KevinMD.com

June 19, 2026Jun 19, 2026

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Most of the people deciding where billions of health care dollars get invested have never treated a patient. Harsha Moole, a physician scientist and health care venture capital founder, joins Kevin to discuss his KevinMD article “The crash cart that taught me physician-led investing.” You’ll hear how a single overlooked workflow problem on a hospital crash cart became a …

Physician voices

Why resident mistreatment puts patient care at risk

Anonymous

June 19, 2026Jun 19, 2026

After 20 years in medical practice, I made the decision to return to training for six months as a neonatology fellow to regain my neonatology board eligibility. At 54 years old, I did not come in with illusions. I expected long hours, academic rigor, and the challenge of re-entering a structured training environment after decades of independence.

What I did not expect was to witness, so clearly and so persistently, a …

Health technology

Patient access is where good care quietly breaks down

Juan Vera

June 19, 2026Jun 19, 2026

After her shift, Rachel noticed the rash beneath her gloves had stopped burning, but it still worried her. She works night shifts as a cook and raises two children, so clinic hours fall when she’s sleeping, commuting, or managing family routines. During her overnight break, she searched on Google and found a clinic with strong reviews. The website did not offer online scheduling, so she had to call. She …

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Physician voices

Wealth inequality is a clinical problem, not political

Sameen Farooq, MD

June 19, 2026Jun 19, 2026

We live and work in a sick society. I know this isn't a revelation as much as a cruel reality. The disparity between those with means and those without is noticeable in every available metric dissecting the spending habits of…

We live and work in a sick society. I know this isn’t a revelation as much as a cruel reality. The disparity between those with means and those without is noticeable in every available metric dissecting the spending habits of Americans, credit card indebtedness, retail, stock market portfolios. In this sick system, I am so tired of hearing about the ultra-rich whine and complain about the “difficulties of being …

Physician finance

5 ways physicians can shape health care investing

Harsha Moole, MD

June 19, 2026Jun 19, 2026

Whenever I speak to physician groups about health care investing, I get the same reaction. Interest first, then a pause. Then someone says, "That sounds great, but I'm not about to quit my practice and become a venture capitalist." They…

Whenever I speak to physician groups about health care investing, I get the same reaction. Interest first, then a pause. Then someone says, “That sounds great, but I’m not about to quit my practice and become a venture capitalist.”

They don’t have to.

The biggest misconception about physician involvement in health care investing is that it requires a career change. It doesn’t. Over the past seven years, I’ve built a network …

Health technology

AI in medical education needs to read widely

Arthur Lazarus, MD, MBA

June 19, 2026Jun 19, 2026

An excerpt from Practicing in the Age of AI: Essays on Medicine, Meaning, and Machines. I recently bought a children's book for my four-year-old granddaughter. Tucked beneath the copyright page was a sentence I had never seen before: "No part…

An excerpt from Practicing in the Age of AI: Essays on Medicine, Meaning, and Machines.

I recently bought a children’s book for my four-year-old granddaughter. Tucked beneath the copyright page was a sentence I had never seen before: “No part of this book may be used or reproduced in any manner for the purpose of training artificial intelligence technologies or systems.”

It wasn’t a medical text. It wasn’t a journal article …

Physician voices

Professional identity in medicine has been hollowed out

Ronald L. Lindsay, MD

June 19, 2026Jun 19, 2026

The recent argument that physicians should abandon insurance-based care because the economics no longer work is not wrong, but it is incomplete. The strategist's view focuses on reimbursement, overhead, and the arithmetic of survival. Those pressures are real. But the…

The recent argument that physicians should abandon insurance-based care because the economics no longer work is not wrong, but it is incomplete. The strategist’s view focuses on reimbursement, overhead, and the arithmetic of survival. Those pressures are real. But the deeper crisis in American medicine is not financial. It is cultural.

