From stigma to science: Rethinking the U.S. drug scheduling system

Meds
July 3, 2025

In 1971, President Nixon initiated a battle that would reshape the United States: The War on Drugs. As a key part of that campaign, he enacted the Controlled Substances Act (CSA), which authorized the Drug Enforcement Administration (DEA) to categorize modern-day controlled substances into 5 “schedules” based on their “medical use, potential for abuse, and safety or dependence liability.” They range from Schedule I, which are substances with no …

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The gift we keep giving: How medicine demands everything—even our holidays

Physician
July 3, 2025

What’s the least glamorous thing you’ve ever done as a physician on a holiday?

Let me start.

One year, I spent Christmas Day in the library.

Not sipping cocoa. Not gathered with family in matching pyjamas. Not basking in the warmth of laughter or the gentle hush of snowfall outside a glowing window.

I was alone. In a silent room. Under sterile fluorescent lighting.

And I wasn’t escaping into fiction—I was studying for board exams, …

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The promise and perils of AI in health care: Why we need better testing standards

Tech
July 3, 2025

There is substantial enthusiasm around the advancements of AI in health care, as exemplified by the media attention for the new HealthBench release from OpenAI and similar recent studies from Google (MedPalm2, AIME). Market enthusiasm often leads us to believe that we’re on the brink of AI doctors treating patients worldwide. However, while these developments represent interesting technical progress, they fall short of demonstrating readiness for clinical application.

The stakes …

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From burnout to balance: a neurosurgeon’s bold career redesign

Physician
July 3, 2025

When a neurosurgeon tells you she thinks she might want to leave surgery for interior design, you listen closely.

Not because it’s outrageous, but because it’s honest. Many physicians carry similar longings. They wonder whether it’s OK to want a different life.

In medicine, conformity is expected and often a means of survival. Especially for women in male-dominated fields. The unspoken expectation is to blend in, push through, and never question the …

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Healing the doctor-patient relationship by attacking administrative inefficiencies

Policy
July 3, 2025

I have a great doctor. I’ve enjoyed his approach to providing care so much that I was greatly distressed when, at my last visit, he told me he was thinking of retiring early. While I consider myself fortunate to have a positive and dependable relationship with my doctor, fewer people now relate to that sentiment than before.

Gallup recently reported that America’s trust in professionals has declined, with overall trust …

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Who will train the next generation of primary care clinicians without physician mentorship? [PODCAST]

Podcast
July 2, 2025
YouTube video

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Founding director of the Doctor of Medical Science program at The College of St. Scholastica, Kenneth Botelho, discusses his article, “In the absence of physician mentorship, who will train the next generation …

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The hidden health risks in the One Big Beautiful Bill Act

Policy
July 2, 2025

In an age where bold language dominates headlines, it can be easy to overlook the real-world effects of complex legislation. But this is not just a matter of political branding. The proposed One Big Beautiful Bill Act has implications that, based on current research, could lead to substantial and preventable harm to public health.

As a fourth-year medical student with a background in public health, I’ve spent years studying how health …

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The CDC’s restructuring: Where is the voice of health care in the room?

Policy
July 2, 2025

As a surgery resident, I see the long shadow of poor public health every day — whether it’s a diabetic foot infection that’s gone too long without care or a hypertensive crisis that never should’ve happened. That’s why the proposed restructuring of the CDC and other federal health agencies is not just administrative news to me — it’s personal.

The argument for reform often leans on efficiency: Reduce bureaucracy, streamline oversight, …

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Choosing between care and country: a dual citizen’s Independence Day reflection

Policy
July 2, 2025

There’s a stretch of days at the beginning of July, between Canada Day and Independence Day, when I find myself holding my breath. It’s a liminal space that I know intimately as a professional, a mother, and a dual citizen. Born Canadian and naturalized American. Over the past several years, as I have come into the full realization of who I am as a parent of a child with complex …

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What Elon Musk and Diddy reveal about the price of power

Conditions
July 2, 2025

I remember those days well. Long before the era of Beyoncé and Jay-Z, another Hollywood “power couple” captivated the world: Jennifer Lopez and Sean “Diddy” Combs. J.Lo brought the glamour and Latin flair, while Diddy embodied the swagger of hip-hop’s reigning bad boy. Their union was a bold fusion of Latina sass and African American pop culture, a sizzling romance that lit up the entertainment world.

