shutterstock_269726339 There is an assumption that is creeping into discussions about medical education, just like primary education: that memorization is outdated and doesn’t matter in the Internet era. That’s a mistake. The goal of education is to create an expert thinker. Memorization is at the core of that endeavor. Practicing medicine requires constant problem solving. Every patient is different and requires a bit ...

Read more...

shutterstock_216581827 On Monday, June 1st, I awoke with a mixture of butterflies and excitement.  Every 30 minutes I checked online to see if it was up.  My heart pounded every time I clicked the refresh button.  Finally, around noon, there it was -- my first piece of medical writing, published on KevinMD.com. In medicine, we often present the objective facts.  We ...

Read more...

shutterstock_126729563 I head to work at my new locums job on the California coast. Summer 2015 is going to be a great one, I think to myself. I make the turn into the hospital parking lot, and a rusty old Trans Am cuts me off. I slam on the brakes to the soundtrack of screeching tires. Geez, I think to myself. It’s ...

Read more...

Mergers and acquisitions aren’t two words that usually find their way into medical lexicon, but that is rapidly changing. However, health care, like many industries, is experiencing a new round of mergers and acquisitions that is reshaping local and national markets, as well as impacting the availability and affordability of health care services for millions of patients. According to many industry and Wall Street experts, we are on the front ...

Read more...

shutterstock_229830739 I recently read an article written by a human physician about her personal feelings and other people’s reactions to her decision to quit practicing medicine. The author frames the article around how her choice was made after she recognized how detrimental her career was to her own health. The irony of a doctor abandoning her profession because it was causing ...

Read more...

shutterstock_283174037 Seeking to provide balanced discourse and to recognize marginalized voices at the gooey center of health care, I kindly ask that you find a seat in the Captain’s Room of the Hilltop Motor Lodge for the inaugural meeting of Physicians for the Liberty of the Electronic Health Record, where founder and president Dr. IM Klickhffor starts the proceedings with this plenary ...

Read more...

shutterstock_198931019 "Turn out the light, the party's over," sang color commentator Dandy Don Meredith on ABC's Monday Night Football when a seminal fourth quarter play occurred and the game was suddenly in the bag. For me, that's where it's at right now -- just a few ticks of the clock away First, for the American Heart Association then for the American Red Cross, ...

Read more...

shutterstock_131772284 Recent clinical practice guidelines from the United States Preventive Services Task Force (USPSTF) recommend against PSA screening for men of all ages, while other guideline groups, including the American Urological Association (AUA) and the American College of Physicians (ACP), recommend a shared decision making (SDM) approach to the prostate-specific antigen (PSA) test. “Dueling guidelines” can create confusion for people who are ...

Read more...

shutterstock_167355368 If you had asked me 15 years ago what I wanted to be when I "grow up," a doctor was definitely not a thought in my mind. I wasn’t bred at a young age to become a physician by the ancestors that walked before me, nor did I desire to go through that much schooling before I could enter the real ...

Read more...

We, like many in the hemophilia community, were excited to see extended half-life (EHL) factor VIII and IX products start coming to market over the last few months. These products -- and expected future products -- promise equivalent or greater prophylactic bleeding control with fewer infusions, and so could greatly enhance patients' quality of life. Yet, as we noted in our recent editorial in Haemophilia, we are greatly concerned that ...

Read more...

Pamela-Wible-Keynote-Speaker--640x480 I recently delivered a keynote in St. Louis to 600 health care leaders from a health system with 20 hospitals, 600 clinics, and 30,000 employees. They told me not to be afraid of the 12-foot-tall version of myself following me around stage. No problem. I’m one of the few people who has never been frightened by public speaking. The larger the audience ...

Read more...

Many times I have been approached to tell my story of being part of a physician family. Where would I begin? How does one cover respect, love, trust, commitment, resilience, frustration, loss and longing in one brief message? It isn’t done. I’ve decided to give you as brief an overview as I can, then, if there seems to be interest in any particular aspect, I can expand on that element ...

Read more...

July-effect July 1st is a special day at hospitals.  What does that mean?  It depends, depending if you're a medical student, resident, or attending. James Chang is a radiologist and author of Oh Doctor, The Places You Will Go… He blogs at Poor MD and can be reached on Facebook.

15.03.05 Clinical Trials Cover Small An excerpt from Clinical Trials: How Successful Doctors Navigate the Constantly Changing Medical System to achieve Financial Well Being. There is a common assumption that following a successful medical career, the logical next step is to sail off into the sunset and enjoying a life of luxury. This may be the case for some, ...

Read more...

ZDoggMD was a hospitalist in a past life, so he knows all about hospital readmissions.  Here are his R&B stylings on the ridiculousness surrounding the issue.

shutterstock_194126468 I took ten years off to play in rock bands before I applied to medical school. So when, at 31, I found myself drowning as I drank from the fire hose of medical school information, I knew I had to make a change. I discovered the concept of high-yield and it seemed like the answer to my prayers. It is a simple ...

Read more...

shutterstock_211066060 During my third year of medical school, I would often tell my parents about my days on the clinical wards. As physicians, they were excited that I was following in their footsteps and eager to engage me in conversation about my education as doctor-in-training. “So,” they would ask, “did you draw the blood for the labs?” “No, I don’t think I’m allowed to ...

Read more...

shutterstock_115761625 The Medscape Physician Compensation Report puts primary care physicians at the bottom of the heap, with a median earning of less than $200,000 per year in 2014. What if the largest insurer of older Americans took those numbers to heart and decided to give primary care a pay raise of 25 percent, in recognition of and better support for ...

Read more...

shutterstock_144006859 A loyal reader alerted me to news of a lawsuit brought by an obstetrician in South Carolina who is suing a hospital for suspending his privileges. He had performed a cesarean section while sitting on a stool because he had a foot fracture secondary to diabetes. Several witnesses said that the doctor "had been unable to properly view the ...

Read more...

shutterstock_213079855 I noticed that my writing and conversations with others convey far less emotion than usual.  My reserve for tolerating stress had reached maximum capacity, which I realized upon my first day back at work from vacation three weeks ago as exhaustion immediately erased any sense of relaxation from my trip.  Perhaps I should have requested two weeks off instead of one?  Either way, ...

Read more...

1215 Pages

Most Popular