Insurance-based care didn’t collapse because the math stopped working. It collapsed because the professional culture that once held the system …

Medical education

Why medical simulation training belongs in every rotation

Chuka Onuh

June 19, 2026Jun 19, 2026

It was my first week of clinical rotations, the transition that I had spent years waiting for. Finally, being able to take care of patients. I was a newly minted clinical-phase medical student assigned an evening shift in a busy Chicago emergency department, eager to learn from clinical experience rather than a textbook or Anki deck.

The shift had been relatively quiet, and only 30 minutes remained as I finished my …

Conditions and diseases

Opioid pain contracts turn doctors into parole officers

Jeffrey A. Singer, MD & Josh Bloom, PhD

June 19, 2026Jun 19, 2026

The government's misguided attempt to address the opioid overdoses did more than change prescribing practices. It changed the relationship between doctors and patients, and not for the better. Before receiving opioid pain medication, many patients today are required to sign…

The government’s misguided attempt to address the opioid overdoses did more than change prescribing practices. It changed the relationship between doctors and patients, and not for the better.

Before receiving opioid pain medication, many patients today are required to sign a “patient-prescriber agreement,” often called a “pain contract.” The patient agrees to submit to regular drug testing, disclose personal and family histories of substance use, follow strict rules about medication use, …

Drugs and prescribing

AMA kratom policy needs regulation, not a 7-OH ban

Bryon Adinoff, MD

June 19, 2026Jun 19, 2026

An American Medical Association (AMA) policy from June 9, 2026, calls for prohibiting the sale, distribution, and marketing of concentrated 7-hydroxymitragynine (7-OH) products while supporting surveillance, additional research, and other public health measures for kratom, according to the AMA press…

The question is particularly …

Conditions and diseases

Why does periodontal disease hit South Asians harder?

Varsha Mantravadi

June 19, 2026Jun 19, 2026

"Flossing widens the gaps between my teeth. Besides, these teeth aren't even my own." Absolutely no one can convince my grandmother that flossing is important. Notorious in our family because all of her teeth are now implant crowns, she feels…

“Flossing widens the gaps between my teeth. Besides, these teeth aren’t even my own.”

Absolutely no one can convince my grandmother that flossing is important. Notorious in our family because all of her teeth are now implant crowns, she feels an increased disconnect with these “fake” teeth and doesn’t feel the need to take care of them. Many of her relatives in India confirm her beliefs by misguidedly advising against visiting …

Conditions and diseases

Why clinical trials fail before enrollment even begins

Beata Pasek, EdD

June 19, 2026Jun 19, 2026

When a clinical trial starts to struggle, the conversation almost always turns to enrollment, with recruitment numbers running low and retention becoming increasingly difficult to maintain as timelines slip and pressure mounts. Sponsors and study teams begin asking how enrollment…

But after more than fifteen years working inside clinical research operations across academic …

Physician voices

Why is women’s mental health in psychiatry so overlooked?

Jincy Rajan, MD

June 19, 2026Jun 19, 2026

"Women make up half the population, yet we still do not treat women's mental health as a priority." Today, women's mental health is a balance between what we know, what we ignore, and what we treat as optional. It exists…

“Women make up half the population, yet we still do not treat women’s mental health as a priority.”

Today, women’s mental health is a balance between what we know, what we ignore, and what we treat as optional. It exists in a landscape where society continues to find increasingly sophisticated ways to misunderstand it. When women speak, the world often responds with a polite, “Hmm, are you sure?”

I came to psychiatry …

The Podcast by KevinMD

Why doctors burn out connecting with patients, and how to fix it [PODCAST]

The Podcast by KevinMD

June 18, 2026Jun 18, 2026

Most doctors were never taught how to sit with a patient's grief, anger, or fear without absorbing it. Eva Minkoff, a health care executive coach, and Kim Downey, a physical therapist and physician advocate, join Kevin to discuss their KevinMD…

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Most doctors were never taught how to sit with a patient’s grief, anger, or fear without absorbing it. Eva Minkoff, a health care executive coach, and Kim Downey, a physical therapist and physician advocate, join Kevin to discuss their KevinMD article “How regulating clinical empathy prevents physician burnout.” You’ll hear why physicians who lean too far into patient emotion …

Physician voices

Why I say no during a cosmetic surgery consultation

Richard V. Balikian, MD

June 18, 2026Jun 18, 2026

One of the questions I get asked most often outside of the operating room has nothing to do with facelift techniques or eyelid anatomy. It usually happens at dinner parties. Someone eventually finds out I'm a facial plastic surgeon, and…

One of the questions I get asked most often outside of the operating room has nothing to do with facelift techniques or eyelid anatomy.

