Creating a subspecialty track for experienced hospitalists

Physician
August 3, 2024

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 …

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Sham peer review: Why is there no malpractice insurance for this?

Physician
August 3, 2024

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 …

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Are you storing your medications wrong?

Meds
August 3, 2024

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 …

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Pelvic floor disorders: myths vs. reality [PODCAST]

Podcast
August 2, 2024
YouTube video

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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 …

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Save time with these EMR dot phrase tips every doctor should know

Tech
August 2, 2024

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

Physician
August 2, 2024

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 …

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Inside Out 2: How new emotions mirror medical student struggles

Education
August 2, 2024

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 …

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Surviving medical madness: a mother’s harrowing tale [PODCAST]

Podcast
August 1, 2024
YouTube video

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Join us as we speak with Laura Buchman, a patient advocate and author of NERVE: Surviving Medical Madness. Laura shares her harrowing personal experiences with the medical system, including the overwhelming shock of …

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Physicians’ access to maximum potential in medical practice has vanished

Physician
August 1, 2024

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 …

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Private equity’s takeover of health care: a patient’s nightmare

Policy
August 1, 2024

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 …

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Quiet firing in medicine: my journey from burnout to freedom

Physician
August 1, 2024

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]

Podcast
July 31, 2024
YouTube video

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Join us as we delve into the experiences of patients with long-term complex conditions who are often met with disapproval or suspicion by medical professionals for being knowledgeable about their own health. Our …

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Privacy protection after death: an ongoing dilemma

Physician
July 31, 2024

Privacy protection does not cease to exist at death, as privacy laws protect information until 50 years post-mortem. So, why does the protected information of public figures often find its way into the public domain long before this embargoed period elapses, sometimes almost immediately after death?

Firstly, the primary question is: What defines a public figure? Some individuals are public figures long before their deaths, while others become public figures at …

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Why meaningful patient connections matter in medicine

Physician
July 31, 2024

Connecting with another human being in a meaningful way allows a physician to practice the art and the science of medicine. Showing you care helps to gain trust, and helping to alleviate pain and suffering establishes a bond. When you give of yourself on behalf of your patient, as a caregiver you share something not many people get to experience—compassion-driven skill. Choosing a career in health care is most often …

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In-office cardiac CT scanners transform heart care in rural Mississippi

Conditions
July 31, 2024

Mississippi holds a troubling distinction when it comes to heart health: Over a third of all deaths in the state are attributed to cardiovascular disease (CVD), making it the leading cause of death. The state also grapples with one of the highest adult obesity rates in the United States, with nearly 40 percent of adults considered to be obese. The alarming statistics highlight the urgent …

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End-of-life issues in dementia care [PODCAST]

Podcast
July 30, 2024
YouTube video

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Join us as we welcome psychiatrist Lewis Cohen to discuss his book, Winter’s End: Dementia and Dying Well. In this episode, we explore the ethical dilemmas, legal challenges, and emotional impacts surrounding life-shortening …

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Telltale hearts: Navigating modern medicine’s human element

Tech
July 30, 2024

The potential advances that AI will bring to medicine boggle the mind and portend massive changes, the likes of which we have not experienced since the advent of modern surgical techniques, the development of image-based diagnostic methods, and the discovery of effective medications. As a primary care doctor who has worked at San Francisco General Hospital for over 30 years, and as someone who has worked through the epidemics of …

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The sham peer review: a hidden contributor to the doctor shortage

Physician
July 30, 2024

Imagine you’ve worked in a clinical environment for an extended period. You might be a resident or fellow getting ready to graduate, an attending who has been operating for years, or a full-fledged partner in private practice. As your morning alarm sounds, you check your email and see: “Informal Meeting–Mandatory.” The content of the email is vague, but it seems you’re being asked to meet with several colleagues in your …

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Why you need allergen component tests to support your allergy diagnosis

Conditions
July 30, 2024

Almost 1 in 3 U.S. adults and more than 1 in 4 U.S. children reported having a seasonal allergy, eczema, or food allergy in 2021. That’s more than 100 million people and rates are rising. While many people experience relatively mild symptoms, for others, living with an allergy can be debilitating, with symptoms being severe and, in the worst cases, even fatal.

Therefore, it is essential to ensure …

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Are Ozempic patients on a slow-moving runaway train?

Meds
July 30, 2024

Have you ever heard of a drug called Ozempic? Just kidding. As we all know, this medicine and numerous related drugs are the rage. It is classified as a GLP-1 drug. The percentage of my patients who are taking these drugs is steadily rising. Of course, initially, Ozempic’s purpose was in diabetic management. Once it was discovered that weight loss was a “side-effect,” a new therapeutic mission was discovered. Indeed, …

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