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The expanding role of specialists in value-based care

Policy

June 13, 2021

Value-based care has become a buzzword over the past decade with early experiments in Massachusetts, followed by creating Medicare accountable care organizations (ACOs) as part of the Affordable Care Act. As commercial insurers jumped onto this bandwagon, most providers became familiar with the concepts of gainsharing, upside and downside risk, and bundled payments.

Much of the activity in this space has focused on primary care, particularly for ACOs and ACO lookalikes. …

Teaching young children about the existence and acceptance of LGBTQ people [PODCAST]

The Podcast by KevinMD

Podcast

June 12, 2021

“Even though there has been a lot of progress, LGBTQ youth are still struggling with discrimination. I am disheartened that 40 percent of LGBTQ youth surveyed by the Trevor project in 2020 seriously considered suicide in the previous 12 months, and the amount of LGBTQ youth reaching out to the Trevor project …

6 ways to give quality feedback to medical students

Micaela Stevenson

Education

June 12, 2021

Feedback is an integral part of growing as a clinician. We all have room for improvement, and each and every one of us is a work in progress. We all grow by having others observe us and discuss how we are doing with each of us. Giving feedback also becomes an integral part of our medical education and formal training, and it must be something we strive to become good …

Surgical volumes are still down. A data-first strategy is the key to recovery.

Michael Woods, MD, MMM

Policy

June 12, 2021

Due to COVID-19, hospitals were forced to reevaluate and rework systems and processes that had been around for decades. From managing the increasing demands for testing and treating patients with the coronavirus to acquiring necessary medical equipment to keeping beds available, hospital administrators, providers, and staff showed true heroism. At the same time, the constant ebb and flow of COVID-19 surges caused hospitals to experience significant financial challenges, and …

It’s time to reframe second victim syndrome [PODCAST]

The Podcast by KevinMD

Podcast

June 11, 2021

“Taking control of distress is done by embracing the concept of ‘mental fitness.’ Being mentally fit enables one to overcome the negative emotions that have traditionally sabotaged our lives, both personally and professionally. Similar to physical fitness optimizing our bodily strength, mental fitness promotes achievement in our performance, relationships, and sense …

The need for a standardized approach to weight loss in medicine

Kevin Seely

Conditions

June 11, 2021

Any social media platform can boast an abundance of practical health and weight loss recommendations, whether scientifically accurate or not. Many professional athletes and companies are eager to sell their plans for a premium price and advertise them to the public heavily. Unfortunately, U.S. medical education cannot boast the same dedication towards confronting the obesity epidemic. By the end of my first year of medical school, I had only two …

Men’s mental health: We treat just the tip of the iceberg

Betty Rabinowitz, MD

Conditions

June 11, 2021

June is Men’s Health Month, and this year, as we emerge from the COVID-19 epidemic, more than ever, there is a compelling need to focus on male patients’ overall health, emphasizing their mental health as a key to their wellbeing.

Mental health is a significant problem among men

There are approximately 151 million males in the U.S.; six million of them are affected by depression each year, with over …

Surviving a thousand cuts: How to address physician burnout

Tomi Mitchell, MD

Physician

June 11, 2021

With the COVID-19 pandemic inflicting havoc on everyone, there is no doubt that physicians and other health care workers are most affected. The looming fear for yourself and your family adds to the current burden of responsibilities you encounter and conquer every day.

When the pandemic started in 2020, the struggle was about finding a cure and controlling the spread of the virus. With the advent of vaccines in 2021, the …

What I learned from stepping away from medicine for a year [PODCAST]

The Podcast by KevinMD

Podcast

June 10, 2021

“Before COVID-19, I left the practice of medicine for what would turn out to become an entire year. While away, I found a new way of seeing our hearts and bodies as humans in the medical profession, allowing me to return.

Here are five lessons I learned in the hope they might help …

Don’t be the patient that says these words [PODCAST]

The Podcast by KevinMD

Podcast

June 9, 2021

“Don’t be the patient that says: ‘Doc, just tell me what to do …’ Instead, you should ask for information to empower yourself to make decisions about your healing process. Framing questions around the clinician’s experience is always a good starting point; pretend to be the doctor for just a moment and …

Are you a healer or a widget?

