Hospital-Based Medicine
A personal journey through hospital-acquired psychosis [PODCAST]
The addictive quest for achievement and its dangerous consequences
An excerpt from Lean Out: A Professional Woman’s Guide to Finding Authentic Work-Life Balance.
In the third grade, my teacher identified me as a high achiever. Aside from recognition, he “rewarded” me with the opportunity to write an extra report on a topic of my choosing every month. Being young and …
From doctor to worried family member: a call for more humanized care in the ICU
Recently I had the unfortunate experience of changing my perspective from being a doctor to becoming a worried family member.
My father spent five weeks in a hospital with a severe infection. Visiting hours were restricted to one hour per day – the aftermath of COVID – and getting information about his therapy, prognosis, etc., was nearly impossible.
Thankfully, my father recovered and was discharged. He was more than happy to go …
Don’t hold your breath: Non-competes are unlikely to disappear for physicians
Physician non-compete clauses have been a controversial topic for many years. These clauses within contractual agreements prevent physicians from joining or operating a competing practice within a certain distance or timeframe. With the Federal Trade Commission (FTC) looking into non-compete clauses, many people have wondered whether the FTC will finally end physician non-compete clauses.
On January 5, 2023, the FTC proposed a new rule that would ban employers from imposing …
Celebrate Banana Cream Pie Day with your friendly hospitalist
I am smart, I swear.
I graduated near the top of my class in medical school, I swear.
I kicked butt on the Step exams, I swear.
But ask me to manage someone’s diabetes or hypertension; No, thank you!
Thank God for hospitalists, a set of remarkable physicians that allow me to do my job effectively. Without them, I would be lost. Would you really want me, an orthopedic surgeon, to manage complex medical …
Good doctors vs. bad hospitals: the battle for patient care
The public and the politicians may be missing the boat when they do not question the role of hospitals in the present health care debate. The hospitals have hung themselves out to be the “good guys” who hire and keep good doctors and promote the practice of good medicine. They portray themselves as the pillars of communities.
But in 1999, the Institute of Medicine reported that 98,000 deaths occurred in hospitals …
Breaking down the broken medical system: a physician’s eye-opening experience with patient neglect
I am asking my fellow medical professionals to give a sincere show of hands: How many of you are terrified of your fate should you become the patient?
The prospect of navigating the medical system as a patient should strike fear in your heart, especially if you cannot advocate for yourself (although the system will also make that next to impossible).
The current medical/hospital system of care in the United States has …
Breaking the communication barrier: a survival guide for doctors, nurses, and patients [PODCAST]
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In this episode, we sit down with attorney and author Michael J. Grace to discuss his book, The Mumbo Jumbo Fix: A Survival Guide for Effective Doctor-Patient-Nurse Communication. As a defense lawyer representing health care providers, …
Breaking the glass ceiling in medicine: the struggles and strengths of female doctors
There’s some pretty good evidence out there that women physicians provide really good medical care—in some cases, better than their male counterparts. For instance, a 2017 study showed that hospitalized Medicare patients under the care of a female doctor had lower rates of 30-day mortality and readmission to the hospital than those cared for by a male doctor. A study in Canada in 2016 found that patients of female doctors …
The hidden toll of racism in medicine: a doctor’s perspective
It felt like a monumental moment when I started my career in medicine. I grew up largely on the borderline of poverty; my parents lived check to check with my sister and me. Neither of them had gotten a college education, and they sacrificed much of their lives to support my ambitions. So to see their son realize his dream was a proud moment for them. But as a Hispanic …
Improving the physician-nurse relationship: insider tips from a physician advisor [PODCAST]
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In this episode, we dive into the physician-nurse relationship and explore the different communication styles and preferences of physicians. Our guest, Ronald Hirsch, is a medical director for case management at a community hospital and shares his …
Breaking the burnout: How health care leaders can support physician well-being
Recently I was scrolling through posts from a physician leadership Facebook group. I came upon one that caught my eye. It said something like, “Does anyone have information I can share with my radiologists to show them the impact of working through lunch?”
