Dear Dr. Wible,
I want to fill you in on what really goes on behind the scenes at my medical school and maybe you can help inform other students about what happens here before they make a huge mistake. If students slip through the cracks of a U.S. medical school, then international med schools in the Caribbean may be the next choice. Some have better residency match rates than others so …
Among surgeons, it’s pretty common knowledge that residents and other providers may perform non-critical parts of a patient’s procedure. This not only helps residents and other trainees gain valuable surgical experience, it also gives patients better and faster access to high-demand surgical expertise.
The question is this: How well are surgeons explaining these facts to their patients?
Recent guideline updates by the American College of Surgeons (ACS) underscore the need …
Medicine, what a noble profession. As the keepers of human health and longevity, we are entrusted with a huge but solemn responsibility. It’s an ancient artwork, passed through the generations from pre-antiquity, hand in hand from physician to physician. The Hippocratic oath ensuring that we first “do no harm” and commit ourselves to the honorable calling. We often hear “see one, teach one, do one” and so propagates the training …
The onset of the new millennium has brought about a shift in not only the technological aspect of our industry, but also the mindset of physicians who are entering the field. Gone are the days of “work 40 years at the same practice, retire and live the good life.” Physicians are finding more creative ways to be doctors including entering non-clinical careers, being entrepreneurs on the side, and moving into …
It’s rare for medical students nowadays to go through training without knowing someone who uses prescription stimulants to study. The ever-popular Adderall and Concerta seem to be omnipresent on college campuses and medical schools, while prescriptions for these medications are suspiciously less common. In environments where success and self-worth are often based on academic achievement, the temptation to succumb to using these pills is high.
The temptation is even higher as …
I’m humbled by the honor to practice medicine. We have the opportunity to be frontline participants in an ever evolving cascade of events in the lives of others. Our decisions, directions, and split second actions have the ability to unite families, sustain breath or literally a beating heart. Although biased, I can’t think of many professions more fulfilling and honorable. There are issues and concerns, but they pale in comparison …
I’m probably crazy. I ride my motor scooter to and from work at the hospital. Some consider it unsafe. Perhaps it is, but feeling the wind and rain, those unfiltered elements. And after 12 hours inside a controlled environment, it’s too refreshing to pass up. So at 2 a.m. Friday night, I’m zooming (you always “zoom” on a scooter) through the industrial district after a tiring admitting shift. I see …
It is no secret that physicians are disenchanted with the changes in medicine and can be overheard saying that they do not want their children to go into the profession. Has the practice of medicine deteriorated to the extent we say it has, and are there more appealing options?
According to a Doctors Company survey of 5,000 physicians, 9 out of 10 physician respondents indicated an unwillingness to recommend health care …
Most health care professionals went into the field because of a calling. For many of us, it is not just a career but a sense of mission. While the system drives hoards to the brink and over the edge of burn-out, a sense of purpose remains. The goals are not the same for all, but it is a good time to re-examine our life goals.
Being a doctor, or any professional …
I am a new mom to a beautiful 8-month-old girl, and I am breastfeeding. I am also a doctor at a large, well-known academic institution. The hospital where I work delivers several thousand babies a year, and highly encourages their new moms to breastfeed. They offer a postpartum consultation with a lactation consultant, keep the baby in the mom’s room 24/7 while in the hospital, and provide several other pro-breastfeeding …
During residency, one of my patients brought a tape recorder to his appointment. It was a big bulky old tape recorder, that was antique technology ten years ago. He was older and wanted to record his appointment so he could remember every detail. His children often called him and wanted an in-depth report of all of his medical visits. He decided he would audio-record his appointments and send the tape …
It was around 2 p.m. when a 380-pound woman came into the ED. She was in her late 30s. The physician went to see her and then ordered IV fluids, some basic blood tests, and a urine sample.
At a hospital, everyone’s job is made harder when a patient is obese. Getting the patient on the bed requires more personnel. Inserting an IV — an intravenous catheter to infuse fluids or …
One of the most memorable times from my family medicine training days was the annual residency my intern year. It was the year of the World Cup, and a bonding experience that would later save my life. Being able to be with not only my residency class, but also the faculty in a relaxed and empowering environment brought a sense of safety that allowed me to reach out to one …
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Health behavior was my emphasis in my MPH. Add a faculty development fellowship, time as residency faculty, work in a private practice, and increasing interaction with medical students now as faculty at a medical school; the outcome is not just an emphasis, but a mindset. A mindset of health behavior that is not just for patients, but for physicians, as well.
I must have company in this concept as ten invitations …
My stomach had been in knots that morning.
“Are you pregnant?” my classmate laughed after I returned to the gross anatomy lab for the second time after leaving for fresh air.
“No,” I spat, dissection through fat and fascia, teasing out muscles from nerves.
But, I wondered.
After lab, I bought a pregnancy test. I began medical school in my late 20s, already having discussed with my husband appropriate times to start a family during …
With all this talk about medical student, resident, and fellow burnout, I thought we might take a break to discuss the small delights that sprinkle throughout medical training. This is not a “You should publish as a trainee” manifesto. It’s more of a DIY guide for those who are interested but can’t find the time or the mentor. And after a decade of rejected manuscripts, unfortunately, I’ve …
In this podcast, I share insights from a doc who barely survived his suicide attempt plus simple ways to prevent the next suicide. Listen in. You may save a life.
Dear Pamela,
I’ve never been so happy to fail at something in my life. Four weeks ago today I died. Cardiopulmonary arrest in jail. Why was I in jail? My wife alerted …
Gather round kids! Let Grandpa Doctor Leap tell you a few things about the old days of doctoring in the emergency room:
Back in the good old days, medicine was what we liked to call “fun.” Not because it was fun to see people get sick or hurt or die, but because we were supposed to do our best and people didn’t wring their hands all the time about rules and …
Knowledge is power. Increasingly, patients are demanding and receiving access to levers in the medical machine that would have been unthinkable a generation ago. The informed consent process, which I support, can overwhelm ordinary patients and families with conflicting and bewildering options.
Television and the airwaves routinely advertise prescription drugs directly to the public. Consider the strategy of direct-to-consumer drug marketing when millions of dollars are spent advertising a drug that …
On a busy day in the office, a patient was added to my schedule for “bleeding, early pregnancy.” She was one of my partner’s patients, but he was not in the office that day. We talked for a minute, then I examined her and did an ultrasound. As I expected, she was in the process of a miscarriage. Unfortunately, I, who wasn’t her regular doctor, had to give her this …
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