Vineet Arora, MD
Vineet Arora is an internal medicine physician.
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Latest articles
Conditions and diseases
In December 2020, almost a year into the COVID-19 pandemic, the United States lost 140,000 jobs, and all of them were held by women. The COVID-19 pandemic has brought unrivaled and unprecedented challenges, and the damage done to gender equity…
In December 2020, almost a year into the COVID-19 pandemic, the United States lost 140,000 jobs, and all of them were held by women. The COVID-19 pandemic has brought unrivaled and unprecedented challenges, and the damage done to gender equity in the workplace has been pervasive, and physicians and
…
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The COVID-19 pandemic brought many new challenges in medicine. A novel tool may help to overcome some of them.
Physician voices
Recently, the nation was riveted by photos of the wall of Portland moms who were tear-gassed while forming a human shield of linked arms and bodies to protect Black Lives Matter protesters from federal agents. These moms represent the instincts…
Recently, the nation was riveted by photos of the wall of Portland moms who were tear-gassed while forming a human shield of linked arms and bodies to protect Black Lives Matter protesters from federal agents. These moms represent the instincts that all mothers have — fiercely protective with a drive to stand up for what they believe in, especially when it comes to the safety of …
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Physician-moms fight back against anti-maskers and anti-vaxxers
Physician voices
Recently, there have been many times when you may have gotten a news alert on your phone or checked the latest Twitter hashtag and wanted to scream. Or you were too busy to even check until later that day and…
Recently, there have been many times when you may have gotten a news alert on your phone or checked the latest Twitter hashtag and wanted to scream. Or you were too busy to even check until later that day and did not know what to say other than to lurk and watch a train wreck in progress. You may have thought about saying something, but paused and wondered, “Is this …
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Physicians: Use your voice to make the difference
Medical education
When we got an NIH grant last year to ascertain how teens could get their peers interested in research careers, we did not anticipate turning to Jimmy Kimmel for inspiration. Kimmel’s “Lie Witness News” segment is notorious for asking unsuspecting…
When we got an NIH grant last year to ascertain how teens could get their peers interested in research careers, we did not anticipate turning to Jimmy Kimmel for inspiration.
Kimmel’s “Lie Witness News” segment is notorious for asking unsuspecting pedestrians to share their opinions about ridiculous topics from a new “scented” iPhone to the “appointment” of Judge Judy to the U.S. Supreme Court. While the interviews are purely for amusement, …
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Making research careers sound cool, Jimmy Kimmel-style
Medical education
Earlier this year, we launched the Teaching Value and Choosing Wisely Competition in conjunction with Costs of Care and the ABIM Foundation. Why a competition? Not surprisingly, traditional “literature review” yielded little by way of promising strategies for educators who…
Earlier this year, we launched the Teaching Value and Choosing Wisely Competition in conjunction with Costs of Care and the ABIM Foundation. Why a competition? Not surprisingly, traditional “literature review” yielded little by way of promising strategies for educators who wished to learn how to teach about value.
However, we had all learned of isolated stories of success, occasionally through attending professional meetings, sometimes via networking with colleagues, or more …
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Finding the most promising innovations to teach value
Physician voices
I just left the most unusual conference I have ever attended. First, it was small: 25 invited participants. Second, it was all women. Third, it was all women who have done amazing things ...make that “trailblazing things.” They were journalists…
I just left the most unusual conference I have ever attended. First, it was small: 25 invited participants. Second, it was all women. Third, it was all women who have done amazing things …make that “trailblazing things.” They were journalists at major news outlets, retired military officers from the highest ranks, senior leaders (in some cases, the most senior leader) at major federal and state health care agencies, Fortune 500 companies, large …
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The broken window theory in health: Examples of graffiti we can fix
Medical education
While everyone has heard the old adage about not getting sick in July because of new interns, the truth is that new interns nationwide have started already. Yet, you don’t hear much about the “late June effect?” So is the…
While everyone has heard the old adage about not getting sick in July because of new interns, the truth is that new interns nationwide have started already. Yet, you don’t hear much about the “late June effect?”
So is the July effect overblown or true? Well, there have been many studies – so many so there was a recent systematic review co-authored by one of my own co-interns a long time ago. …
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The July effect: Welcome to the summer of supervision
Medical education
Recently, I was having a discussion with a colleague about being a doctor. She confided in me that if someone asked her about becoming a doctor, she would tell him or her to become a nurse practitioner. After reading the…
Recently, I was having a discussion with a colleague about being a doctor. She confided in me that if someone asked her about becoming a doctor, she would tell him or her to become a nurse practitioner. After reading the emotional open letter to our policymakers in Washington DC, it may sound like a reasonable suggestion. After all, why go into this much debt and spend so much time in …
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Let’s critically examine what residents are doing while in training
At a time when one in three Americans report difficulty paying medical bills, up to $750 billion is being spent on care that does not help patients become healthier. Although physicians are routinely required to manage expensive resources, traditional medical…
At a time when one in three Americans report difficulty paying medical bills, up to $750 billion is being spent on care that does not help patients become healthier. Although physicians are routinely required to manage expensive resources, traditional medical training offers few opportunities to learn how to deliver the highest quality care at the lowest possible cost. While the gap is glaring the problem is not new.
