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The true service your doctor is providing is thinking

J. Russell Strader, MD
Physician
February 19, 2014

Ms. Smith (name changed) is 82-years-old, but currently looks about a hundred. I met her, intubated, in the ICU two weeks ago. She lived alone, hadn’t told family she wasn’t feeling well, but had called 911.

In the emergency department, she was struggling to breath, and was intubated, having gone into respiratory failure. She was found to have a severe pneumonia affecting the majority of both her lungs. She also went …

Read more…

The true service your doctor is providing is thinking

Why graduate medical education is failing

J. Russell Strader, MD
Education
December 19, 2013

When a doctor finishes medical school, he or she then faces what is truly the most difficult part of their journey into becoming a physician: graduate medical education.  The goal of internship, residency, and fellowship training programs — what is collectively called graduate medical education, or GME — is to take newly minted doctors, just out of medical school, and turn them into competent physicians, able to practice in their specialty independently.   And …

Read more…

Why graduate medical education is failing

You can’t legislate doctor-patient relationships

J. Russell Strader, MD
Physician
December 8, 2013

I was on call this past weekend, rounding at about 8am on the cardiology floors, and a woman I didn’t recognize approached me.  She asked if I remembered who she was, and was quick to tell me that if I didn’t it was ok.   She had had bariatric surgery about 6 months previously, and I had seen her in the office for a pre-surgical consultation.

She went on to tell …

Read more…

You can’t legislate doctor-patient relationships

We really need 3 health care systems

J. Russell Strader, MD
Policy
November 24, 2013

I was reading a blog about health policy and the failings of the ACA rollout posted on CNN.  The author spends time talking about how much we want to change our health care system.  And how, since change is hard, no one should be surprised by the pains accompanying this change, particularly in terms of individuals loosing their current insurance policies due to the rollout of the ACA …

Read more…

We really need 3 health care systems

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  • Most Popular

  • Past Week

    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • How corporate medicine is eroding truth and patient dignity

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    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions
    • Opt-out states and physician-led anesthesia care explained

      Michael Beck, MD | Physician
    • How medical misinformation drives demand for nonscientific treatments

      M. Bennet Broner, PhD | Conditions
    • Bolus or drip? What the DOSE trial actually showed about heart failure [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
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      Ronald L. Lindsay, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
  • Recent Posts

    • Bolus or drip? What the DOSE trial actually showed about heart failure [PODCAST]

      The Podcast by KevinMD | Podcast
    • Accounts receivable days hide four billing problems

      GetPracticeHelp | Finance
    • AI therapy chatbots are crossing into impersonation

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    • How to navigate physician job loss in the first week

      Patrick Hudson, MD | Physician

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