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Understand your resident contract: What you don’t know may hurt you

Physician

June 17, 2020

When I matched into anesthesiology residency in 2002, I assumed that the entire four years of training were guaranteed to me, barring any gross failure on my part. A package deal, essentially. I hadn’t heard of anyone not finishing.

For me, residency was exhaustingly tolerable, yet gratefully formative – interspersed with warm camraderie, the occasional difficult patient or frustrating attending, satisfying progress, and finite episodes of survivable misery. I had a …

The healing power of art [PODCAST]

The Podcast by KevinMD

Podcast

June 16, 2020

“Each morning before the doctors came in for rounds; I’d paint feverishly whatever abstraction came to mind and what evolved from my situation. When I completed my pieces, I felt like I had not only gotten out my frustrations and worry, but also found a place of joy and gratitude. I would put each canvas outside my hospital room, and soon …

Read more…

The healing power of art [PODCAST]

There’s a code for pain, but what’s the code for suffering?

Hans Duvefelt, MD

Conditions

June 16, 2020

Opiates relieve pain and can transport people to their apparent happy place. So does marijuana. Lyrica, the seizure-turned-pain medication, caused enough of a buzz in early study participants that it became a controlled substance. The anesthetic ketamine is now used for treatment-resistant depression.

Years ago, we had to be very specific about the location and classification of our patients’ pain. When pain then became a self-reported vital sign and chronic opioid …

Feeling guilty for not being on the frontlines of the pandemic [PODCAST]

The Podcast by KevinMD

Podcast

June 15, 2020

“Do all physicians and scientists not on the frontlines of this pandemic feel this, or is it unique to women? Women in medicine and science have long struggled with the sense of never having ‘done enough’ and have pushed themselves even harder to get the same recognition accorded our male colleagues. Does that make us more vulnerable to guilt, or are …

What physicians need to know about real estate syndications

Fola Babatunde, MD

Finance

June 15, 2020

Physicians have not been immune to the economic impact of the pandemic. There have been several furloughs and reductions in RVUs. Although physicians are high earning professionals, many start careers well into their 30s and are saddled with tremendous debt, and the need for financial planning cannot be ignored.

There has been a lot of buzz about investing in commercial real estate through syndication. This option may become more and more …

South Asian physicians must be part of the solution against racism

Inna Husain, MD and Meeta Shah, MD

Policy

June 15, 2020

Over the last few days, physicians and nurses across the country have taken a knee, galvanized by the recent death of George Floyd, as well as the disproportionate effect of the coronavirus pandemic on African-American families. The White Coats for Black Lives movement firmly identifies racism as a public health issue and calls on everyone in the health care system to take action.

As physicians, we can see what …

Transition recommendations for the reporting of USMLE Step 1 scores as pass/fail

David F. Havlicek and Ian B. Winthrop

Education

June 15, 2020

On February 12, 2020, the United States Medical Licensing Examination (USMLE) announced that, “the USMLE program will change score reporting for Step 1 from a three-digit numeric score to reporting only a pass/fail outcome” as early as January 1, 2022. This change will have a major impact on medical education. USMLE has not announced a complete plan for the transition to pass/fail score reporting. USMLE’s careful …

Giving birth during the COVID-19 pandemic: an obstetric anesthesiologist’s perspective [PODCAST]

The Podcast by KevinMD

Podcast

June 14, 2020

Thank you for listening to the podcast. There were some audio difficulties, which I hope you can overlook. It certainly does not take away from Dr. Sheikh’s message and her wonderful interview.

“‘It’s a strange time to be having a baby,’ my patient said as she sat alone in her labor room. The state order to shelter-in-place in California had left her …

How medical education fails minority students

Shenyece Ferguson

Education

June 14, 2020

“You have to work twice as hard to get half as far.”

As a black woman, this sentiment has haunted me for my entire life. Minority individuals are consistently forced to go above and beyond to prove themselves, regardless of the setting. Unfortunately, medical education is no different. Black and Hispanic students, often referred to as underrepresented minority (URM) students, consistently face racial bias, which places them at a disadvantage to …

It’s time to flip the medical school classroom [PODCAST]

The Podcast by KevinMD

Podcast

June 13, 2020

“As a nearly graduated medical student, I have come to the conclusion that the focus of medical school is split between training and distinguishing medical students. Modern pedagogy has not found its way into the modern medical school classroom. Preclinical students spend mounds of time on impossible tasks, like memorizing First Aid for the USMLE Step 1, without learning concrete skills …

Coronavirus through a storytelling lens [PODCAST]

The Podcast by KevinMD

Podcast

June 13, 2020

“Come with me on this journey, this very ancient journey.

