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Emergency physicians Resa E. Lewiss and Courtney M. Smalley discuss their article, “Why point-of-care ultrasound belongs in emergency department triage.” Amid the crisis of overcrowded waiting rooms and long wait times, they …
That was one of my uneventful night duties—until early morning. As usual, I had a hectic on-call day, where I barely got half an hour for dinner—which we consider routine. Around 3 a.m., I received a request for an abdominal CT scan for a middle-aged male patient with abdominal pain. The surgeons were suspecting mesenteric ischemia—blockage in abdominal vessels, which can be life-threatening.
I glanced through the scan, trying to open …
As a radiologist, I’ve heard the same question too many times, usually from anxious medical students struggling to decide if they should pursue radiology:
“Is AI going to replace radiologists?”
I understand the concern. I had similar fears during training. But after years of practicing medicine and watching AI promises play out in the real world, I can confidently say this: AI is not replacing radiologists. It’s not even close. And those …
Dreaming of medicine
Everyone has an origin story. Mine doesn’t include any radioactive spiders or vats of glowing fluid, but I did get a few extra volts of electricity being defibrillated back to life at seventeen, and that’s close enough to a tragic backstory for me. It was a short-lived event, but long enough to change everything. I remember the blur of motion as a team of doctors worked around me. …
Nationwide, radiology groups are approaching hospitals and asking for massive subsidies to maintain their radiology coverage. Much of the time, hospital administrators and CEOs balk and would prefer to drag their feet or try to replace the group rather than pay market rates for radiological services. These hospitals end up paying double or even triple for worse coverage with some of the same radiologists—while those radiologists end up making much …
Imagine two patients are diagnosed with liver cancer on the same day. Both have similar tumors and overall health. The only difference? Their zip codes. While we’d like to believe that all patients in the United States receive standardized care regardless of location, the reality is far more complex. Where a patient lives—and more specifically, which health care system they can access—may fundamentally alter their treatment options and outcomes.
This disparity …
If you had an assistant who helped you do your work faster, more efficiently, and more precisely, would you fear it?
With artificial intelligence (AI) at the forefront of virtually everything today, two of the most common questions I hear in my daily practice are, “Do you use AI?” and “What does AI do for you?” For some, these questions stem from a desire to access cutting-edge tools, while others express …
It is undeniable that the radiologist shortage is here. While reimbursement is declining, free agents are few and far between, and compensation is exploding. Compensation per wRVU in the western region of the U.S. jumped nearly 16 percent from 2022 to 2023, according to MGMA. Job postings show salaries almost double what they were even five years ago, with signing bonuses, accelerated partnership tracks, and 12, 26, 34, or even …
Doctors in most medical specialties spend a significant amount of their time interacting with people, yet medicine is considered one of the loneliest professions. I’ve heard this at several surprising points in the past few years from physicians I would not have suspected felt isolated. Over these last years, there have been increasing opportunities to find meaningful connections with other physicians through online communities, some of which have in-person gatherings …
Half of my family and many of my friends are doctors. I admire them enormously: they are smarter, work harder, and are more compassionate than any group I know. Yet sadly, they are all wimps. Despite non-stop carping about the dangers and cost of health insurers’ prior authorization machinations, not a single one is willing to step up and take on an insurance company.
Of course, I understand why: doctors’ incomes …
Imagine you’ve worked in a clinical environment for an extended period. You might be a resident or fellow getting ready to graduate, an attending who has been operating for years, or a full-fledged partner in private practice. As your morning alarm sounds, you check your email and see: “Informal Meeting–Mandatory.” The content of the email is vague, but it seems you’re being asked to meet with several colleagues in your …
When I was younger, I could not remember a time I wanted to be anything other than a doctor, and I thought this would satisfy all I wanted in my work life. Many years later, I realized I was yearning for a side gig. Based on the existence of more than 110,000 members in a related Facebook group, I wasn’t alone. A side gig can increase life satisfaction by heightening …
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The practice of medicine has been significantly enhanced by advancing technology. However, even with four years of medical school and an MD degree, this only provides the foundation for what is needed to be a good doctor. A critically important skill is the ability to make sound medical decisions.
This is why there is a hierarchy in training that begins after medical school, progressing through internship, residency, fellowship, and eventually leading …
Subscribe to The Podcast by KevinMD. Catch up on old episodes!
Join Kim Downey, a physical therapist, David Fessell, a radiologist, and Todd R. Otten, a family physician, as they share their journeys and expertise. Discover their unique perspectives on well-being, health care transformation, and strategies for achieving …
If you find yourself heading down a rabbit hole pursuing a diagnosis, consider using a Markov chain to get back out. No, it’s not a physical chain. It’s a metaphorical chain.
In mathematics, statistics, and research, a Markov chain is a series of branching events where the options of what comes next at each branch point are not limited by what happened at a previous branch point. That is, each step …
MRI, or magnetic resonance imaging, is a commonly used form of imaging to help diagnose conditions that might not be visible in an X-ray. The MRI scanner is a large cylindrical tube-shaped machine that creates a strong magnetic force and radio waves to capture images of the interior areas of the human body. Out of the numerous magnets in an MRI scanner, there is one main magnet, and the magnetic …
For the last few years, artificial intelligence (AI) has been proving itself as an effective tool in breast cancer screening. An ever-growing list of research studies has shown that using AI in mammography can safely and efficiently reduce patient wait times while reducing the pressure on in-demand radiologists.
This is significant, as early detection greatly improves patient outcomes and long-term survival. Imagine how much more significant it would be if AI …
Science fiction writer Ray Bradbury and I attended Los Angeles High School, separated by 15 years. He once spoke there and quelled the rumor that he failed English: “I got a C!”
His writings extend beyond the realm of reality into a dimension of creativity and hope. Oftentimes, we think mankind has reached the limits of understanding, but in reality, there are things we don’t know regarding the eternity of outer …
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