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We welcome Mary Braun, an internal medicine physician. Mary shares her insights on how perceptions of responsibility for patient outcomes have evolved throughout her career, particularly in light of systemic challenges like the …
In the relentless pursuit of saving lives and advancing health care, medical professionals often find themselves on the frontline, where the high stakes of their profession can blur the lines between personal well-being and professional obligations. The noble calling to medicine is, without doubt, a source of immense fulfillment and pride. Yet, this very dedication can sometimes push us towards an imbalance, impacting not just our well-being but also the …
The healing potential of human interaction should always be considered, particularly when practicing medicine. Early in my medical career, I worked in the electromyography laboratory at Charity Hospital, Louisiana State University. During my time there, I saw an astonishing variety of patients. Among other things, we were the hospital of choice for the nearby Louisiana State Penitentiary, Angola, or “The Alcatraz of the South.” This prison was infamous for housing …
In the high-stakes world of medicine, doctors are revered for their dedication to saving lives and providing compassionate care. However, behind the white coats and stethoscopes lies a harsh reality that many health care professionals often overlook—the risk of burnout. Burnout among doctors is a pressing issue that affects their personal well-being and compromises the quality of care they deliver to patients. To combat this pervasive problem, doctors must confront …
“I made a big mistake a long time ago.”
These words snapped my concentration. I squinted at the computer screen, and even though it had been stable, I waited for Cindy’s pancytopenia to collapse entirely. I enjoyed seeing Cindy, the kind of patient who trusted my counsel and, just as importantly, needed my help. Sweet and cute, she gave me a real hug and a genuine smile every time I saw …
Our physician coaching team and I have extensive experience working with thousands of doctors over the past 13 years who have approached us feeling burned out, exhausted, and uncertain about their future.
We have developed a structured method to assist them in recovering from burnout by focusing on new strategies aimed at constructing their ideal practice.
For years, we’ve recognized that these strategies can be categorized into seven distinct groups.
It has recently …
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In this episode, we are joined by Sarah Smithson, an internal medicine physician, as we discuss the stark disparities between the experiences within clinical settings and the broader public’s perception. Throughout our conversation, …
If only I had managed Mrs. Smith’s blood pressure better, she wouldn’t have had that car accident.
If I had made the case for a statin better, Mr. Wu would not have had the diverticulitis episode.
These types of thoughts have been with me for all of my decades of practicing medicine. Somehow, I’m supposed to blame myself for things that are less than ideal about my patients’ situations and about which …
It is somewhat cliché these days to talk about physician workforce shortages, but recent data highlights that the problem is getting worse. Two research publications this past year were particularly alarming.
First, in a recent analysis of internal medicine resident career plans from 2019 to 2021, only 9.4% of internal medicine residents indicated they planned to pursue a career …
Nope, nada, no gracias, non, rara—they may sound different, but they all mean the same thing: no. In our world of instant messaging, the immediate gratification society seems to have lost the ability to unplug, unwind, and say no to unnecessary demands, which inevitably causes us more inner distress than any good.
The journey into my medical career was anything but easy. It was grueling and made me question myself – …
In the quaint New England town of Scituate, Rhode Island, with a population of 10,000, a health care revolution was brewing. Dr. Michael Fine, a passionate family physician, had moved to Scituate with his family in 1992 to serve a quiet, rural community with significant health care challenges. By 1999, though, Scituate’s residents had become very worried about the cost of health care. Two insurers packed up and left …
Humans are naturally attuned to various biological rhythms, such as daily (circadian), weekly (circaseptan), monthly (circatrigintan), and yearly (circannual) cycles. These rhythms not only govern our sleep, eating habits, and energy levels but might also influence the design and functioning of systems we create, like technology and organizational processes.
For instance, it’s commonly advised to restart computer systems weekly to maintain optimal performance. This practice mirrors the circaseptan rhythm, suggesting that …
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Join ophthalmologist Paul Pender delves into the results of the annual KFF survey, focusing on employer attitudes towards employee satisfaction, the increasing costs of healthcare, and the emerging trends reshaping the landscape of …
The parable of the Chinese farmer is a story with many versions. In shorthand, it goes something like this: a farmer’s horse escapes – the neighbors say, “How terrible!” The farmer says, “Maybe.” The horse returns, bringing some wild horses with it. The neighbors say, “How wonderful!” The farmer says, “Maybe.” The farmer’s son falls off one of the wild horses while trying to tame it and breaks his leg. …
As a family doctor, I want to extend my gratitude to my colleague and friend who has transitioned from primary care to weight management as of January 1, 2024. This serves as a reminder that primary care thrives on heartfelt connections, which remain fundamental to our approach to health care.
Your consistent care is already missed in these first few months of 2024. I am so grateful for your years of …
I can’t stop thinking about “customer satisfaction,” which is weird because I don’t actually have customers. I’m a primary care doctor for a group of patients in Martinsburg, WV, and have done so for almost twenty years. At its core, my job is the opposite of having it your way, like I’m told you can do at Burger King.
I don’t sell anything in my office except, perhaps, the benefits of …
In the heartstrings of medicine, a symphony resonates—a tale of profound connections and compassionate care. Envision a middle-aged man thrust into a harrowing journey: diagnosed suddenly with a life-threatening vascular disease, haunted by depression with suicidal thoughts, and navigating the complexities of life without social support. This narrative is both prologue and sonata, weaving through the very fabric of healthcare, unraveling the poignant threads that bind us to our patients.
The …
Our mission, should we choose to accept it, is seemingly simple: we are to join forces with another non-profit group in order to deliver medical care to those that need it most on St. Lucia, a West Indian island nation variously colonized by the English and French, with Arawak and Carib roots. It will be our inaugural trip to this Caribbean idyll and our first collaboration with another non-profit, but …
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