Primary Care

WeightWatchers shifts to value-based care with GLP-1 strategy

Physician
July 22, 2025

WeightWatchers (WW) recently completed a broader financial reorganization, realigning leadership with a sharper focus on clinical innovation and women’s health, including menopause support. The reorganization includes appointing a chief medical officer to lead a more integrated, medically informed approach.

WW’s reorganization bankruptcy was driven by mounting debt and pressure from newer weight-loss therapy products, namely GLP-1 drugs like Ozempic and Wegovy. It was also impacted by a shifting landscape where traditional …

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Why so many doctors secretly feel like imposters

Physician
July 19, 2025

One of the most important—and least discussed—truths in medicine is this:

Feeling inadequate in medicine isn’t rare. It’s everywhere—quiet, lingering, relentless.

I remember starting my outpatient practice right out of residency. I had joined a large multispecialty group filled with physicians trained at top-tier institutions. Many had been practicing for decades. They were confident. Efficient. Experienced. I was still waiting on my board scores—unsure if I was even certified yet. And yet—there …

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Why regular exercise is the best prescription for lifelong health

Conditions
July 16, 2025

An excerpt from Tales from the Trenches: A life in Primary Care.

For nearly four decades in medical practice, I’ve been asked countless times about the best supplements or vitamins for improving health. Despite widespread hopes that pills can unlock vitality and longevity, the truth is less glamorous and far more powerful: The single best prescription for health is regular physical activity. Exercise, not supplements or medications, is the most …

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Life’s detours may be blessings in disguise

Physician
July 15, 2025

This past weekend, my wife and I made our way to Winnipeg, a sleepy town nestled in the Canadian province of Manitoba. The occasion? A family celebration. My niece and her husband had just welcomed a beautiful baby girl, and they insisted, almost reverently, that my wife become the godmother. It was a request we could not, and frankly, did not want to, refuse.

Winnipeg, or “Winterpeg” as some Canadians jokingly …

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Inside the heart of internal medicine: Why we stay

Physician
July 15, 2025

I’ve practiced outpatient internal medicine for over a decade, joining my current group straight out of residency. Since then, I’ve watched the landscape shift—corporate takeovers, tightening regulations, staffing shortages, and endless debates over salary, documentation, and work-life balance.

And yet—I still believe in this work.

Reimbursements have been cut. Morale has taken hits. But that’s not just an internal medicine problem—it’s a health care problem. Across every specialty, we’re navigating a system …

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The truth about perfection and identity in health care

Physician
July 14, 2025

As we move through life, questions of identity echo through our minds—bouncing like a pinball, scattered and relentless.

Am I a doctor? A friend? A colleague? A leader? A husband? A parent? A son? These questions don’t just arise—they linger. Because every day, we’re asked to balance who we truly are with who we’re expected to be. We carry the weight of responsibility, chasing clarity, meaning, and success. We show up …

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How women physicians can go from burnout to thriving

Physician
July 12, 2025

I’ve been working with women physicians intensively now for six years, and I’ve noticed a few things.

The women I work with are amazing. They are altruistic and caring. They are resilient, independent, and able to put others’ needs before their own. They are smart, detail-oriented, and care about getting things right.

If you’re a patient (and we all are at some point), this is exactly what you want in your doctor. …

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Why more doctors are choosing direct care over traditional health care

Physician
July 10, 2025

Let’s start with a simple truth: Medicine is hard.

It’s hard for doctors, and it’s hard for patients. The headaches of today’s health care ecosystem—endless paperwork, shrinking appointment times, and the ever-present shadow of insurance approvals—can make it feel like the heart of medicine is slipping away.

Lost in the system

For years, I practiced in the traditional insurance-based model. I loved being a doctor, but I found myself spending more time on …

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Why medicine must evolve to support modern physicians

Physician
July 9, 2025

Physicians are human. Medicine is a career—not a lifelong vow of self-sacrifice.

Yes, for some, it may feel like a calling. But let’s be clear: Choosing medicine doesn’t mean surrendering your identity forever. Times have changed. Our mindset must, too.

Working part-time, seeking balance, or transitioning into leadership, education, or non-clinical roles is not a betrayal of the profession. It’s growth. Yet these choices are too often dismissed as abandonment.

We must let …

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I thought success was a destination. Then I became a doctor.

Physician
July 7, 2025

When I began the journey to becoming a doctor, I believed success was a destination—a finish line I’d reach if I just worked hard enough, studied long enough, and sacrificed deeply enough.

