Working with your patients to promote healthy brain aging
As a behavioral neurologist and professor in the departments of neurology, psychiatry, and physical medicine and rehabilitation at the University of Pennsylvania, my research focuses on using noninvasive brain stimulation technologies to help people with cognitive problems due to neurological disorders. I also study human cognition with the goal of better understanding how different parts of the brain work in order to help people preserve their brain health and cognition …
Scams perpetrated on authors by impersonators and bad actors
Shortly after publishing a book, I received what seemed like a promising film adaptation offer from a reputable-sounding company. Despite initial excitement, I discovered it was a sophisticated scam. This experience taught me to stay vigilant and verify unsolicited offers—not only book and movie deals but any business promise that appeals to your ego and seems like a get-rich-quick scheme.
Many accounts similar to mine have been reported on the internet. …
Interdisciplinary care teams play a pivotal role in mitigating the clinician shortage
The evolving health care landscape presents a growing demand for skilled providers. To meet this challenge, health care leaders must prioritize innovation and explore solutions that leverage existing resources to deliver the high-quality care that patients deserve.
The U.S. health care system faces a looming crisis: a critical shortage of clinicians. The Health Resources and Service Administration predicts a shortfall of nearly 140,000 physicians by 2036. Compounding this issue, a …
Paper vs. electronic records: Why a blend is essential for modern health care
It is time to consider a blend of paper and electronic records. Paper records will not remain relevant forever, nor will electronic records remain infallible. The purpose of any record is to ensure that the past is preserved. If the past is lost, the present feels weakened. However, this sense of weakness arises only when the present constantly relies on the past. What if there were no past to refer …
New career paths for resident physicians [PODCAST]
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We dive into the evolving landscape of health care entrepreneurship with our guest, Tod Stillson, a family physician and entrepreneur. Tod shares his journey from traditional employment to establishing his own single-member professional …
When heartbreak leads to self-discovery
I think the greatest quality in humans that makes them far superior to other creatures is the ability to think and act on their own free will. But there is another ability that makes us unique: the gift of feeling emotions and the capacity to love.
Unconditional love makes you a kid. I feel as if it deprives you of your cognitive ability to judge someone. It clouds your vision to …
Beyond burnout: Normalizing psychotherapy for burned-out physicians and nurses
We have a big problem in this country. A recent poll found that half of U.S. physicians are still burned out. When Medscape surveyed 9,000 physicians across 29 specialties this year, they found that 49% of physicians report being burned out, and 20% report they are depressed. Physicians in front-line specialties who deliver primary care continue to be the most often affected.
A higher prevalence of female doctors (56%) report …
Breaking free from perfectionism: a physician’s story of transformation
In my personal life and my training as a physician, the burden of “trying to never be wrong” was a mantle I was accustomed to carrying. In retrospect, it was probably a fusion of people-pleasing and perfectionist tendencies. Part of this character trait is having a fix-it mentality. Everything that was not working according to my plan should be fixed. If my patient is sick, I need to find out …
Skyrocketing medical school applications: the hidden costs and stress factors
U.S. allopathic medical school applications have skyrocketed, with over 60,000 applications in 2021, a nearly 100 percent increase in applicants over the past decade. Despite modest increases in the number of medical schools and class sizes, the result has been an ever-declining acceptance rate, with less than 38 percent of applicants accepted in 2021. Hopeful pre-med students pour over the grievously limited data available through the AAMC (Association of American …
Non-opioid alternatives and the future of reimbursement [PODCAST]
The misrepresentation of the EDUCATE Act and the future of our health care system
In the past year alone, legislative assaults on diversity, equity, and inclusion (DEI) in higher education have surged across the United States. This disturbing trend threatens the foundational values of our academic institutions and endangers the very essence of health equity in medical education and practice.
