Hospital-Based Medicine

Patient complaints prompt hospital to reevaluate doctor’s bedside manner

Physician
August 18, 2023

Tom, a doctor friend, recently told me he was reprimanded by Michael, his hospital’s medical chief of staff, after two patients lodged complaints against him.

One instance involved a man whom Tom informed of a cancer recurrence. When the man cried, Tom put his hand on the man’s knee, attempting to comfort him. However, the man didn’t find it comforting. He said nothing to Tom but complained to administration, stating that …

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Teaching moments in medicine: Balancing autonomy and comfort

Physician
August 12, 2023

Late last year, I decided I needed to get my health checked up on. I went through the motions, trying to make an appointment with the doctor that was assigned to me. Nothing was available for months. I called every other day, asking about cancellations that would fit into my schedule for days I already had off. It was a pain and difficult as well to switch a single workday …

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A love letter to the doctor I was

Physician
August 8, 2023

I recently returned to the hospital where I had first worked as an attending. Everything felt different. It seemed darker and smaller, reminiscent of the feeling when you revisit your elementary school, and the water fountains appear almost touching the ground, making you feel like a giant.

I walked through the same door I had used countless times over ten years, yet it now seemed more like a portal. The floor, …

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Pain and laughter for a veteran patient

Physician
August 6, 2023

Mr. Sampson, a 70-year-old man with a history of diabetes, was referred to us by his primary care physician for nerve conduction studies. He had been experiencing increasing numbness in his right hand for the past year and had recently started having trouble playing his beloved guitar. As a Vietnam War veteran, he had a fascinating story to tell.

As I approached him in the waiting room, he greeted me with …

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Internship survival guide: Thriving on the night floor rotation

Physician
July 16, 2023

During my first week as an intern, a question weighed heavily on my mind: “How am I going to survive my night shift rotation?” Soon after, another question arose: “How can I make the most of my night shifts and continue to learn and grow?” I reached out to senior residents and faculty members to learn from their experiences and seek their advice.

I understand that you may have similar questions …

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The case for eliminating recertification by the ABIM

Physician
July 12, 2023

The American Board of Internal Medicine (ABIM) has long been responsible for setting standards and ensuring the competence of internal medicine practitioners. However, the practice of mandatory recertification has faced increasing scrutiny and debate within the medical community. This article explores some of the key reasons why eliminating recertification requirements imposed by the ABIM could have significant benefits for physicians and patient care.

Lack of evidence for improved patient outcomes

One of …

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What Lucille Ball and Einstein can teach us about overcoming burnout

Physician
July 10, 2023

In the demanding health care industry, physicians are frequently susceptible to burnout. The constant pressures, long hours, and emotional toll can be detrimental to one’s health. To support physicians on their path to wellness, we have compiled a collection of motivational quotes that can change their perspective and help them achieve their goals. In addition to these powerful quotes, we’ve included suggestions for cultivating growth and overcoming burnout. Discover the …

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The epidemic of narcissistic abuse in the medical field

Physician
July 7, 2023

I didn’t go through that to go through this.

“She doesn’t know how to work within a system,” said Snakeskin Shoes.

Narcissists grow and thrive in children’s hospitals. Their strategy is to inflict moral injury upon physicians by gaslighting and silencing those who speak up for patient safety or for themselves, while also controlling a false narrative about them.

Snakeskin Shoes, the former VP of marketing and communications, is a poster boy narcissist. …

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Stepping into the unknown: reflections of an intern on July 1st

Physician
July 6, 2023

I remember it like it was yesterday. Orientation had concluded, and it was showtime. Officially July 1st. It felt like all the cramming from the last few weeks was sitting astutely in my upper chest. My breathing was fairly shallow, and my brain was in an emotional fog, resembling a salad. Internal neon flash signs were going off every few seconds.