I was happy to see a post that focused on physician well-being. A leader who cares enough and wants her physicians to take a break. And then …
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From science nerd to accomplished ballroom dancer: my story as a hospitalist
“Life is about taking chances, trying new things, having fun, making mistakes, and learning from them.”
– Anonymous
Early journey as a science nerd
In high school, science was my thing. I wasn’t like the others. I wasn’t interested in teenage drama. The boys didn’t chase me, and I didn’t chase them. I was that nerd; I was committed to science. My love for science drew me to a degree in biology which …
Innovative strategies for managing disruptive behaviors in health care settings [PODCAST]
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Join us on our latest episode as we explore the importance of addressing violent behaviors in health care settings. We’ll be discussing the role of Behavioral Emergency Response Teams (BERTs), trained in non-violent intervention techniques, in managing …
The art of the physical exam: the importance of returning to the basics
“Make thorough inspection.”
– Sir William Osler, MD.
The art of the physical exam is precisely that: an art that must be practiced often, for years on end, and the one that a physician may become a great achiever or skilled but never the master.
When I trained in internal medicine over a decade ago, our program director often harped on this art. I was too naive to understand his message at the …
Balancing employee needs and fair pay during federal holidays
Our previous post discussed how a full-time equivalent equals 2,080 work hours annually. To further clarify, we would like to explain how work hours during federal holidays can be calculated. One approach is to offer employees an incentive by counting each work hour after-hours as 1.5 and each work hour during federal holidays as two during the calculation of payable annual work hours. This can encourage employers to expect …
Health care leadership: Making medicine a team sport
Americans give lip service to the importance of teamwork. But most often, we credit success to individuals. Perhaps nowhere is this “MVP mindset” more apparent than in medicine.
The brilliant lone physician — gallantly battling to save a patient’s life — is the TV-inspired image most of us conjure up when we think of the medical profession. While that archetypal hero was, in fact, the best hope for patients in the …
Questioning medical traditions for the sake of patient care
The United States consumes forty-six million turkeys every Thanksgiving. Have you ever wondered why? When traditions take hold in society, we start to forget why they existed in the first place. For example, the tradition of eating turkey on Thanksgiving started with a writer named Sarah Josepha Hale, who published scenic depictions of American life in New England. She subsequently campaigned for everyone to adopt her depiction of a cooked …
Finding purpose: How physicians can craft meaningful careers in medicine [PODCAST]
Past Week
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Why feeling unlike yourself is a sign of physician emotional overload
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Accountable care cooperatives: a community-owned health care fix
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How should kratom be regulated? [PODCAST]
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Preventive health care architecture: a global lesson
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Modern eugenics: the quiet return of a dangerous ideology
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Telehealth stimulant conviction: lessons from the Done Global case
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Past 6 Months
Recent Posts
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How should kratom be regulated? [PODCAST]
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Physician leadership communication tips
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Why senior-friendly health materials are essential for access
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Why developmental and behavioral pediatrics faces a recruitment collapse
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Valuing non-procedural physician skills
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How genetic testing redefines motherhood [PODCAST]
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Past Week
-
Why feeling unlike yourself is a sign of physician emotional overload
-
Accountable care cooperatives: a community-owned health care fix
-
How should kratom be regulated? [PODCAST]
-
Preventive health care architecture: a global lesson
-
Modern eugenics: the quiet return of a dangerous ideology
-
Telehealth stimulant conviction: lessons from the Done Global case
-
Past 6 Months
Recent Posts
-
How should kratom be regulated? [PODCAST]
-
Physician leadership communication tips
-
Why senior-friendly health materials are essential for access
-
Why developmental and behavioral pediatrics faces a recruitment collapse
-
Valuing non-procedural physician skills
-
How genetic testing redefines motherhood [PODCAST]
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