I’ve wanted to be a doctor since I was 12. Growing up, I idolized my pediatrician, Dr. Helen Nash, one of the first Black female physicians in St. Louis. Her warmth and competence left a lasting impression on me. Medicine became my calling, my purpose, and my dream. I worked tirelessly through high school, college, medical school, and residency to make that dream a reality. But no one warned me …
Abstract
The United States health care system faces escalating costs, access disparities, and significant physician burnout. Direct primary care (DPC) offers a transformative approach by emphasizing patient-centered care, price transparency, and reduced administrative burdens. Yet, federal policy reforms are necessary to scale this model nationally. This article outlines actionable federal policy recommendations, identifying how mechanisms like agency rulemaking and budget reconciliation can be used to drive adoption, expand access, and empower …
As a licensed practitioner of family medicine who is also the majority owner of a small medical practice, I feel a responsibility to provide top-quality care for my patients as well as comprehensive health insurance coverage for my employees. The problem is, the high cost of health insurance and some of the solutions intended to lower insurance costs have made it increasingly difficult to do both.
My situation is particularly challenging …
As a physician, I’ve spent years working to provide care that’s compassionate and focused on the patient. But everything changed when I found myself on the other side of the system—as a patient. Suddenly, I saw health care through a new lens, one that revealed cracks I hadn’t fully understood before.
What I went through opened my eyes to the real risks patients face, especially those from marginalized communities. It was …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
How can gratitude guide health care professionals in navigating political uncertainty, misinformation, and the challenges of post-election transitions? Join us as Janet A. Jokela, an infectious disease physician and Treasurer of the American …
As health care leaders and providers, our ultimate mission is to provide safer care for all—but there’s a flaw in our system. Today, as many as 4 in 10 patients are harmed in primary and ambulatory health care settings, and up to 80 percent of this harm is avoidable. Patients should feel safe when they receive health care. Unfortunately, the pervasiveness of medical harm across all health care settings and …
In the realm of shift-based health care, the term “job sharing” doesn’t technically exist—after all, shifts aren’t a single continuous job to split. Yet, still, a full-time workload is considered the norm, and the concept of dividing the workload among multiple physicians rather than relying on one overburdened individual feels revolutionary in a field where burnout is rampant.
For independent contractors, who often enjoy the flexibility to choose when and how …
An excerpt from Yankee Doctor in the Bible Belt: A Memoir.
Doctoring in the mountains of Eastern Kentucky, I met Mrs. Snoop, a new patient at the clinic. She is 38 years old. Her chief complaint, according to her husband, is “not wanting to have sex.” He speaks on her behalf, sitting in the corner in grease-spattered overalls and heavy work boots.
On examination, Mrs. Snoop …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
We’re joined by Diane W. Shannon, an internal medicine physician and physician coach, to explore the hard lessons of career sustainability and the importance of intentional self-care. Drawing from personal experience and years …
A response to “The overwhelming reality of primary care: Why doctors still persevere.”
I am a primary care patient in a rural area of a western state, and I have not seen the same physician or other provider more than two or three times in the past 20 years.
I am a primary care patient, and I have 10 minutes to explain my entire medical history, including my neurologic, musculoskeletal, and …
I started my career in medicine with the same noble intentions that many physicians share—to help and care for people. But like so many of my colleagues, I quickly found myself consumed by a broken system.
Three years into my medical career, I was an overwhelmed family doctor in a small town, juggling urgent care, inpatient care, and seeing 40 patients a day—spending the typical average of just seven minutes with …
The vacation had been planned for months. With laptop in hand, I headed to my happy place… my favorite place in the sun. I was excited to check some things off my to-do list while enjoying the sun, the beach, and the breeze.
But things didn’t go as planned. For the next ten days, the internet service was out. Despite my daily calls to the service provider, hoping for a fix, …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Devina Wadhwa, a psychiatrist, shares her personal journey through burnout and the challenges of navigating systemic pressures in health care. From recognizing subtle signs of burnout to setting boundaries and redefining resilience, she …
ADVERTISEMENT
The people unwilling to tolerate the BS in the face of dysfunction are often identified as the problem by those who have adapted to and/or benefit from maintaining the status quo. Too often, we believe it—that we are the problem. By challenging this belief and reframing it, we can reclaim our narrative and empower ourselves to stay true to our mission. We …
Among men, even before COVID-19, the popularity of testosterone therapy since 2000 likely outpaced the clinical need. There have been a number of proposed reasons for this, such as increased direct-to-consumer marketing for low testosterone treatments and the rise of clinics based around testosterone prescribing hidden under the guise of “men’s health.” Much of this growth was seen from 2000-2013 in older men before a decline around the time the …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Join us for an insightful conversation with emergency physician Drew Remignanti as we explore the complexities of transitioning to Medicare for all. We’ll discuss the potential benefits, pitfalls, and misconceptions surrounding the concept, …
“I want to use the art of medicine to meet the individual needs of my patients.” These words emanated from the computer as I stared at the Zoom screen. Two large, soft brown eyes, accompanied by a toothy smile, stared straight at me, all framed within a silk hijab, one which was ocean blue with a wisp of pink at the edge. My heart skipped a beat as the reflected …
As a pain management specialist, I have often found that the course of treatment for a patient requires a careful balance of many factors before making a recommendation. But sometimes, the best course seems obvious. That was the case with Mr. Bautista (name replaced to protect identity). He was an older gentleman, and his imaging scans showed spinal stenosis that was likely to lead to nerve pain. And what was …
“Just take a deep breath.”
It’s the first thing we say when we see someone upset or overwhelmed, and generally, it’s good advice. There is a wealth of evidence supporting the benefits of deep breathing, and it is not uncommon for me to pull out a handout during a patient visit to walk someone through a breathing technique. I’m a family physician—anxiety, asthma, COPD, cancer—it’s all relevant; it’s all primary care. …
I’ve heard this question asked in interviews, and I’ve been asked it myself.
Over the past year and a half, I’ve become involved with several organizations that are working hard and taking positive action in this regard. I’m a proud ambassador for the Dr. Lorna Breen Heroes’ Foundation, I’m on the traction team for Medicine Forward (MF), and I’m a strong collaborator and supporter of the Health Care Reinvention Collaborative (HRC).
As …
Get free updates delivered free to your inbox.