Steve Adelman, MD

Physician

June 9, 2021

In the “Show-Me State” of Missouri, physicians receive their licenses from the Board of Registration for the Healing Arts. Seriously! This quaint term harkens back to a time when newly minted doctors had a relatively easy time realizing their desire to meld compassion, knowledge, and skill in order to relieve human suffering.

Armed with credentials suggesting that we have the right stuff to avoid doing harm, many of us are drawn …

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Are you a healer or a widget?

Here’s how doctors can support medtech innovation

Lena Levin

Tech

June 9, 2021

Medtech companies realize that it’s not a trivial task to get a surgeon to just start using a new device. Surgeons have a great deal of responsibility, and their job involves learning a lot of techniques. Therefore, when surgeons learn a technique and master it over the course of years and decades, it will take a lot of convincing to get them to switch to a new one.

But technological progress …

A transplant physician faces facts about his career [PODCAST]

The Podcast by KevinMD

Podcast

June 8, 2021

“Continuing to do this work the way I was doing it was not sustainable. I needed to get off the merry-go-round. I just didn’t know how. I didn’t think I could stop myself—transplant was my duty, my responsibility, and what I was trained and programmed to do. It was hard to imagine …

We already know how to save physicians from burnout

Karan Patel, Henna Hundal, Ank A. Agarwal, and Basil M. Baccouche

Conditions

June 8, 2021

The foundation of modern medicine has been built on a well-established, iterative process of empirical research and the pragmatic implementation of new discoveries. A relevant example of this paradigm can be seen in the development of Pfizer’s and Moderna’s COVID-19 vaccines.

Researchers developed a hypothesis to use an mRNA vaccine, demonstrated its promise in animal research and substantiated its safety and effectiveness in human subjects through clinical trials, leading to the …

How AI technologies improve the patient experience

Jared Pelo, MD and Jesse Affonso, MD & Microsoft & Nuance Communications & The Podcast by KevinMD

Podcast

June 7, 2021

This article is sponsored by the Dragon Ambient eXperience at Nuance. The exam of the future has arrived with clinical documentation that writes itself.

Recently, I participated in a virtual webinar, “How …

Artificial intelligence, COVID-19, and the future of pandemics [PODCAST]

The Doctors Company & The Podcast by KevinMD

Podcast

June 6, 2021

“Machine learning is only as good as the information provided to train the machine. Models trained on partial datasets can skew toward demographics that often turned up in the data—for example, Caucasians or men over 60. There is concern that “analyses based on faulty or biased algorithms could exacerbate existing racial …

The sense of powerlessness and being a cog in a wheel is now at an all-time high

Diane W. Shannon, MD, MPH

Physician

June 6, 2021

Toward the end of my clinical career, I didn’t feel like I had control over much at all. The patient safety issues loomed large. We used ridiculous workarounds for broken processes. The constant vigilance to provide excellent care in a suboptimal environment was exhausting. I didn’t see anything I could change. Based on my work with physicians as a coach, I think that the sense of powerlessness and being a …

Blockchain in health care and in your portfolio [PODCAST]

The Podcast by KevinMD

Podcast

June 5, 2021

“The future of health care will be focused on prevention rather than focused on performing excessive medical treatments, diagnostic tests, and procedures. Many centralized processes, services, products, and entities will become unbundled, including insurance, hospitalization, inpatient and outpatient coding, medical billing, payments, patient care, medical education, licensure, and certification. Physicians, including Leah …

The future of residency interviews

Nicholas M. Heitkamp, MD and Lucas E. Morgan, MD

Physician

June 5, 2021

Programs and applicants displayed incredible adaptations during the 2020-2021 virtual residency interview season despite the adversity they faced due to COVID-19.

Moving forward, virtual features may be integrated with traditional methods for a more equitable and favorable experience. We present here a discussion on the pros and cons of the 2020-2021 “virtual” residency interview season — and ways of hybridizing virtual and in-person practices that reimagine modern interviewing and improve applicant …

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The future of residency interviews

How a doctor fell in love with a drug addict

Lauren Roth, MD

Physician

June 5, 2021

“Something’s wrong with Eddie.”

In four words, my entire wedding day collapsed around me. I’d just arrived at a beautiful Gothic chapel in a rented 1950 Rolls Royce, mom and dad on either side of me, prepared for a picture-perfect first look with my groom. As his mother’s words echoed in my ear, I immediately thought of all the scenarios that could be easily remedied so we could move forward with …

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