Medicine’s struggle with genetic and social realities
For decades, the medical community has wrestled with the role of race in research and practice, a tug-of-war steeped in historical, social, and political entanglements. While some argue for discarding race, in doing so, we overlook the nuanced interplay between genetics and lived experiences. Does race carry explanatory power, or are there better alternatives to this surrogate?
Race presents a complex interplay of benefits and challenges as a variable in health …
The unseen dangers of faulty expert witness testimony
Expert witness testimony is critical to the pursuit of justice. There are always arcane matters that the general public and even many otherwise knowledgeable people don’t understand. That makes it impossible for a judge or jury to come to an evidence-based decision without an expert clarifying and explaining the basics of the science behind the situation. This started with forensics and got off to a bad start with bite mark …
Hope after a spinal cord injury [PODCAST]
Against medical advice: Patient leaves hospital despite heart attack diagnosis
Interior hospital: (Patient screaming and crying out as they are wheeled in through the ambulance bay and brought into a room …)
Doctor: What brings you in today?
Patient: You gotta help me, Doc … My chest hurts. I think I’m having a heart attack!
Doctor: OK, sir. We’re going to do a series of tests, including an EKG and chest X-ray, and give you aspirin.
Patient: Whatever you’ve got to do, I don’t …
Avoiding the curse of knowledge in health care
In the medical field, it’s easy for experienced professionals to fall into the “curse of knowledge” trap. This cognitive bias occurs when someone, having a deep understanding of a concept, assumes that others possess the same level of knowledge. While this is a natural human tendency, it can create significant communication gaps, especially in health care settings.
Understanding the concept
Doctors with extensive knowledge about medical conditions and treatments might inadvertently overestimate …
Lessons learned at the bedside: Stick with the basics
“Dance with the one who brought you.” This phrase was attributed to an iconic college coach. There have been lots of interpretations of this comment, but the coach basically said that when the big game is on the line, when the championship is at stake, you do not tinker with your personnel and your coaching strategy.
Stick with the basics that brought you to this point in the season.
Throughout our careers, …
Obesity management in rheumatology [PODCAST]
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Join us for a conversation with Zachary Fellows, a rheumatologist who spent nearly four years in private practice navigating the complex intersection of obesity and rheumatic diseases. Zachary shares his journey from giving …
Creating a subspecialty track for experienced hospitalists
A formal clinical track should allow experienced hospitalists to function as inpatient subspecialists: a so-called “focused practice in inpatient subspecialty.” This proposal makes sense on multiple levels.
First, there is a shortage of inpatient subspecialists, particularly in small community settings. Hospitalists, qualified and certified as inpatient subspecialists, could fill this gap.
Second, the practice of hospital medicine is an ideal launching pad for a focused practice in an inpatient subspecialty. Hospitalists are …
Sham peer review: Why is there no malpractice insurance for this?
It’s estimated that up to 10 percent of all peer reviews are “shams,” thus, it’s worth a few minutes of education so you’re not left grappling if you suspect you might be the target of one.
As physicians, we purchase malpractice insurance (or it’s provided by an employer) to protect us from patients who file suits claiming negligence or harmful treatment decisions. The tacit understanding is that we’ve worked hard …
Are you storing your medications wrong?
Today, I want to talk about how creative humans are. As physicians, we encounter patients with ideas that amaze us every day and make our lives interesting, to say the least. The best ones are often the elderly, who have years of experience and unique ways of getting things done that differ greatly from the current generation.
I came across an elderly patient in the office who had previously been diagnosed …
Pelvic floor disorders: myths vs. reality [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
We welcome Carmen Fong, a colorectal surgeon, to discuss the often overlooked yet critical topic of pelvic floor dysfunction. Drawing from her extensive experience, Carmen shares insights from the Pelvic Floor Symposiums, the …
Save time with these EMR dot phrase tips every doctor should know
Dot phrases work like magic. Just type a few keystrokes, and poof—a full template appears! But how do you pick shortcuts that don’t interfere with your regular typing? And how do you remember all these shortcuts? Over the years, I’ve made tons of templates, each with its own shortcut. I’ll explain the system I use for memorable shortcuts that don’t mess with my regular typing.