In 1975, the …
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Medical educators: Take charge and help deflate medical bills
Medical education
I recently had the opportunity to read Daniel Pink’s Drive. I read it partly to understand why pay-for-performance often fails to accomplish its goals for complex tasks, such as patient care. However, the thing I found most interesting about this…
I recently had the opportunity to read Daniel Pink’s Drive. I read it partly to understand why pay-for-performance often fails to accomplish its goals for complex tasks, such as patient care. However, the thing I found most interesting about this book was the way in which creativity is deliberately inspired and cultivated by industry.
I could not help but think about why we don’t deliberately nurture creativity in medical trainees. Why …
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Why we should nurture creativity in medical residents
Health technology
On my birthday several weeks ago, I was lucky to get an iPad Mini from my husband. I already have an iPad and have shared my experience. In fact, we gave all of our residents iPads (one of them contacted…
On my birthday several weeks ago, I was lucky to get an iPad Mini from my husband. I already have an iPad and have shared my experience. In fact, we gave all of our residents iPads (one of them contacted Steve Jobs and got a response), and documented an improvement in efficiency on the wards. So why the Mini? What is …
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Using the iPad Mini in the hospital: One doctor’s experience
Medical education
Last week, I tried something new with our residents. We tried to talk about why physicians overuse tests. This is the topic of the moment, as the American College of Physicians (ACP) just dropped their long-awaited new High Value Cost…
Last week, I tried something new with our residents. We tried to talk about why physicians overuse tests. This is the topic of the moment, as the American College of Physicians (ACP) just dropped their long-awaited new High Value Cost Conscious Curriculum for what has now been dubbed the “7th competency” for physicians-in-training.
In addition to the ACP curriculum, which I served as one of the reviewers for, I also …
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Teaching the cost of tests in medical education
Health policy
I recently watched Dr. Atul Gawande on video describe how what American healthcare needs is pit crews and not cowboys. This sentiment is also memorialized in his thought-provoking writings for the New Yorker. Interestingly, Dr. Gawande is not the first…
I recently watched Dr. Atul Gawande on video describe how what American healthcare needs is pit crews and not cowboys. This sentiment is also memorialized in his thought-provoking writings for the New Yorker.
Interestingly, Dr. Gawande is not the first person I have heard to suggest such a thing. A colleague named Dr. Ken Catchpole actually studied Formula 1 pit crews and used the information to guide improvements in …
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Health care needs the Lollipop man
Patient voices
Amid the buzz about whether medical students should be sued and the bill currently debated in Arizona (a state which finds itself in the spotlight more than usual these days), I noticed some commentary from several people who do not…
Amid the buzz about whether medical students should be sued and the bill currently debated in Arizona (a state which finds itself in the spotlight more than usual these days), I noticed some commentary from several people who do not think they would like a medical student on their case. Sometimes patients do refuse to be cared for by medical …
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You may benefit from having a medical student care for you
Medical education
I recently saw a post in Yahoo questions entitled, "Is it illegal for a medical student to introduce themselves as 'Doctor' before they have received their MD?" One of the answers that was rated highly was "I think it is…
I recently saw a post in Yahoo questions entitled, “Is it illegal for a medical student to introduce themselves as ‘Doctor’ before they have received their MD?”
One of the answers that was rated highly was “I think it is more unethical than illegal.” Clearly, if a student is deliberately misrepresenting themselves as a ‘doctor’, it is grounds for disciplinary action. More often than not, this misrepresentation …
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Should medical students be introduced as Doctor?
Medical education
I just finished another inpatient service stretch at our community hospital with some great cases and lots of good medicine. While attending rounds may have changed a lot in the last 40 years as highlighted in a recent Annals of…
I just finished another inpatient service stretch at our community hospital with some great cases and lots of good medicine. While attending rounds may have changed a lot in the last 40 years as highlighted in a recent Annals of Internal Medicine article, some things have not changed – the focus on medical student presentations during attending rounds.
Students spend hours through their call nights preparing for …
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How medical students should present patients to their attendings
Medical education
I recently spent a week in Ireland, taking in the sights and spirits. I was actually there for work too – visiting the University College of Dublin and the Mater Miserecordia Hospital – or the original Mercy Hospital as they…
I recently spent a week in Ireland, taking in the sights and spirits.
I was actually there for work too – visiting the University College of Dublin and the Mater Miserecordia Hospital – or the original Mercy Hospital as they refer to it. As the future of primary care, residency work hours, and the healthcare insurance system continue to cause angst in the US, we often find ourselves referencing what our European …
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Medical school and medical training in Ireland
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