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Automation bias is the new medical error

Duane Penshorn, MD

Physician

July 1, 2026

In 1999, researcher Dr. Kathleen Mosier placed 25 experienced pilots in a high-tech flight simulator. Her goal was to measure their response to inaccurate automated alerts. When cockpit instruments indicated an engine fire, the protocol was to verify the condition with other sensors. Instead, every one of the 25 pilots shut down the affected engine, responding to the false positive warning, an error of commission. In another scenario, the simulated …

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Automation bias is the new medical error

Why I hesitate to sign ADHD accommodation forms

Farid Sabet-Sharghi, MD

Conditions and Diseases

July 1, 2026

Every year, my desk fills with increasingly complex paperwork. School systems, testing boards, and corporate human resources departments request formal validation to grant specific accommodations, most commonly extended time or modified environments, for individuals diagnosed with Attention Deficit Hyperactivity Disorder. As a psychiatrist who has spent decades observing the human condition, I find myself increasingly reluctant to sign these forms.

This hesitation does not stem from skepticism about the condition itself. …

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Why I hesitate to sign ADHD accommodation forms

Bearing witness in medicine before my voice goes quiet

Ronald L. Lindsay, MD

Physician

July 1, 2026

I am approaching a period of my life marked by multiple surgeries, procedures that may limit my voice for a time, or perhaps silence it altogether. I do not mention this to invite sympathy. I mention it because bearing witness requires speaking while one still can. It requires naming the truth before the body quiets, before recovery reshapes the days ahead, before the opportunity to speak freely is interrupted by …

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Bearing witness in medicine before my voice goes quiet

How immersive travel can reshape identity and habits [PODCAST]

The Podcast by KevinMD

Podcast

June 30, 2026

YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

A week off does not fix burnout. The same problems are waiting when you get home, and the same person is walking back into them. Stacey Funt is a radiologist who runs a boutique wellness adventure travel company, mostly for women in …

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How immersive travel can reshape identity and habits [PODCAST]

From military to medicine, the mindset that follows you

Vikram Madireddy, MD

Physician

June 30, 2026

The uniform changed, but the mindset never really left.

Long before I stepped into hospitals in London or research labs in Tokyo, I wore Army green in training exercises across New York as a medic in the U.S. Army. At the time, I did not know that many of the lessons shaping me there would later define how I approached medicine.

People often assume military training is primarily about aggression, toughness, or …

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From military to medicine, the mindset that follows you

Administrative harm is the burnout we don’t measure

Jeffrey Shuhaiber, MD

Physician

June 30, 2026

As physicians, regardless of our specialty, we share a singular, defining orientation: a fiduciary commitment to the patient sitting in front of us. Whether we are operating on a heart, managing complex diabetes, or counseling a family through a life-altering diagnosis, our patients grant us extraordinary latitude. They do so based on a deeply held understanding that our clinical judgment will be exercised solely in their best interests. This sacred …

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Administrative harm is the burnout we don’t measure

The danger of worshipping resilience in medicine

Anthony Grandelis, MD

Physician

June 30, 2026

The longer I’ve practiced medicine, the more uncomfortable I’ve grown with the word resilience.

I’m a physician, and I am also a person in long-term recovery from addiction. Both of those identities have shaped everything about how I move through health care, and nowhere do they collide more sharply than in the culture of resilience that medicine holds so dear. We praise it like a virtue. We stitch it into wellness …

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The danger of worshipping resilience in medicine

What’s missing from the tobacco harm reduction debate

Edward Anselm, MD

Health Policy

June 30, 2026

Anyone who uses social media is likely to encounter messages about tobacco harm reduction. This information comes from multiple sources with varying and overlapping agendas. At one end of the spectrum, the World Health Organization and most public health authorities emphasize the risks associated with nicotine in all forms. Their primary concern is preventing nicotine initiation among adolescents and young adults, thereby reducing future tobacco-related disease. At the other end …

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What’s missing from the tobacco harm reduction debate

What happens when medical AI talks to medical AI

Arthur Lazarus, MD, MBA

Health Technology

June 30, 2026

An excerpt from Medicine at the Crossroads: Commentaries from a Profession Caught Between Patients, Politics, Technology, and Trust.

In 1979, Kramer vs. Kramer gave us a custody battle in which two wounded adults fought over the future of a child they both loved but understood differently. It was intimate, painful, and unmistakably human. The medical sequel being written today is less likely to unfold in a courtroom than in an …

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What happens when medical AI talks to medical AI

When dark humor in EMS goes quiet, pay attention

Emily James, NREMT-P

Conditions and Diseases

June 30, 2026

It happens about forty minutes into a shift, or forty minutes after a bad call, or sometimes just in the break room on a Tuesday afternoon when someone says something that has no business being funny. And the whole crew laughs.