What is a shortcut? A shortcut, …
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Medical heroes of October 7: the story of Dr. Amit Frenkel and Soroka Hospital staff
An excerpt from Battles in White: October 7 attack: The story of the medical, nursing, and rescue teams.
Dr. Amit Frenkel is an intensive care physician at Soroka Hospital. He is married and a father of three, his wife is a psychiatrist, and his eldest son is a soldier serving in the south of the country. The family lives in Meitar, a small pastoral settlement a fifteen-minute drive from Soroka. In times of …
Inside Out 2: How new emotions mirror medical student struggles
The 2024 summer blockbuster film Inside Out 2 explores the complex emotions that first hit teenagers during puberty. Briefly, the five original emotions (from the first movie in 2015) that define the behavior of childhood Riley – Joy, Anger, Fear, Sadness, and Disgust – meet new emotions that allow Riley to grow further toward young adulthood. Unfortunately, the new emotions – Anxiety, Envy, Embarrassment, and Ennui – threaten …
Surviving medical madness: a mother’s harrowing tale [PODCAST]
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Physicians’ access to maximum potential in medical practice has vanished
Practicing physicians have been extremely lucky over the last century to have survived financially in the health care system to the degree that they have today. Judging from my 25 years of medical practice research and 40 years of clinical medical practice experience, I have been watching the self-disintegration of most physicians’ value to the profession.
Your personal values become hostage to the Medical-Industrial Complex or Medical Deep State. Just the …
Private equity’s takeover of health care: a patient’s nightmare
As private equity (PE) plays a larger role in health care, we likely have a patient-centric image of who these individuals are and what these institutions do. But what does health care look like to PE, and what does health care do from their perch? While attending a housewarming party of an acquaintance who works in PE and specializes in GI clinic acquisitions, these questions were answered, and it was …
Quiet firing in medicine: my journey from burnout to freedom
As I sit in this dark room in an empty house in solitude, I still wonder how I got here.
I have been the subject of quiet firing that resulted in my mental and social health suffering. It soured my work relationships, consumed my day, made me an angry person to everyone, including my family, and gave me anxiety. It culminated in exactly what the system wanted: me leaving. It was …
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How knowledgeable patients face suspicion in medical care [PODCAST]
Past Week
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How smartphones are stealing your focus—and what you can do about it
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Learning to trust your body again: Healing the hidden wounds of medical training
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Are quotas a solution to physician shortages?
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Why patients and doctors are ditching insurance for personalized care
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Internal Medicine 2025: inspiration at the annual meeting
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When grief hits all at once: a morning of heartbreak and love
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Past 6 Months
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How trade wars could destroy the U.S. health care system
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How hospitals are quietly taking control of physicians
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What happened to real care in health care?
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The silent crisis hurting pain patients and their doctors
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Doctors don’t need yoga, they need time to smoke
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Academic medical centers under threat: the impact of funding cuts
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Recent Posts
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The origin of medical licensing exams
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Focusing on medicine’s core, not administrative chores [PODCAST]
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When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding
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Burnout isn’t ironclad—and neither are we
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Biologics are not small molecules: the case for pre-allergy testing in an era of immune-based therapies
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Clinicians must be scrupulously honest in and out of work
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Past Week
-
How smartphones are stealing your focus—and what you can do about it
-
Learning to trust your body again: Healing the hidden wounds of medical training
-
Are quotas a solution to physician shortages?
-
Why patients and doctors are ditching insurance for personalized care
-
Internal Medicine 2025: inspiration at the annual meeting
-
When grief hits all at once: a morning of heartbreak and love
-
Past 6 Months
-
How trade wars could destroy the U.S. health care system
-
How hospitals are quietly taking control of physicians
-
What happened to real care in health care?
-
The silent crisis hurting pain patients and their doctors
-
Doctors don’t need yoga, they need time to smoke
-
Academic medical centers under threat: the impact of funding cuts
-
Recent Posts
-
The origin of medical licensing exams
-
Focusing on medicine’s core, not administrative chores [PODCAST]
-
When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding
-
Burnout isn’t ironclad—and neither are we
-
Biologics are not small molecules: the case for pre-allergy testing in an era of immune-based therapies
-
Clinicians must be scrupulously honest in and out of work
-
