Primary Care

Physician speaks out about being threatened by a patient and betrayed by an organization

Physician
January 13, 2023

I’ve been practicing internal medicine for over a decade now. I was drawn to this field because of my admiration for Dr. William Osler and the superb physicians I have met who embody his qualities. As an internal medicine physician, I am expected to be a critical thinker and a “doctor’s doctor,” specializing in complexity and solving problems with multiple layers, like peeling an onion. However, I never imagined that …

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Is success really just about wealth and achievements?

Physician
January 11, 2023

Success is a word that is used frequently across the globe. Almost everyone wishes to experience a great amount of success all the time. We are constantly bombarded with images of success through the internet, mainstream media, and social media. These images often depict high net worth, lavish possessions, luxurious lifestyles, impressive titles or achievements, exotic travel, and more. However, data shows that this appearance of perceived success is not …

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The intertwined roles of parenting and medicine: How personal experience can enhance patient care

Physician
January 10, 2023

As a pediatric subspecialist in the division of developmental medicine at our hospital and a mother of two school-aged children, I constantly strive to find new approaches to both parenting and my medical practice. Some of these strategies work well, while others do not. Despite my attempts to believe that my roles as a pediatrician and a parent do not influence each other, the truth is that they are deeply …

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Returning the joy of medicine to our primary care physicians 

Physician
January 10, 2023

Nearly 50 years have passed since the first published mention of physician burnout. Clinical psychologist Herbert Freudenberger described the “excessive demands on energy, strength or resources” and wrote of how it resulted in “fatigue, frustration, cynicism.” And though initiatives, programs, and solutions to address burnout have grown, the concerns first cited in 1974 have grown as well—now reaching the undeniable crisis.

In a recent survey, 61 percent of physicians reported …

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How you can thrive despite the looming physician shortage

Physician
January 7, 2023

A perfect storm is brewing in the U.S. health care system, and we must prepare to counter the rushing waves. America is facing a potentially catastrophic physician shortfall. All indicators point toward unprecedented times ahead. If I were an attorney, I would state my case something like this.

Exhibit A

According to the Association of American Medical Colleges (AAMC), the United States is facing a projected shortage of between 37,800 and 124,000 …

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Understanding patients’ religious and spiritual beliefs promotes healing

Physician
January 6, 2023

Religious and spiritual experiences have shaped my worldview since I was a teenager. At age 13, I celebrated my bar mitzvah. Later that year, I underwent an appendectomy. A priest asked my mother if he could pray for me prior to the operation. My mother did not hesitate to accept the priest’s blessing. I learned at an early age that prayers for one’s well-being should be welcomed regardless of …

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How to deal with challenging patients

Physician
January 6, 2023

Dealing with challenging patients can be difficult and stressful for doctors and health care professionals.

It can be helpful to remember that they can be difficult for a variety of reasons, such as pain, fear, confusion, or unmet expectations that were expressed or not — reasonable or not. To effectively handle challenging patients, a few key points must be kept in mind.

Remain calm and professional. This will help keep the situation …

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Treating rare, multi-system illnesses [PODCAST]

Podcast
January 4, 2023
YouTube video

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

“If patients had an accurate diagnosis and their physicians knew the root of their illness and could treat it effectively, then the medical care costs would go down. The effect on patients of being diagnosed years earlier …

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Doctors trained abroad will save rural health care

Policy
December 31, 2022

Health care is growing hard to come by in rural America.

Three-quarters of rural counties suffer from doctor shortages. More than 200 rural hospitals are at risk of closing due to financial hardship within the next two to three years, according to a study published this spring. And while 20% of the U.S. population lives in a rural region, just 10% of physicians practice in these communities.

