KevinMD.com

Wonder why your hospital is full?

Physician

February 11, 2019

Why is your hospital always full? Actually, it’s more than full. You have twenty boarders in the ED. You turned your postop recovery unit into an overnight surge center. Every day administrators beg you to please, please discharge patients, if possible before 11 a.m. You’ve hired an army of case managers, dissected the discharge process, and held countless capacity management meetings, but you’re still bursting at the seams.

It wasn’t always …

Read more…

Wonder why your hospital is full?

My battle against the nurse’s cap

Debbie Moore-Black, RN

Policy

February 10, 2019

Florence Nightingale was among the first nurses who started wearing a nurse’s cap.

The cap was derived by nuns and represented those caring for the sick. Hair was neatly tightened into a bun and covered by the cap.
Back then becoming a nurse was typically seen as a female profession, but men were allowed to become nurses too. In 1930, only one percent of RNs nationwide were male.

Growing up in the 1950s …

Read more…

My battle against the nurse’s cap

How many beers is too many?

Mariam Alam, MD

Conditions

February 10, 2019

“I drank beer with my friends. Almost everyone did.”

Alcohol has become constitutional to American culture: “grabbing a drink” after work, happy hour, cheers before meals, on New Year’s, or just because. Our society’s normalization of drinking creates a slippery slope toward excessive alcohol use. Unhealthy alcohol use is rampant: one in six Americans drinks excessively four times a month, according to the Centers for Disease Control (CDC). Almost thirty percent …

Read more…

How many beers is too many?

5 things emergency physicians should consider when looking for jobs

Health eCareers

Physician

February 9, 2019

This article is sponsored by Careers by KevinMD.com.

Whether you recently completed your residency as an emergency medicine (EM) physician or are ready to move on from your current position, potential locations for work are undoubtedly a big factor in determining which emergency physician jobs you’re willing to consider.

If you have children, location is especially important, because you want …

The personal and professional challenges of women physicians

Nisha Mehta, MD

Physician

February 8, 2019

I’m often asked to write and speak about being a woman physician. I don’t know that any of my male physician colleagues have ever been asked to talk about being a male physician. Many hospital systems have women in medicine groups, and there’s now a National Women Physicians Day. Again, don’t know of the same for male physicians. There’s a part of me that struggles with this, but I …

The true cost of being uninsured in America

Michael Weiss, MD

Policy

February 8, 2019

In a New York Post article dated January 23, 2019, the author states how Americans without health care insurance hit 13.7 percent. This 2.8 percent increase means an additional seven-million Americans lack health coverage as noted by the Gallup survey period.

This is not far behind the 18 percent recorded just before the Obamacare mandate in 2014.

Everyone is blamed in this article except the culprits. Do you think for one moment …

6 resources on the power of narrative medicine

Jennifer Lycette, MD

Physician

February 8, 2019

When I first turned to writing, I had no knowledge of the field of narrative medicine.

It took four years of medical school, three years of residency, three years of subspecialty fellowship and over a decade in practice before I learned of it. (That’s more than 20 years, for those counting.)

Throughout, I’ve struggled to hold fast to my core belief that the key to patient care is to allow the telling …

What is your passion in medicine?

Stephanie Wellington, MD

Physician

February 7, 2019

We don’t talk much about passion in medicine anymore.

What is your passion for medicine? What was it that sparked your initial desire to pursue this career instead of another? What is the impact you are called to make as a doctor?

I was speaking with a friend who is not in medicine and asked why he picked his chosen field. He is knowledgeable and skilled at many different things. He admitted …

Read more…

What is your passion in medicine?

Radiation oncologists aren’t just strangers in the basement

Mudit Chowdhary, MD

Physician

February 6, 2019

“We have a consult for radiation oncology regarding a 60-year-old gentleman with a history of lung cancer and is currently admitted. His oncologist is Dr. Heme Onc.”