If you’re new, you won’t know what to do with this. You’ll look at the people around you, competent, caring professionals by every observable measure, and wonder what is wrong …

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When dark humor in EMS goes quiet, pay attention

The physician burnout fix nobody prescribes

Michael Carlini

Conditions and Diseases

June 30, 2026

There’s a quiet assumption baked into how most physicians think about their careers: If you have the capacity to earn a certain income, you should. More RVUs, more shifts, more call. The math always seems to point in one direction.

I want to question that assumption, because I’m watching it cost the doctors I coach something they can’t get back. When physicians come to me feeling depleted, the first instinct, theirs …

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The physician burnout fix nobody prescribes

Dental fear is not really about pain

Mariam Olayode

Conditions and Diseases

June 30, 2026

I used to hide my smile in photographs.

Not because I was shy. Not because I was having a bad day. But because I had convinced myself that my teeth were too big, too much, too visible. I watched people with smaller, neater teeth and quietly wished mine were different. I kept my lips together in every picture for years.

I am a dental surgery assistant. And for a long time, I …

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Dental fear is not really about pain

What a code blue feels like when CPR fails

Matthew Russell, MD

Conditions and Diseases

June 30, 2026

An excerpt from House of Perdition.

Ten minutes into the code, and I could already feel the difference. I could feel her broken ribs grind against each other with every compression. The first set of compressions had been stiff, like trying to force a thick textbook to bend in half, the sternum protecting the heart and lungs. Each compression was unforgiving, and the chest recoiled with a force equivalent to …

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What a code blue feels like when CPR fails

The closed door: HIV stigma in clinical training

Max Jared Bajer, RN

Conditions and Diseases

June 30, 2026

Her door was always closed. Every other mother on that maternity ward had hers open. You could hear them from the hallway: the soft sounds of newborns, the low voices of partners and grandmothers, the particular exhausted joy of those first hours. Nurses moved in and out freely. Students stopped to peek, to congratulate, to practice the small rituals of care that we were there to learn. The ward had …

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The closed door: HIV stigma in clinical training

Why physician is not the same as provider [PODCAST]

American College of Physicians & The Podcast by KevinMD

Podcast

June 29, 2026

YouTube video

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!

Calling a doctor a provider sounds harmless. The American College of Physicians says it isn’t. Janet Jokela, former treasurer of the American College of Physicians, professor, and medical educator, discusses the KevinMD article “Physician vs. provider is an ethics issue, not …

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Why physician is not the same as provider [PODCAST]

Moral injury in medicine: the cost of endless accommodation

Eddie Saliba, APRN, FNP-C

Conditions and Diseases

June 29, 2026

When the pattern became impossible to ignore

A patient came into the office after two or three days of cough, congestion, body aches, and fatigue. Fairly typical upper respiratory symptoms. I offered to test him for COVID. He scoffed and dismissively declined any viral testing.

Apparently he already “knew” what this was. According to him, it was “turning into bronchitis,” and what he “needed” was a Z-pack. I explained that after only …

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Moral injury in medicine: the cost of endless accommodation

Private equity in direct primary care is winning

Dana Y. Lujan, MBA

Physician Finance

June 29, 2026

The independent medicine community celebrated when the numbers dropped. Eighty-three percent growth in practice sites. Seventy-eight percent more clinicians. Conference decks updated overnight. Nobody asked who owns them now.

The Health Affairs data is real. The growth is real. What the numbers do not show is ownership. And ownership is where the story changes.

Goldman Sachs Asset Management, Charlesbank Capital Partners, Blue Sea Capital, Shore Capital Partners, and Revelstoke Capital Partners …

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Private equity in direct primary care is winning

What medical regulation can learn from restorative justice

Kayvan Haddadan, MD

Physician

June 29, 2026

Medical regulatory agencies play a foundational role in protecting patients and maintaining high professional standards. When rules are applied clearly, consistently, and supportively, they create space for physicians to deliver excellent care while sustaining their own well-being. Yet administrative burdens and process complexities often contribute to stress. A promising solution lies in blending traditional oversight with restorative justice principles and a holistic health lens, approaches that address the whole person …

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What medical regulation can learn from restorative justice

Physician caregiver burnout and the care tax women carry

Amber K. Brooks, MD

Physician

June 29, 2026

I am the first physician in my family. Serving others as a physician and physician researcher is not just my profession, it is my calling. But with that calling comes an unseen responsibility: the weight of caring for those closest to me, including aging relatives.

When my grandmother was dying, I found myself stepping into the role of physician at moments when all I wanted was the space to grieve as …

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Physician caregiver burnout and the care tax women carry

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