It usually happens at dinner parties. Someone eventually finds out I’m a facial plastic surgeon, and after a few minutes the question comes: “Do you ever say no to patients?”

I always laugh because the answer is immediate. Absolutely. All the time. It’s my favorite thing to say. …

Physician voices

The generalist physician hiding in every specialist

Farid Sabet-Sharghi, MD

June 18, 2026Jun 18, 2026

The definition of a "doctor" is shifting in a way that feels increasingly fragmented. Growing up with a father who practiced for decades as a primary care physician before pursuing a residency in pediatrics, my baseline understanding of medicine was…

The definition of a “doctor” is shifting in a way that feels increasingly fragmented. Growing up with a father who practiced for decades as a primary care physician before pursuing a residency in pediatrics, my baseline understanding of medicine was rooted in the “whole doctor” model. In that world, a physician addressed the majority of a patient’s needs and sought specialized intervention only when a situation truly demanded it. Today, …

Conditions and diseases

Post-traumatic growth is not just cognitive reframing

Josette Pelatan, PhD

June 18, 2026Jun 18, 2026

In 2022, during a hospitalization following an extreme psychological and physiological crisis, I experienced something I struggled to describe using existing clinical language. What followed did not feel like recovery, coping, or reframing. It felt like a complete neurological and…

As a researcher and writer grounded in trauma science, I searched for frameworks that could explain the magnitude and durability of the change. Post-traumatic growth (PTG) came closest. Yet …

Conditions and diseases

Vaccine hesitancy is a language problem, not just science

Lauren Brick & Lindsey Sachs & Vijay Rajput, MD

June 18, 2026Jun 18, 2026

"Doctor, I'm not against medicine," the patient said quietly, arms crossed before the conversation had barely begun. "I just don't want any more vaccines." The physician paused. The patient was a 65-year-old man with diabetes, chronic lung disease, and a…

“Doctor, I’m not against medicine,” the patient said quietly, arms crossed before the conversation had barely begun. “I just don’t want any more vaccines.” The physician paused. The patient was a 65-year-old man with diabetes, chronic lung disease, and a recent hospitalization for pneumonia. The patient’s chart showed that he was overdue for influenza, COVID-19 booster, pneumococcal, and RSV immunizations. Ten years earlier, this discussion might have taken less than …

Conditions and diseases

Why acts of kindness make you measurably happier

Kayvan Haddadan, MD

June 18, 2026Jun 18, 2026

In an effort to discover the Neuroscience of Happiness, the concept that a significant portion of our daily happiness derives from how we contribute to the happiness of others is strongly supported by research on prosocial behavior, empathy, and social relationships. While pinpointing an exact percentage is difficult, multiple studies reveal a clear positive correlation between caring for others’ well-being and our own.

From early childhood, giving behaviors boost happiness. …

Health technology

AI in global health has continent-sized blind spots

Dr. Buga Charles George Kenyi

June 18, 2026Jun 18, 2026

There is no doctor in my village. I grew up in Logwerle, a small community in Central Equatoria State, South Sudan. When people got sick, they traveled far for care, or they didn't get care at all. In 2003, my…

There is no doctor in my village.

I grew up in Logwerle, a small community in Central Equatoria State, South Sudan. When people got sick, they traveled far for care, or they didn’t get care at all. In 2003, my family moved to northern Uganda so I could get an education. I started primary school at Teremunga Primary School in Koboko, completed my O-levels at St. Charles Lwanga, and my A-levels …

Real physician voices, twice a week

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