Ariela L. Marshall, MD
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Latest articles
Physician voices
The Boston Globe recently published an article on Dr. Jane Weeks, an oncologist at Dana-Farber Cancer Institute who declined treatment for breast cancer, passed out at work due to a pulmonary embolism in 2012, and ultimately died of breast cancer…
The Boston Globe recently published an article on Dr. Jane Weeks, an oncologist at Dana-Farber Cancer Institute who declined treatment for breast cancer, passed out at work due to a pulmonary embolism in 2012, and ultimately died of breast cancer in 2013. I was a first-year fellow training at Dana-Farber in 2012 and vividly recall hearing that a well-known oncologist had passed out in the cafeteria. There were many …
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Gender bias is powerful and harmful
Medical education
A Black woman whose kidneys only function at 15 percent of normal wishes to be evaluated for a kidney transplant. Although this is very reasonable, before 2021, many physicians would have said, "I'm sorry, but your kidney function is not…
A Black woman whose kidneys only function at 15 percent of normal wishes to be evaluated for a kidney transplant. Although this is very reasonable, before 2021, many physicians would have said, “I’m sorry, but your kidney function is not bad enough to be referred for a transplant.”
This is because the kidney function calculator used before 2021 overestimates kidney function for Black people, making her kidney function seem “too good” …
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Medical education has woken up, and that’s a good thing
Physician voices
Every winter, flu season descends upon the hospital. The most consistent reaction among any of our physicians — trainee and attending alike — who succumb to this nasty virus is one of guilt. Even the thought of "calling out sick"…
Every winter, flu season descends upon the hospital. The most consistent reaction among any of our physicians — trainee and attending alike — who succumb to this nasty virus is one of guilt. Even the thought of “calling out sick” leads to such extreme guilt that many colleagues choose to come to work sick instead.
Several trainees have admitted to suffering from flu-like symptoms but pushing themselves to come to the …
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Doctors: Take a sick day
Physician voices
We all want to get home as quickly and safely as possible at the end of the day. The other day — as I braked for a red light and turned my right blinker on — I not only looked…
We all want to get home as quickly and safely as possible at the end of the day. The other day — as I braked for a red light and turned my right blinker on — I not only looked to see if cars were coming from the left but also checked my rearview mirror.
In a moment of introspection, I suddenly wondered: “Why am I doing that?” What difference would …
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Being oversensitive to others’ opinions can be harmful
Social media in medicine
In academic medicine, promotion depends on the weight of our curricula vitae, measured primarily by the number of papers we publish in peer-reviewed journals. Physicians strive to jump through the hoops of publishing their work in “top” journals ranked by…
In academic medicine, promotion depends on the weight of our curricula vitae, measured primarily by the number of papers we publish in peer-reviewed journals. Physicians strive to jump through the hoops of publishing their work in “top” journals ranked by the “impact factor” (yearly average number of citations for a given journal). Yet the “impact factor” of these journals — even those considered most prestigious and most impactful — is …
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Why academic medicine needs to value physician contributions to online platforms
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