Arthur Lazarus is a former Doximity Fellow, a member of the editorial board of the American Association for Physician Leadership, and an adjunct professor of psychiatry at the Lewis Katz School of Medicine at Temple University in Philadelphia. He is the author of several books on narrative medicine and the fictional series Real Medicine, Unreal Stories. His latest book, a novel, is Standard of Care: Medical Judgment on Trial.
Arthur Lazarus is a former Doximity Fellow, a member of the editorial board of the American Association for Physician Leadership, and an adjunct professor of psychiatry at the Lewis Katz School of Medicine at Temple University in Philadelphia. He is the author of several books on narrative medicine and the fictional series Real Medicine, Unreal Stories. His latest book, a novel, is Standard of Care: Medical Judgment on Trial.
Stealth firing is a term used to describe the cold, unexpected firing of employees by their managers and/or individuals from human resources (HR) departments – sometimes without the manager’s awareness and even after years of loyalty for some. The Bureau of Labor Statistics cannot adequately track this statistic because its definition lacks precision, but it is not uncommon in certain practice areas, such as law, tech, and financial firms. The …
I read an essay advocating the disclosure of personal trauma on medical school applications as a means of overcoming stigma and taboo often associated with rape and other forms of trauma. The authors lamented that a culture of silence persists in medicine despite movements such as #MeToo. They concluded: “We, as physicians, have a duty to reduce shame to promote recovery in both our patients and in ourselves.”
Not …
An excerpt from Medicine on Fire: A Narrative Travelogue.
I regret not keeping a diary or journal to write about patient encounters and interactions with peers, residents and attendings, not to mention the sundry characters connected to the academic health center where I trained and practiced. Had I done that, I would have had a lot more material to write about, and my …
Closing a residency program can significantly disrupt a physician’s training. In 2019, the closure of Hahnemann University Hospital in Philadelphia forced 570 residents to find new placements. First-year residents discovered a week before they started that the hospital was closing after its owner filed for bankruptcy.
Fast forward to January 2024. Within days, two additional residency training programs in the Philadelphia area announced closures.
Albert Einstein Medical Center said it was ending its …
Following a Congressional hearing into antisemitic harassment on the campuses of Harvard, MIT, and the University of Pennsylvania, there were several changes in leadership at Penn. Jonathan A. Epstein, MD, was named interim dean at Penn’s Perelman School of Medicine, replacing J. Larry Jameson, MD, PhD, who became interim university president.
Epstein, 62, is a cardiologist and researcher who trained at Harvard and has been at Penn since 1996, most recently …
Since the December 5, 2023, Congressional hearing into antisemitic harassment at Penn, Harvard, and MIT, I was shocked to learn how universities, large and small, public and private, have been hijacked by extreme right-wing leaders connected directly or indirectly to the GOP.
Examples include:
Youngstown State University bypassed the normal search process to select its new president, Republican U.S. Representative Bill Johnson. Johnson has no experience in academia and voted with dozens …
When the University of Pennsylvania’s president Liz Magill was forced to resign her position due to her equivocal stance regarding antisemitic harassment on Penn’s campus, J. Larry Jameson, MD, PhD, was soon announced as her interim successor. Jameson had served as executive vice president of Penn’s health system and dean of the Perelman School of Medicine since 2011.
Jameson is a prominent molecular endocrinologist, author of over 350 scientific …
A Harvard medical school student realized in his third year that he had lost his desire to become a doctor. Nevertheless, the student decided to complete his fourth year and obtain his MD degree. The student is now planning for a career in pharma or even comedy. Some individuals who read his online essay found the student’s decision-making comical in itself. Overall, their comments were evenly divided about the …
U.S. Supreme Court Justice Potter Stewart said he can’t define pornography, but he knows it when he sees it. Stewart might just as well have been talking about leadership—reflecting the difficulty in providing a precise definition of leadership but suggesting that individuals can recognize ineffectual leadership when they encounter it.
