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Michael Grzeskowiak is an internal medicine resident.

Should we change resident duty hours?

Michael Grzeskowiak, MD
Physician
June 19, 2019

As I listened to my attending explain how during her residency training she was on call every third night, I realized how the definition of “call” had significantly changed since that time. For her, it meant her shift started at 6 a.m. and ended at 8 p.m. the next day, totaling the shift to upwards of 36 hours. My call, on the other hand, was a mere 6 a.m. to …

Read more…

Should we change resident duty hours?

Every physician will kill a patient

Michael Grzeskowiak, MD
Physician
February 26, 2019

How did I miss his hypokalemia? Two weeks into my intern year and my patient’s potassium returned at 2.9. Minutes later, he coded. And I felt responsible. As I explained to my partner how my patient had become pulseless after diuresis of his heart failure, she looked at me and said, “Physicians kill patients, it’s inevitable. Has no one told you it’s part of the job?”

There is truth to this …

Read more…

Every physician will kill a patient

How to transfer residency programs

Michael Grzeskowiak, MD
Physician
January 6, 2019

Even though physicians do not talk about transferring residencies, it is more common than is often believed. According to the AAMC website, about 30 percent of residents do not finish the initial program they started. Quantifying that number further, the ACGME recently reported 1,044 residents transferring from their program.

There are a variety of reasons for transferring residencies: A spouse being accepted for a …

Read more…

How to transfer residency programs

Why can’t doctors be depressed?

Michael Grzeskowiak, MD
Physician
June 15, 2017

Why can’t doctors be depressed? They encounter challenging and emotional situations every day, and they are robbed of the emotional intelligence training necessary to handle them properly.

The 32-year-old single mother of two who was recently diagnosed with metastatic breast cancer and given a prognosis of four months to live. The 13-year-old daughter who suffered her first seizure while swimming alone in her home pool and now lies paralyzed in the …

Read more…

Why can’t doctors be depressed?

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  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • The next child

      Medicaid managed care and the case for mutual stewardship

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    • Hospital IT approval has no path for clinician-built tools

      Sanjay Khicha, MD and Gautam Nayak, MD | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
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      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • The next child

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      Steven Merahn, MD | Health Policy
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    • Cited but never checked

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