Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 36-year-old man is evaluated for a 1-year history of fatigue, intermittent headaches, sore throat, and joint and muscle pain. He reports no difficulties falling asleep and gets 10 hours of uninterrupted but nonrestorative sleep each night. He has seen several physicians over the past year. Evaluation ...

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The National Academy of Medicine has launched an Action Collaborative on Clinician Well-Being and Resilience, but there is one missing stakeholder. On July 14th, NAM hosted its first public meeting on establishing clinician well-being as a national priority. The inaugural sponsors include nearly many medical specialty societies, the major insurance companies, the American Associations for hospitals, nurses, physicians and medical colleges, Johns Hopkins, Mass General and ...

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A colleague said earlier this week, as he bravely disclosed his journey with anxiety and depression that he had “become excellent at hiding [his] depression, especially as an extrovert.” My colleague brings others along into a wake of happiness he trails but is also able to sit knee-to-knee with the parents of dying patients and empathize in their suffering — to truly let a small part of their pain sit and ...

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As every physician practicing today knows, health care is in a constant state of flux. The latest news from Washington creates even more uncertainty. What we do know is that, for the foreseeable future, there will be an emphasis on team care, coordination, technology and, of course, meeting the requirements of the ever-expanding alphabet soup of acronyms, from MACRA to MIPS and beyond. As I think about all the changes of ...

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On a daily basis, I am introduced to new people from all walks of life. Some sit on the board of directors, some are CEOs, some are presidents, some are middle managers and other administrators, some are investors, others are entrepreneurs, and some are physicians, nurses, case managers and even patients. I listen to people talk about the big challenges in health care. It costs too much, we have a shortage ...

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Just as summer is in full swing, the back-to-school advertisements are running. This time of year can be exciting for many — the first day of elementary school, high school or college. For the rest of us, we try to be lifelong learners: learning from our successes and failures, learning from others and if we are lucky learning by reading. Reading is a skill learned in the early school years. Children ...

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“He is the best physician who is the most ingenious inspirer of hope.” - Samuel Taylor Coleridge I was a third-year medical student on a Sunday morning when the reality of what I had chosen as my life career truly hit me in the gut. At that moment, I realized how intimate the practice of medicine was and that I would have to bring not only my brain and skills to work ...

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This is the patient's eight admission over the course of two weeks. The patient is a heroin abuser and has bacteremia and endocarditis. Their heart valve is failing and they are in and out of congestive heart failure. Every day, dozens of medical professionals converge on the patient to give treatment and advice. And every day after hearing that advice, the patient leaves the hospital against medical advice and goes ...

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Hate your job? You may be in the right profession, but the wrong position for your personality. Want to love your life and career? Step one: discover whether you are an employee, a business owner or an entrepreneur. Here’s how to figure it out: Employees are risk averse and like to know the rules. They thrive on structure and predictability. They need clear instructions ...

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Sheila’s jaw is clenched. Sweat is beading on her forehead. I make a slow audible inhale, non-verbally inviting her to do the same. We’ve been talking about the nightmares which started shortly after she began receiving help with personal care. I remind her that she is safe — the day she was raped is decades in the past. Her conscious mind knows this, of course, but for people with posttraumatic ...

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