Diddy wasn’t just another rapper …

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3 tips for using AI medical scribes to save time charting

Tech
July 2, 2025

If you’re a clinician who’s tired of staying late at the clinic, bringing charts home, or sacrificing your lunch just to catch up on documentation—you’re not alone.

Documentation burnout is one of the top contributors to job dissatisfaction and work-life imbalance for health care professionals today.

Fortunately, new tech tools are offering a way out. Enter AI medical scribes—artificial intelligence (AI) technology that can save you so much time charting!

AI medical scribes …

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Why working in Hawai’i health care isn’t all paradise

Physician
July 2, 2025

Most people could think of several good reasons to move to Hawai’i and work in health care. It’s a beautiful gem of a place with welcoming people and Aloha Spirit. Why save up for an occasional Hawaiian vacation when you could be enjoying sunny beaches, warm waters, and lush jungles year-round? The problem is that entry into Hawai’i’s health care system has largely become a revolving door of those who …

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A physician’s reflection on love, loss, and finding meaning in grief [PODCAST]

Podcast
July 1, 2025
YouTube video

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Hospitalist Jasminka Vukanovic-Criley discusses her article, “When grief hits all at once: a morning of heartbreak and love.” Jasminka shares a deeply personal account of a Saturday morning where unexpected news of …

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How fragmented records and poor tracking degrade patient outcomes

Policy
July 1, 2025

Medicine today is single-encounter oriented with documentation largely tailored for legal purposes rather than medical care. When an encounter ends, the physician must sign off the documentation and no further changes can be made; any corrections require another document that must also be signed off, but this is seldom done.

A further problem with current medicine is that many diagnoses are differential diagnoses instead of confirmed ones, which may be OK …

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How New Mexico became a malpractice lawsuit hotspot

Physician
July 1, 2025

Across America, physicians worry about malpractice litigation—but what happens when state policies unintentionally create a malpractice litigation magnet? New Mexico offers a troubling case study every health care provider should know about.

Between 2019 and 2024, New Mexico lost 248 practicing physicians; for a large state with a small population, this is significant. Rural communities bear the brunt of this exodus. Specialists, surgeons, and primary care doctors alike have left, most …

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How I learned to stop worrying and love AI

Education
July 1, 2025

Is artificial intelligence going to replace physicians? I think the most accurate answer that can be given at this point is “maybe.” Either way, vehemently denying the mere possibility serves no one. If the takeover does happen, being proactive (rather than reactive) and carving a meaningful space for the physician workforce in light of AI leaves us better off than sitting on the sidelines as the next chapter begins. And …

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Understanding depression beyond biology: the power of therapy and meaning

Conditions
July 1, 2025

The Diagnostic and Statistical Manual of Mental Disorders (DSM) defines mental health, including depression, in terms of pathology or a deviation from normal that is reliably exhibited in observable behaviors. It describes genetics and risk factors, differences in gender, and considers cultural perspectives. Limitations of the DSM diagnostic criteria are acknowledged and recognize that human experience, or interaction between genetics and environment, cannot be captured completely. While the underlying neurobiology …

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Why compassion—not credentials—defines great doctors

Physician
July 1, 2025

I entered medicine like many young physicians do—eager, determined, and drawn to its promise of excellence. The white coat, the respect, the thrill of diagnosing a rare disease or saving a critical life—all of it called to me with undeniable force. I studied relentlessly, passed my boards, published research, and spoke on conference stages. Those achievements came with a sense of pride, even joy. But they were not the full …

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Addressing U.S. vaccine inequities in vulnerable communities [PODCAST]

Podcast
June 30, 2025
YouTube video

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Medical students Kaitlynn Esemaya, Anamaria Ancheta, and Annique McLune discuss their article, “Why vaccine access still fails America’s most vulnerable groups.” They highlight how social determinants of health drive pervasive inequities in …

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Why Canada is losing its skilled immigrant doctors

Physician
June 30, 2025

Canada prides itself on being a welcoming nation for immigrants, particularly those with advanced professional qualifications. However, Canada persistently underemploys highly skilled immigrant professionals, especially physicians. An official report by the Conference Board of Canada and the Institute for Canadian Citizenship (ICC) in 2023 confirmed that growing numbers of immigrants are leaving Canada within seven years of landing. Daniel Bernhard, ICC’s chief executive, stated, “It’s not good enough to just …

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