shutterstock_153221729 I recently gave two talks at my residency program, one on health care innovation and another on intimate partner violence. I know little about each topic, but my goal as presenter was merely to know more than each person in the room. To require residents to give talks as newly-minted “experts” on topics creates a paradox of generating both anxiety and ...

Read more...

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old woman is evaluated for a 3-month history of swelling of the face, hands, and feet. She has untreated hepatitis C virus infection. She takes lithium for bipolar disorder. She has no additional symptoms. On physical examination, temperature is normal, blood pressure is 134/93 mm Hg, pulse rate is 71/min, and respiration ...

Read more...

A continuing series on physician online reputation.  Created in partnership with The Doctors Company as part of their social media resources for physicians Let's talk about three ways that physicians can use social media today. The first way is to filter information. More patients than ever are going online to research their diagnosis and treatment options but sometimes the information that they're reading online ...

Read more...

shutterstock_50607919 Physician, heal thyself. That's the unwritten rule, sadly, for us. I am a physician. I am therefore invincible and inhuman and all the things my patients cannot be. To seek help is a sign of weakness, and our profession has no place for the weak of body, mind or spirit. We work through illness because our patients deserve that and disease and ...

Read more...

One of the core components in transforming a practice is team-based care, and this concept consistently is a focus of many conversations among physicians across the country. My employer, the Quillen College of Medicine at East Tennessee State University (ETSU), also has embraced this concept. And the outstanding group of interprofessional educators with whom I work are constantly looking for ways to enhance not only the way we provide team-based ...

Read more...

NoPRT-640x480 Here’s the latest medical fad: Physician resiliency training. Huh? Doctors are already the most resilient people on the planet. Doctors can go days on call without eating. I know. I have. Doctors can go 24 hours without a bathroom break. (Yes, we even have the most resilient bladders!) Doctors can work 168-hour shifts with little or no sleep as detailed in this whistleblower video. Doctors ...

Read more...

shutterstock_135157130 acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Last month, I shared my take on the mess that we find ourselves in with our electronic health records (EHRs) and referred to the recently published ACP position paper on clinical documentation. The paper includes ...

Read more...

shutterstock_133609640 When I began volunteering during my first year of medical school at our student-run free clinic, I noticed that I felt stressed out in the chaotic environment, from the director’s tough questions and the long wait times to present to an attending. My muscles tight, I would feel exhausted after leaving the clinic. I knew, even at that time, it was ...

Read more...

A continuing series on physician online reputation.   For more KevinMD minutes, please visit my YouTube channel Did you know that talking to mainstream media is a great way to define your reputation online? That's because newspaper stories and television appearances eventually will find their way online, and it's a great way to control the message that surrounds your name. An interview with the New York Times ...

Read more...

american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Earlier this year, I spoke to an audience of physician anesthesiologists about setting up a basic quality assurance (QA) program within their departments. At the end of the presentation, one physician anesthesiologist stated that his group “will not let anyone out of the operating room ...

Read more...

shutterstock_250129084 As adolescent medicine physicians based in the Bronx, which has one of the highest teen pregnancy rates in the nation, we frequently see how young patients become pregnant before they are ready to be parents. While U.S. pregnancy rates among girls aged 15 to 19 years have been declining over the past two decades, still nearly 600,000 girls younger than 20 years ...

Read more...

shutterstock_116371780 The war on medical error was officially launched in 1999, when the Institute of Medicine (IOM) published its landmark report To Err is Human, alleging that up to 98,000 yearly deaths in US hospitals were due to human missteps. Despite significant ambiguities in the definition of a medical error, numerous militias known as patient safety organizations ...

Read more...

shutterstock_139099055 I'm usually a huge fan of Dr. Ezekiel J. Emanuel's writing -- whether it's his controversial piece on health care resources at the end of life or his book describing the tumultuous health care policy that led up to the Affordable Care Act, I generally enjoy reading his editorials and vehemently agree with many of his opinions. This being said, when I saw that ...

Read more...

Ever wonder what patients think of when you see them in the hospital?  Here's the answer, in this powerful video from the Cleveland Clinic.

shutterstock_118491940 I used to be a surgical resident in the U.K. One day, I was a little dispirited during a brutal call, and my senior resident asked, “Do you love surgery?” “I like surgery,” I replied. “If you don’t love surgery, love it unconditionally I mean -- like loving your child -- you will be unhappy.” He warned. I really liked surgery. I like radiology. ...

Read more...

The whole thing was rather awkward. I have to admit that I was nervous. I perused the records before he walked through the exam room door. These conversations were always difficult and felt out of place in the office. But I had looked at the numbers over and over again. There was a glaring deficiency that had to be corrected. I planned to jump in right away, but we got sidetracked. He ...

Read more...

shutterstock_89752360 I went to the doctor yesterday, my semi-annual visit, as it were. These days I see a nurse practitioner, a woman. Recently, she and the practice she is a part of moved into a renovated building, state-of-the-art, they are calling it. It almost sparkles in its newness. The practice is owned by one of the large hospital corporations in our city. See ...

Read more...

shutterstock_134719667 Some months back I read an interesting interview with Jonathan Skinner, a researcher who works with the group at the renowned Dartmouth Atlas of Health Care. More than anyone else I can think of, the people at the Dartmouth Atlas have studied and tried both to understand and to explain the amazing variations we see in how ...

Read more...

“A thousand times we die in one life. We crumble, break and tear apart until the layers of illusion are burned away, and all that is left, is the truth of who and what we really are.” The coronary care unit (CCU) rotation is a unique place. Postoperative cardiothoracic surgery patients among many other pathologies from heart failure to heart transplant fill the unit, and it is the job of the ...

Read more...

I just stepped out of the administrative building at medical school and hear a big commotion. I look over and see an elderly male slouched on the ground bleeding profusely from his mouth and nose.  Blood is soaking the front of his collared shirt and pooling on the ground. Bystanders are making a scene and not sure what to do. I drop the items I'm carrying and calmly approach the man and ...

Read more...

1206 Pages

Most Popular