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Steven Goldsmith is a psychiatrist.

10 hard truths about practicing medicine they don’t teach in school

Steven Goldsmith, MD
Physician
September 17, 2025

I offer these ten points in the hope that you will surpass my generation of physicians, myself included, and learn from our mistakes. God help us all if you do not.

Congratulations on your hard work, academic achievements, and the persistence and sacrifice that brought you to this moment in your medical careers. Good for you. And now, reality.

1. Although you have memorized many facts, you know nothing. Truth does not …

Read more…

10 hard truths about practicing medicine they don’t teach in school

I am not your provider

Steven Goldsmith, MD
Physician
October 5, 2016

Sometimes prospective new patients ask me over the phone, “Are you a medical provider?” or “Are you a provider for [name of their particular health insurer]?” And that gets me started.

Provider. Such a generic and seemingly inoffensive noun, and yet it repels me. To me, it is the verbal equivalent of a hair ball my cat barfs onto my pillow. And so I feel obliged to clean it up by …

Read more…

I am not your provider

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  • Most Popular

  • Past Week

    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • Why your overhead percentage is the wrong benchmark

      GetPracticeHelp | Physician Finance
    • Mental health ghost networks are badly hurting patients

      Steve Cohen, JD | Conditions and Diseases
    • The opioid crackdown is harming chronic pain patients

      Bill Bauer, MD, PhD | Conditions and Diseases
    • The attention economy is starving public health

      Paul Dranichnikov, MD, PhD | Physician
    • 1 in 12 medical billing companies just vanished

      GetPracticeHelp | Physician Finance
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Medicare physician pay has fallen 33 percent since 2001

      Kayvan Haddadan, MD | Health Policy
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
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    • 1 in 12 medical billing companies just vanished

      GetPracticeHelp | Physician Finance
    • Needing external validation is a strategy that fails

      Jack Tiller | Conditions and Diseases
    • Why your ER doctor doesn’t know your medical history [PODCAST]

      The Podcast by KevinMD | Podcast
    • The built environment is shaping our patients’ health

      Karen Zhang | Health Policy
    • From Pakistan to Indiana: climate change and patient health

      Umayr R. Shaikh, MPH | Health Policy
    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology

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