As a new radiation oncology resident, I was surprised to hear the consulting physician refer to the patient’s medical oncologist as “his oncologist.” What about the patient’s radiation oncologist? Indeed, I remembered the patient well: he was diagnosed with Stage IIIB non-small cell lung …

Compassion, respect, and camaraderie are keys to fight physician depression

Audris Bol, MD

Physician

February 6, 2019

My story starts like most individuals who enter into medical training. I had the dream that being a physician was my life calling to bring physical healing to others. While I did gain medical knowledge and skills, I also unintentionally developed a jaded mentality. I was quickly introduced to the reality of medical culture in which public embarrassment from “pimping” (a series of difficult intentionally unanswerable questions posed to medical …

How to say “no” to kids

Jennifer Trachtenberg, MD

Physician

February 6, 2019

Do you feel like you’re always saying “no” to your child and not getting the response from them that you are looking for? Do you end up repeating yourself over and over, so frustrated you begin to yell or just given in to your toddler’s demands? Unfortunately, I hear this way too often from moms, so I wanted to give some tips on the art of saying “no” that will …

Read more…

How to say “no” to kids

How an insurance company auditor tried to destroy a physician’s career

Niran S. Al-Agba, MD

Physician

February 6, 2019

It’s no secret that in today’s health care market, insurance companies are calling the shots. As a pediatrician in private practice for almost two decades, I’ve seen insurance companies transform into perhaps the single most powerful player in today’s health care landscape — final arbiters whose decisions about which procedures or medications to authorize effectively end up determining the course of patient care.

Decisions made by insurers, such as MassHealth, have …

Practice at the top of your license: What does that really mean?

Philip A. Masters, MD

Physician

February 5, 2019

A guest column by the American College of Physicians, exclusive to KevinMD.com.

Much has been discussed in recent years around the concept of “practicing at the top of your license.” But what does this really mean?

The most common definition is that each medical professional’s routine activities should utilize the full extent of their education, training, …

2 questions every physician should ask themselves

Lisa Herbert, MD

Physician

February 5, 2019

The numbers are in. Medscape National Physician Burnout, Depression & Suicide Report 2019 indicates that the rate of physician burnout is still at an all-time high. Forty-four percent of physicians reported feeling burnt out.

According to the report, 50 percent of women reported experiencing burnout versus 38 percent of men. Carol Bernstein, MD, a psychiatrist at NYU Langone Medical Center, states that the reasons for the difference …

It’s time to update the stethoscope

Davinder Ramsingh, MD

Conditions

February 5, 2019

Perhaps the most important aspect of a physician’s role is our diagnostic capabilities. Truly, if we cannot identify and diagnose a patient’s pathology with reasonable accuracy, we cannot effectively treat them and may even cause greater harm.

Let’s look back. The year is 1816, and you are a physician evaluating a patient with shortness of breath. The common practice of the time was direct auscultation by placement of the practitioner’s ear …

Read more…

It’s time to update the stethoscope

Why would any woman discourage a man’s advocacy or support?

Agnieszka Solberg, MD

Physician

February 4, 2019

A male interventional radiologist who is active in the #HeForShe campaign recently told me that he is being pressured to stop advocating for women. My first instinct was the biggest sigh and eyeroll of my life followed by thoughts of locker room peer pressure and boys’ club type discussions.

But the criticism did not just come from men; many women are asking him to stop. That they don’t need a knight …

How physicians can use Marie Kondo’s KonMari Method

Dewan Farhana, DO

Physician

February 2, 2019

Marie Kondo, the best-selling guru of organization and “sparking joy” has established the foundation of getting a space organized and functional. Her do-it-all-once method, known as the KonMari Method, is considered healthy and life-altering for those seeking organization and productivity in their space. One of the ideal places to organize is the home office especially for doctors, nurses and medical professionals who have reading, studying and research to do. You …

How to write a physician CV

Health eCareers

Physician

February 2, 2019

This article is sponsored by Careers by KevinMD.com.

Academic and education environments tend to use the word curriculum vitae, or CV, more frequently than resume. But, a CV’s purpose is the same: to get you a job.

Although a CV generally contains more information than a standard resume, the keys to a successful CV are still brevity and …

Read more…

How to write a physician CV

A physician’s addiction to social media

Amanda Xi, MD

Social media

February 1, 2019

For Apple iPhone users, the release of iOS 12 included a new feature called “Screen Time.” Although a number of productivity apps that offered a similar snapshot of phone usage were available before this update, I was never interested in quantifying my usage. Now, on a weekly basis, I get a reminder of the exact percentage breakdown of how I’m using my phone.

In true millennial fashion, a review of my …

Read more…

A physician’s addiction to social media

Direct primary care physicians are not concierge doctors

Rebekah Bernard, MD

Physician

February 1, 2019

I recently received a scathing email criticizing an article I wrote about the care of patients in underserved areas. “Should you really even get to write articles about poor, underserved populations when you run a concierge practice?” the author wrote. “This is called hypocrisy. You are what is wrong with the medical field.”

What the author of this email didn’t know was that I spent six years working for the underserved …