Fortunately, there’s a group of …

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The transformation of doctors into “Dr. Widgets”

Physician
December 29, 2022

It has finally happened, I have transitioned to viewing myself as a widget, a depersonalized interface between the EMR and the patient. I am the unnamed device that collects the patient data and subsequently transcribes it into prose for billing purposes and maybe the occasional colleague review. There is a bit of curious comfort in identifying myself as a mere cog. I’m imagining I will now fly below the radar, …

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Ode to the paper chart

Physician
December 29, 2022

Oh how I miss the feel of your thick spine, so wide I could barely grasp you with my oddly small hands. Wrist cocked, an awkward drag ensued from rack to desk, your heft landing with a thump under fluorescent lights on the laminate desk. I scooted into the low chair and dove in with aplomb. I was ready.

I started just beneath your mauve plastic cover. There, just under the …

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Myths and misconceptions about virtual primary health care

Tech
December 27, 2022

Virtual primary care, unlike virtual urgent care, involves doctors who take the time to get to know their patients, creating (and nurturing) trusted doctor-patient relationships. Virtual primary care requires that doctors be consistently available for providing ongoing care to their patients.

Can doctors who meet their patients via video form an effective doctor-patient relationship, and does that relationship lead to appropriate and needed primary care?

The answer is a resounding “yes” on …

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The solution to America’s primary care shortage is direct primary care 

Physician
December 24, 2022

Primary care in the United States is on the brink of collapse. Primary care providers suffer existential burnout, are the lowest compensated among all medical specialties, and there is a crisis-level shortage of primary care physicians, especially in health professional shortage areas. Despite strong evidence linking primary care (unlike any other medical specialty) to a better quality of life, longer life expectancy, better patient experience, and lower total …

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What consumers want from telehealth

Tech
December 24, 2022

After becoming more familiar with telehealth during the COVID-19 pandemic, a growing number of consumers today are realizing the value and convenience of virtual visits for minor urgent issues, chronic disease management, and mental health services.

At the same time, an overwhelming majority of consumers believe it is important that both their regular doctor and their telehealth provider have access to their health records for sharing critical data such as current …

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Gil Scott-Heron’s “Winter in America” is upon us

Physician
December 21, 2022

For me, the cheerful musical sounds of the holiday season invariably give way to a somber song: Gil Scott-Heron’s “Winter in America.” Dubbed the “Godfather of Rap,” Gil Scott-Heron (1949-2011) embraced diverse musical styles alternating between jazz, blues, soul, and hip-hop. He wasn’t known for delivering good tidings as much as he was for sermonizing and engaging in “Small Talk at …

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Physicians: Are we still the good guys?

Physician
December 20, 2022

In the very realistic fictional world of The White Coat Diaries by Dr. Madi Sinha, a first-year internal medicine resident goes through a harsh initiation into the realities of medical training. Protagonist Norah Kapadia encounters a complication of a penile implant in an elderly patient with end-stage liver disease and dementia. Her senior resident talks her through the problem of causing hematuria as she placed a catheter through an …

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An expert’s advice about staying in private medical practice

Physician
December 19, 2022

Most physicians are aware of our nation’s disintegration of private medical practices. Bailing out of private medical practice for financial or other reasons predicts the takeover of government-controlled employed medical practice as well as the medical profession itself—including medical school education.

One world-renowned marketing and business expert offers important advice for medical care professionals who prefer to remain independent of such medical practice restrictions while we still can do so:

A lot …

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Reflecting on health and wellness: Celebrating the wins and learning from the losses

Physician
December 18, 2022

The game came down to the last seconds.

Down by three, we scored on a layup. Now a one-point game. And then, it was over. A narrow 1-point loss in the championship game for our middle school boys team.

One started crying, then another. It caught on like something infectious, and suddenly parents were tearing up as well. As one of the coaches for the team, I wondered what we could have …

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A blessing for health care workers

Conditions
December 16, 2022

As winter approaches and life slows down, it’s a time to pause and reflect on all everyone has had to endure these past few years. To those involved in health care, it has been an especially difficult time… a test of both resolution and inner strength. With my hope that all will see brighter days ahead, I offer the following as my means of giving thanks to all of you …

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