The abject failure of three university presidents to answer “yes” to a simple question—whether calls for the genocide of Jews violate …
The original Star Trek television series, in my opinion, stands out as the best of the bunch. It lasted only three years (1966-1969), but it has retained a cult following. Among its many television “firsts” were the initial inter-racial kiss (between Captain Kirk and Lieutenant Uhura) and perhaps the first depiction of burnout, as seen in the two-part episode “The Menagerie.”
Originally intended as the pilot, “The Menagerie” was postponed to …
Some of the most brilliantly funny men have the saddest personal lives. John Belushi, Chris Farley, and Sam Kinison were all preceded by Jerome Lester Horwitz, otherwise known as Curly of the Three Stooges: n’yuk-n’yuk-n’yuk. Why, soitenly the tragic life of a comedic legend deserves a great biography, and while Curly’s niece (Moe’s daughter) did her best to amass a wealth of Curly memorabilia – a mixture of …
“Oh, I didn’t know you’re a writer,” my neighbor said as I handed her a complimentary copy of my recently published book.
“Not really,” I replied. “I’m just a physician who likes to write.”
The conversation ended, but later, I began to think: What’s the difference between a physician writer and a writer who is a physician? What should I say to somebody else who makes a comment like my neighbor? I …
“Fine lines” in medicine often refer to situations where decisions are not clear-cut and require careful judgment. Perhaps the most tenuous of lines is the one between “real” childhood illnesses and those caused by Munchausen syndrome by proxy.
Munchausen syndrome by proxy (MSBP), also known as factitious disorder imposed on another (FDIA), refers to a specific form of child abuse in which a caregiver, typically a parent or guardian, fabricates, exaggerates, …
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In a recent essay, I marveled at the qualities that will set apart tomorrow’s physicians from previous generations. And while everything I wrote I believed to be true, I suppose I neglected a major concern, a big blind spot as it were. In order to become clinicians, medical students must first enter practice. That seems obvious, but a recent report gives reason to pause and reflect on medical students’ …
Many surveys and reports have acknowledged that physicians are unwell, and their numbers have reached crisis proportion. “We aren’t going to fix this problem by noting that canaries are dying in the coal mine and … sending out for tougher canaries,” remarked Gary Price, MD, an attending surgeon at Yale-New Haven Hospital in Connecticut and president of the Physicians Foundation, a physician empowerment organization.
Price’s remarks were actually …
In my search for ever-obscure rock music from my generation – not the greatest generation but the flower generation – I came across a CD collection of rare songs titled “Brown Acid: The Seventeenth Trip,” appropriately subtitled: “Heavy Rock from the Underground Comedown.” The record review began as follows: “Lucky number 17? You better believe it. We here at Brown Acid have been scouring the highways and byways of America …
I was having a conversation with a colleague about a state-funded Medicaid managed care organization (MCO). She told me that the mental health performance measures used by the state to evaluate the MCO were all “placement and provider issues,” such as the amount of time children spent sleeping on the floors of social services offices or languishing in emergency departments (ED) before they were transferred for treatment or placed into …
I was in my upstairs office when I heard the doorbell ring. I ran downstairs to open the door, unable to see through the opaque window who was on the other side. I opened the door, and there stood an elderly Black man and woman, well dressed, with leaflets and literature. I immediately recognized that this was an unsolicited proselytization.
“Can I help you,” I inquired. The woman handed me a …
One of the most memorable scenes in Goodfellas occurs early on, when the audience is introduced to most of the crew at the Bamboo Lounge. Henry Hill (Ray Liotta) and Tommy DeVito (Joe Pesci) get into a tense exchange. Tommy seems to get offended after Henry calls him funny. “I’m funny how, Tommy wants to know?” “I mean, funny like a clown? I amuse you? I make you laugh?”
Unknown to …
Sir Isaac Newton dedicated as much, if not more, of his time to the study of alchemy than he did to the natural order of the universe, but most of his work as an alchemist remained unpublished until long after his death when a metal chest full of his belongings was auctioned in 1936. The great man of science, the first of the Age of Reason, was simultaneously the last …
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