And I did all those things.

I pushed through sleepless nights in college. Carried the weight of relentless pressure in medical school. Survived the grind of residency, where time lost all meaning. I lived with my eyes fixed on the …

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The One Big Beautiful Bill and the fragile heart of rural health care

Policy
July 7, 2025

President Trump signed into law the One Big Beautiful Bill Act (H.R. 1)—a 1,000+ page legislative thunderclap that had just cleared Congress, reshaping the landscape of American domestic policy as fireworks lit the sky. Branded as a domestic reset—heavy on tax cuts, defense expansion, and deregulation—it was not sold as a health care bill. But for those of us on the front lines of medicine, particularly in rural America, make …

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Decoding your medical bill: What those charges really mean

Finance
July 6, 2025

Most people don’t read their medical bills—they panic over them. After all, receiving a multi-page statement full of confusing codes, unexplained charges, and unclear payment instructions isn’t just frustrating—it’s intimidating. I’ve worked with countless individuals who feel helpless in the face of these documents, unsure of what they owe, why they owe it, or whether the charges are even correct.

This confusion isn’t just common—it’s systemic. As a patient advocate and …

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Why judgment is hurting doctors—and how mindfulness can heal

Physician
July 5, 2025

Judgment pervades medicine—of patients, colleagues, and ourselves.

We’re trained to judge, disguised as caring, standards, and competence. It’s seen as essential to being a “good physician.” We do it so instinctively, we rarely question it.

But we should.

The culture of judgment in medicine

Judgment is baked into our training: The scrutiny of rounds, the competition of grades, the pressure of evaluations. It’s in our language: “noncompliant,” “failure to thrive,” “incompetent cervix.” Even our …

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The gift we keep giving: How medicine demands everything—even our holidays

Physician
July 3, 2025

What’s the least glamorous thing you’ve ever done as a physician on a holiday?

Let me start.

One year, I spent Christmas Day in the library.

Not sipping cocoa. Not gathered with family in matching pyjamas. Not basking in the warmth of laughter or the gentle hush of snowfall outside a glowing window.

I was alone. In a silent room. Under sterile fluorescent lighting.

And I wasn’t escaping into fiction—I was studying for board exams, …

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Who will train the next generation of primary care clinicians without physician mentorship? [PODCAST]

Podcast
July 2, 2025
YouTube video

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Founding director of the Doctor of Medical Science program at The College of St. Scholastica, Kenneth Botelho, discusses his article, “In the absence of physician mentorship, who will train the next generation …

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Why compassion—not credentials—defines great doctors

Physician
July 1, 2025

I entered medicine like many young physicians do—eager, determined, and drawn to its promise of excellence. The white coat, the respect, the thrill of diagnosing a rare disease or saving a critical life—all of it called to me with undeniable force. I studied relentlessly, passed my boards, published research, and spoke on conference stages. Those achievements came with a sense of pride, even joy. But they were not the full …

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Why medicine must stop worshipping burnout and start valuing humanity

Conditions
June 30, 2025

Medicine loves a martyr.

From the first white coat ceremony to the last day of residency, we are told a story: That good doctors are tireless, self-sacrificing, endlessly available. That the more you give up—sleep, family, hobbies, sometimes even health—the more worthy you are to wear the title. The message is rarely said aloud, but it’s everywhere: the ones who leave early to pick up their kids are “lucky to be …

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How organizational culture drives top talent away [PODCAST]

Podcast
June 29, 2025
YouTube video

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

Surgeon Suhaib J. S. Ahmad discusses his article, “Why even the best employees are silently quitting health care.” Suhaib explores the phenomenon of highly competent and once-passionate health care professionals disengaging and …

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Why medical student debt is killing primary care in America

Education
June 29, 2025

For as long as I can remember, I’ve wanted to be a physician.

My journey to medicine is not unique. My motivations ring familiar to all health care workers. Many medical students are cut from the same cloth in this regard. We want to help people, to use science to alleviate human suffering, and to push the envelope of medical research. But we also want to earn a living and have …

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Why are medical students turning away from primary care? [PODCAST]

Podcast
June 28, 2025
YouTube video

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

Medical students Vineeth Amba and Archita Goyal discuss their article, “What’s driving medical students away from primary care?” They share the widespread discouragement medical students encounter regarding primary care careers, despite initial …

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