An excerpt from Breaking the Silence: Why Opening Up About Your Sex Life Is the Best Medicine for Your Health, Relationships, and Overall Happiness.
I have been practicing medicine for forty-five years, and it has become clear to me that many of the mental and physical problems …
“In Wooster, Ohio, where I practiced, a small not-for-profit hospice agency relied on local physicians, clergy, and many other volunteers to supplement the skills and dedication of their employed staff. It was through this work with Hospice of Wayne County, in making home visits when needed, that I learned the immeasurable value …
He studied at Turin, worked as a chemist until the age of 24, and in 1943 he resisted Nazi occupation of Italy with a group of countrymen. Italian fascists arrested him, turned him over to the Germans, and sent him to Auschwitz in 1944. He arrived on a train packed with six hundred and fifty people. He was imprisoned in the concentration camp for a year. Later Read more…
“A practicing anesthesiologist for the past 14 years, when COVID hit, and the ORs came to an abrupt halt, I needed to occupy my mind. An opportunity to learn about the business behind running a practice came to me via a good friend who is a founding member of an award-winning Fintech …
Even during the pandemic, labor and delivery are the most frequent reasons for hospitalization in Canada, with over 350,000 births per year. That’s happy news. But of these births, nearly one third are by Caesarian section (C-sections). That rate is far too high – and rising.
C-section is the surgical procedure to deliver a baby that involves an incision in the mother’s …
“Just as the pandemic has forced massive technology adoption in the delivery of care, we will see the rapid, widespread implementation of innovative solutions that medical education has desperately needed for years. Technologies like computer-based training, adaptive learning using artificial intelligence, video game-based learning, and extended reality such as virtual reality and …
Stacks of flyers ranging from local free dinners to legal services collecting in a box or filing cabinet are familiar scenes in student-run clinics (SRCs). To anyone who has worked in social services, maintaining organization and keeping up-to-date resources can be a frustrating and common challenge.
Across the nation, SRCs generally serve homeless, at-risk, and low-income populations for free or at little cost. Primarily run by medical students, SRCs also provide …
“We lack the necessary signaling of the nonverbal cues when only looking at one’s face. The presenter’s large face only a few inches from our screen may evoke our primordial threat response with its resulting cascading transmitters. The angulation of computer and phone cameras causes facial distortions. Unless one aligns oneself to …
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An excerpt from Medical Myths: A Sceptic’s Journey.
It may be a long while since you’ve heard of a very small infant being found dead in the crib.
As a young doctor, I recall the encounters on cold February nights with devastated …
Like many scary health scenarios where patients seek some modicum of influence, the COVID-19 pandemic has led to patient demand for “immune-boosting” dietary supplements. Toilet paper wasn’t the only essential item being limited by stores; bottles of zinc and vitamin C flew off the shelves as consumers stocked up. The role of vitamin D in COVID-19 has been conflated and deflated depending on …
“The COVID-19 pandemic has impacted everyone, especially those of us in health care. Our way of practicing medicine has been changed; some would say forever. We find ourselves affected not only clinically but also emotionally. As a result, clinicians are experiencing more stress and anxiety than ever before. These feelings are …
Like many surgical specialties, the one I was aspiring to is a male-dominated field. As such, all my colleagues were male, and I often felt as though I was trying to be a part of a boy’s club. I shed my intrinsic femininity and instead equipped myself with diplomacy, banter, a light-hearted attitude, and contagious enthusiasm.
I knew nothing about the footy, and I hated beer, but I was witty, I …
Over the past year, we have experienced massive organizational change at an unprecedented pace. Traditionally, we could spend weeks planning how to best make a change in our workplaces, but COVID-19 was anything but traditional. Our emergency department at Saint Barnabas Health System in Bronx, NY, needed to pivot on a daily and even hourly basis, and to do so took planning and effort. In general, change is difficult, and …
Negotiations are not just for the job interview and annual review. We negotiate every day. Negotiating in place can be a powerful mechanism to make your current job a better fit.
The key to effective negotiations is to think like the boss. What are her concerns, goals, and interests? How can you align your goals with those of the boss and institution so that everyone wins?
At every point where you are …
Assessment without definition: a flat tire on the road of progress
Even though we have known about prions for decades, very little progress has been made in defining what a prion is vs. what a prion is not, how they get into the brain, and how prion diseases are different from other neurodegenerative diseases. Phenomenologically these definitions can vary widely. To some, a prion causes a deadly, …
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