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A step‑by‑step guide to crafting meaningful research questions

Julian Gendreau, MD
Physician
September 3, 2025

An excerpt from The Clinical Research Handbook: A Practical Guide to Designing, Conducting and Publishing Clinical Research.

Research is a powerful force for change. Whether addressing global health care disparities, improving local community services, advancing technology, or exploring the frontiers of science, well-chosen research projects can solve practical problems and expand our understanding of the world. However, identifying the “right” question is often the hardest—and most critical—step in this journey.

This …

Read more…

A step‑by‑step guide to crafting meaningful research questions

Never let a bad job or bad people convince you to quit medicine

Barbara Lazio, MD
Physician
May 2, 2022

If you asked the third-grade version of most doctors what they wanted to be when they grew up, I bet most would have said, “I want to be a doctor!” I doubt many would have said “hospital administrator” or “life coach.”   Yet, according to a recent Medscape survey, nearly one-quarter of physicians are considering a shift to non-clinical careers.  They are burned out and want to work …

Read more…

Never let a bad job or bad people convince you to quit medicine

A neurosurgeon and patient satisfaction scores

Barbara Lazio, MD
Physician
March 23, 2022

Over coffee each morning, I quickly skim the headlines on my laptop before heading to work. It is Washington winter, it is dark outside, and the headlines in health care news are grim. Health care workers are burned out. Doctors are working hard all day and coming home to find scathing reviews on online rating sites. Some have their compensation tied to the results of patient surveys. Patients are trusting …

Read more…

A neurosurgeon and patient satisfaction scores

A neurosurgeon finds another reason to stay in clinical practice

Barbara Lazio, MD
Physician
February 27, 2022

Each day I am inundated with reminders of why doctors are leaving clinical practice. My peers are exhausted by pandemic patients and pandemic controversies. They feel unappreciated and overworked doing what was originally their passion. Many feel they are part of an industrial machine, turning out widgets in the form of patient visits or procedures. They want to leave. Should I? Wouldn’t it be easier to be a dog-walker, park …

Read more…

A neurosurgeon finds another reason to stay in clinical practice

I am not leaving medicine because I like the clinical practice part of my job

Barbara Lazio, MD
Physician
February 12, 2022

The headlines read “Why Healthcare Workers are Quitting in Droves,” “Docs are Leaving Practice,” and “Physician burnout declared a public health crisis.” The side-gig, financial independence retire early (FIRE), and non-clinical career posts pop up in my daily professional media feeds. Believing in the power of suggestion, I wonder if I  should start looking for career number two.

Start. That’s a joke. …

Read more…

I am not leaving medicine because I like the clinical practice part of my job

Expertise is the backbone of successful spine treatment

Hoag Memorial Hospital Presbyterian
Conditions
January 15, 2022

People who experience debilitating back pain come to their doctors with one pressing question: Do I need back surgery? Often, they are surprised to hear me, a neurosurgeon, answer, “No.” In many cases, physical therapy, pain management, weight loss management, and physiatry can help people to delay – and in some cases avoid – back surgery.

However, if those remedies don’t work well enough, a person might decide that spine surgery …

Read more…

Expertise is the backbone of successful spine treatment

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  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

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    • The 9 laws of health care quality: Why metrics miss the point

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    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
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    • How board certification fuels the physician shortage crisis

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  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

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    • How hindsight bias distorts clinical medicine

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    • Do no harm: Why physician burnout requires bottom-up reform

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    • Institutional distrust in health care: Why a doctor lost faith

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