To experience the age-old story of a very modern foe. This foe is invisible; it is neither living nor dead. You cannot smell it, and you cannot taste it. While it is not alive, it can become alive, with a flick of the right kind of switch. While it is not dead, …

Immigrant and minority physicians at the frontline of pandemics [PODCAST]

The Podcast by KevinMD

Podcast

June 12, 2020

“It is no secret that we started off combating COVID-19 with disadvantages. Lately, news is rampant with coverage of the paucity of ventilators, hospital beds, and N95 masks. But it is important not to forget the deficits in our workforce. Last year, the American Medical Association estimated that our nation faces a projected shortage of up to 122,000 doctors in the …

Ethical dilemmas in the pandemic era [PODCAST]

The Podcast by KevinMD

Podcast

June 11, 2020

“The donation of hydroxychloroquine, in contrast to the accompanying donation of 1,000 ventilators, is unethical as either humanitarian aid or as a ‘research study.’ The United States has a moral responsibility for any human harm that results. We cannot simply send medications off to potentially vulnerable populations without regard for the lives that could be negatively affected. It is not enough …

We need improved mental health care for physicians

Jason Bowman, MD and Adaira Landry, MD

Conditions

June 11, 2020

In 2014, an emergency medicine resident opened a personal email and was shocked to see it briefly mention the death of another resident physician from a different training program. Unofficial group chats ensued amongst her co-residents, discussing the vague email. Suspicion arose that the resident has died of suicide. His particular death was never addressed outright in a formal or public manner at the hospital, department, or residency level. All …

It’s time for a comprehensive universal health care system in America

Sagar Chapagain, MD

Policy

June 11, 2020

When it comes to health care, this election cycle has been different than previous ones. Either it is Medicare for all or public option in the ACA, democratic candidates have shown support for some version of universal health care. As the health care costs, including prescription drug prices, keep rising, many Americans have started to advocate for universal health care coverage. At the same time, others still believe in the …

Why this anesthesiologist has a problem with monitored anesthesia care (MAC)

Stephen Freiberg, MD

Conditions

June 11, 2020

I have a major issue with MAC.

To be more specific, I have a major issue with how we communicate the concept of MAC to our patients, anesthesia care team members, and proceduralist colleagues.

MAC stands for “monitored anesthesia care,” and we tend to throw it around and use it interchangeably with a lot of other terms:

Sedation
Procedural sedation
Conscious sedation
Twilight anesthesia
Light anesthesia

The fact is, these entities are not …

How doctors can navigate the financial crisis [PODCAST]

The Podcast by KevinMD

Podcast

June 10, 2020

“Out of the blue, a new virus popped up, and ten weeks later, it is a pandemic. Within the last ten weeks, doctors have identified this new disease, figured out how it is transmitted, identified what body fluid we need to test to determine who has contracted the disease, developed a test for it, mass-produced that test, and distributed the tests …

Why physicians should invest in real estate

Fola Babatunde, MD

Finance

June 10, 2020

We have all heard that real estate is the investment vehicle of the wealthy. However, not many physicians take advantage of this tremendous resource.

The reality is the average medical student graduates with close to $200,000 in debt and does not finish training until his/her late 20s/early 30s with no financial education. The current COVID-19 pandemic has shown us that no job is protected, and earning potential can decline at any …

Don’t let the protests become last week’s news. It is our reality every day. [PODCAST]

The Podcast by KevinMD

Podcast

June 9, 2020

“Here we are again, mourning the death of another black person at the hands of the people that are supposed to protect and defend our rights. Another casualty in the 400+ year struggle that we have had in this country to be granted the same right to liberty, the same access to success and the same ability to live without fear, …

The racial disparities of COVID-19 [PODCAST]

The Podcast by KevinMD

Podcast

June 9, 2020

“Some media outlets and public figures have heralded the ongoing pandemic as a great equalizer, referencing the pathogen’s indiscriminate spread and disregard for national borders and tax brackets.

The sobering mortality statistics, however, dispense any notion of an equal-opportunity crisis, revealing a familiar theme among public health challenges in America: significant racial disparities exist, and communities of color are disproportionately affected.”

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