The recent introduction of the Embracing Anti-Discrimination, Unbiased Curriculum, and Advancing Truth in Education (EDUCATE) Act by Rep. Greg Murphy, MD, and its 35 …
Suicide risks for international medical resident trainees
Suicide among resident physicians is a critical issue highlighted in various studies. Research indicates that depression is prevalent among resident physicians, with rates comparable to medical students, suggesting a pervasive problem across different levels of medical training. Burnout has also been linked to suicidal ideation among resident physicians, with a study reporting that 4.5 percent of American resident physicians specializing in surgery experienced suicidal ideation. Furthermore, while resident physicians may …
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Studying medicine in a time of deep medical distrust: Why I remain hopeful
Sarah graduated college during the pandemic and landed a job with a Fortune 500 company in the IT sector, a competitive position. Like many others, she knew of the importance of landing a job, not just for a secure future with a good-paying salary, but in the United States as a way of securing access to health insurance.
This health insurance—being someone young and healthy—was something she got out of habit …
How to start your own cash-pay medical practice
You wish to spend more time with patients while giving high-quality care. You’re tired of dealing with health plans’ red tape. Maybe a colleague boasted that he could charge $300 to $400 per consult out of pocket. To which you say, “You know what, I can do that too!” We don’t blame you. However, when starting our cash-pay clinic, we juggled several elements during the transition. We distilled that planning …
Changing the medical system with empathy [PODCAST]
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From masks to medicine: How empathy shapes true medical excellence
Thirty years ago, I entered Loyola Medical School, and my initiation into the culture of medicine began. As best as I could at the time, I prepared myself for the challenges ahead. I aimed to cultivate a strong will, a powerful intellect, and what I hoped would be enough emotional maturity to succeed. I did not have any family connection to medicine, but I knew our society had certain expectations …
Physicians have a blind spot that makes them prone to fraud charges
Unlike almost every other industrialized nation on Earth, independent American physicians running their own clinics must all be entrepreneurs. Unlike all other businesses, however, there are special rules related to the business side of U.S. medical practice. These are exemplified by the Stark laws. Aptly named, these strict provisions forbid doctors from engaging in what is called physician self-referral.
Doctors are required to avoid referring patients to entities in which they …
The unspoken challenges of being a medical resident’s wife
The journey of a medical resident is often documented, highlighting the grueling hours, intense pressure, and significant responsibilities that come with the role. However, behind the scenes lies another story that is seldom told—the challenges faced by the wives of medical residents. This article delves into the unique struggles of being a medical resident’s wife, particularly in the context of a long-distance relationship.
The overlooked partner
While much attention is given to …
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The risks of digital health companies to psychiatric patients
In early 2022, during the coronavirus pandemic, I considered practicing psychiatry via telehealth. I looked into two telemental-health companies in particular—Cerebral and Done Global, Inc. (hereafter “Done”)—and turned them both down. I did not believe their ethics measured up. In the case of Done, I asked to be withdrawn from consideration as medical director because I believed the company lacked adequate infrastructure and was exclusively focused on treating patients with …
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Clinical research is evolving. Patient involvement is no longer optional.
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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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Recent Posts
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Clinical research is evolving. Patient involvement is no longer optional.
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The anesthesia spectrum: Guiding patients through comfort options in oral surgery
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Ditching insurance: How direct pay models enable personalized patient care [PODCAST]
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Past Week
-
How smartphones are stealing your focus—and what you can do about it
-
Why patients and doctors are ditching insurance for personalized care
-
Internal Medicine 2025: inspiration at the annual meeting
-
Are quotas a solution to physician shortages?
-
Clinical research is evolving. Patient involvement is no longer optional.
-
Gen Z is already transforming mental health care—are we listening?
-
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
-
The unexpected truth behind these misdiagnosed medical cases
-
Recent Posts
-
Clinical research is evolving. Patient involvement is no longer optional.
-
The anesthesia spectrum: Guiding patients through comfort options in oral surgery
-
Ditching insurance: How direct pay models enable personalized patient care [PODCAST]
-
Are quotas a solution to physician shortages?
-
Internal Medicine 2025: inspiration at the annual meeting
-
A surgeon’s late-night crisis reveals the cost confusion in health care
-