Many of these thoughts went like, “This is where they …

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Inspiring lessons from WWII veterans and the intensity of the medical field

Physician
July 2, 2023

On some of my night rotations during intern year, I found myself watching WWII documentaries and movies. The patients at the VA medical center had stuck with me with their stories and their attitudes. My experiences at the VA motivated me to learn more about my patients’ lives, who had served our country. As I watched some of these movies, I noticed parallels between my life and those of the …

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From doubts to triumph: The inspiring journey of a nocturnist doctor

Physician
June 24, 2023

As I stood there, my mentor, Dr. S, spoke in his gentle, wise voice, “Congratulations! You have been selected as the hospital’s new nocturnist.” The news hit me like a wave of disbelief, and a surge of emotions rushed through me. The competition for this position had been intense, leaving me uncertain about my chances. But now, at this moment, all those doubts were swept away. A whirlwind of feelings …

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Nurse-physician collaboration for superior patient care [PODCAST]

Podcast
June 12, 2023
YouTube video

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Join us as we host Angel J. Mena, an internal medicine physician and health care executive, along with Ali Morin, a nurse and health care executive. In this episode, we explore the importance of strong nurse-physician relationships …

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Awakening the dormant elements of humanity

Physician
June 11, 2023

When I was first paged about Mr. P, I braced myself for the worst. He had already had three “code greys” called—the hospital code for aggressive behavior. When we met him on his hospital bed, he was bound by restraints on his wrists and ankles to protect the staff. He was admitted to the intensive care unit (ICU) for alcohol withdrawal, though the medications used to treat his condition had …

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From medical student to intern: Discovering a deeper connection with patients

Physician
June 4, 2023

As a medical student with a limited knowledge base and limited exposure to taking care of a high volume of patients, my idea of being the physician I hoped to be involved in spending time at the bedside and really getting to know my patients as people and hearing their stories. As I was learning my way around how the medical world worked as clerkship student, this was perhaps the …

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Decoding name displays in health care: Privacy, identification, and compliance unveiled

Physician
June 4, 2023

There are three versions of name displays in health care institutions, each tailored to different groups of individuals. For physician staff, full names are typically shown, including both first and middle names, along with their highest educational level. This helps establish their presence and expertise within the health care institution.

On the other hand, non-physician staff usually have only their given names displayed in full, followed by the rest of their …

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Medical errors and the power of apologies [PODCAST]

Podcast
May 31, 2023
YouTube video

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

In this episode, we talk to Amber Gipson-Fine, a project manager, about her personal experience with a medical error and the importance of medical apologies. March was Endometriosis Awareness Month, and Amber shares her journey with the …

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Raw humanity on night float: inspiring patient encounters and overcoming challenges

Physician
May 27, 2023

Night float had always been this mythical monster to me, an intimidating prospect that conjured up some of my greatest fears about a residency rotation – jetlag, nocturnal clock, lack of continuity with patients or a day team, multiple pagers and multiple admissions every night. Maybe it was the uncertainty of the unknown that had seemed so daunting.

Somehow, after three admissions on my first night, I found myself still awake …

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Reflections on 500 patients, unique cases, and making a difference in health care

Physician
May 23, 2023

As I reflect on my first year of residency, it’s hard to believe that I’ve cared for nearly 500 patients spanning across multiple departments; floor medicine, ICU, ER, neurology, cardiology, and surgery. I’ve had the opportunity to perform one central line placement, three intubations, ran a code blue, and performed CPR in both the ICU and the ER. Though these procedures may seem daunting, I learned that confidence comes not …

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The cannabis education gap: Why patients are left in the dark

Meds
May 1, 2023

Imagine that you are suffering from chronic pain.

The pain keeps you awake at night so you don’t get much sleep. Lack of sleep most nights and the ensuing chronic fatigue causes you some anxiety during the day. Your primary care physician suggests that she is concerned with the increasing amount of aspirin and ibuprofen you are consuming to manage the pain. She can prescribe opioids to help with the pain, …

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Psychological safety: the unspoken key to health care success [PODCAST]

Podcast
April 12, 2023
YouTube video

Subscribe to The Podcast by KevinMD. Catch up on old episodes!

In this episode, we are joined by clinical psychologist and health systems leadership consultant, Nicola F. De Paul, to discuss the importance of psychological safety in health care environments. Nicola shares her personal experience of addressing psychological …

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CME Spotlights