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2021: 10 health care trends to watch in the New Year

Instead of comparing, let’s nurture the next generation of physicians

Anonymous

Education

February 1, 2021

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 …

The power sexuality has over our happiness

Moshe Kedan, MD

Conditions

February 1, 2021

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 …

Death is personal for this physician [PODCAST]

The Podcast by KevinMD

Podcast

January 31, 2021

“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 …

Human elements: How Primo Levi brought science to life

David B. Ney

Education

January 31, 2021

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…

Human elements: How Primo Levi brought science to life

How doctors are losing money every time a patient pays a bill [PODCAST]

The Podcast by KevinMD

Podcast

January 30, 2021

“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 …

It’s time to curb rising C-section rates in Canada

Margaret Morris, MD and George Carson, MD

Conditions

January 30, 2021

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 …

Health care’s tech renaissance during the pandemic [PODCAST]

The Podcast by KevinMD

Podcast

January 29, 2021

“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 …

Social services resource overload: How using a simple interactive map can help

Adrian Falco

Education

January 29, 2021

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 …

Zoom is foie gras of the brain [PODCAST]

The Podcast by KevinMD

Podcast

January 28, 2021

“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 …

Have crib deaths vanished?

Michael Hefferon, MD

Conditions

January 28, 2021

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 …

Read more…

Have crib deaths vanished?

6 unconscious biases against vitamins and supplements

Melinda Ring, MD

Meds

January 28, 2021

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 …

Peer-to-peer support and the second victim syndrome [PODCAST]

The Podcast by KevinMD

Podcast

January 27, 2021

“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 …

A physician’s story of sexual harassment

Anonymous

Physician

January 27, 2021

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 …

How COVID accelerates change: Bridging business principles with emergency medicine

Josh Schwarzbaum, MD, MBA

Conditions

January 27, 2021

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 …

14 tips when negotiating a physician job

Christina Arnold, MD

Physician

January 27, 2021

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 …

Are we underestimating the danger of prions and prion based diseases?

Robert Trent

Conditions

January 27, 2021

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, …

A surgeon left his own son’s funeral to take care of your child

Andy Lamb, MD

Physician

January 27, 2021

I recently read a story that struck close to home for me, and I suspect for nearly all of you in your medical careers at one time or another. It was a story of a surgeon called in urgently to the ED for a seriously injured young boy. The surgeon arrived as soon as he could, only to be confronted by an irate father for being late and accusing the …

Why medical students should not let medicine define them [PODCAST]

The Podcast by KevinMD

Podcast

January 26, 2021

“Doctors are indeed noble for what they do. Their work is undoubtedly physically intense and emotionally taxing. But the notion that they are ‘superhuman’ and ‘different’ from the rest of society is exactly the trap that we fall into the moment we don our white coats as medical students. It is because …

Marijuana legalization: an unpopular view

Garrett Rossi, MD

Conditions

January 26, 2021

In the mid-1990s, a few pharmaceutical companies made broad claims regarding the safety and efficacy of opioid medications for pain management. These claims were based on limited research that did not fully account for these drugs’ potentially harmful effects. As a result, we are now facing an opioid epidemic across the United States.

Now, New Jersey joined several other states by legalizing marijuana for recreational use. While there are clear differences …