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Matthew Ryan is an emergency physician.

EMR cognitive burden: the hidden cost of documentation

Matthew Ryan, MD, PhD
Physician
January 5, 2026

In basketball, when a player is called for a questionable foul, he may shrug and say: “Ball don’t lie.”

It means the game has a truth of its own. Reality asserts itself. Emergency medicine, unfortunately, rarely works that way.

We once spent most of our time with patients. Now a substantial portion of every shift is spent interacting with a screen, not because we prefer it, but because the system has evolved …

Read more…

EMR cognitive burden: the hidden cost of documentation

Why emergency medicine is a human rights specialty

Matthew Ryan, MD, PhD
Physician
September 24, 2025

Emergency medicine has evolved far beyond what its founders envisioned. Once an afterthought of the health care system, it is now the gateway to care for millions. Every day, our emergency departments serve as the front door of the hospital and, for many, the only door into health care.

This is why I argue that emergency medicine safeguards human rights.

Consider the patient mix of any emergency department: we care for the …

Read more…

Why emergency medicine is a human rights specialty

The cost of ending shadowing in medical education

Matthew Ryan, MD, PhD
Education
July 20, 2025

A faculty-wide email recently announced that shadowing in our emergency department would no longer be recognized as a valid educational activity. I wrote back asking why. The reply was brief, dismissive, and telling:

“It doesn’t pay the rent.”

That line has stuck with me—not just because it was flippant, but because it revealed something deeper about how we now view education.

Shadowing has long served as the first bridge between curiosity and calling …

Read more…

The cost of ending shadowing in medical education

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  • Most Popular

  • Past Week

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

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      H. Michael Boulton, MD | Physician
    • National Hospital Week reveals what care really takes

      Brian Sutter | Conditions
    • No nurse is better than a bad nurse in your child’s home [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why artificial intelligence in medicine cannot replace clinical intuition

      Garrett Terracciano, MD | Physician
  • Past 6 Months

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

      The Podcast by KevinMD | Podcast
    • Rethinking the role of family physicians vs. specialists

      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
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      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
  • Recent Posts

    • No nurse is better than a bad nurse in your child’s home [PODCAST]

      The Podcast by KevinMD | Podcast
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      Dr. Damane Zehra | Physician
    • The medical case for teaching kindness in early childhood development

      Paul Dranichnikov, MD, PhD | Physician
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