As a member of the medical school admissions committee, I've interviewed many amazing applicants. Here's what I wish I could say to them: 1. Your interview performance is critical. As interviewers, we're amazed by the quality of today's applicants. In fact, many of us wonder if we would get in to med school today. “I can’t believe how much she’s done,” is something I hear time and time again from my colleagues. The ...

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Attending physicians have great responsibility. We have ultimate responsibility for patient care and for medical education. Medical education involves sharing facts, the thought process and bedside manner. Recently we had a “frequent flyer” admission. For a few years, the housestaff labelled this patient as non-compliant – and even wrote it in his chart. He is young (less than 30) and has a chronic disease. He had multiple admissions and often left ...

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Congratulations on your admission to medical school! Your white coat ceremony is coming, and it'll be grand. Your orientation leaders will suggest study skills, where to find scrubs and the best cheap supplements. Maybe more enlightened members of the faculty will remind you that medicine is really about the patients. If your parents are physicians, as so many medical students’ parents are—mine are not—they will reminisce about their own days ...

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On a rotation in internal medicine last year during my third year of medical school, I spent several days watching the residents work to optimize a homeless patient’s insulin regimen. They were understandably concerned with his diabetes medications because he had been admitted in a diabetic coma, but the real reason for the coma, as far as I could see, had nothing to do with his medication regimen and everything ...

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Earlier this year, the physicians at my academic family medicine practice met with two senior officials from our parent health care organization to be oriented to its new initiatives and projects. Their presentation documented the organization's ongoing investments of many millions of dollars into renovating subspecialty care suites and purchasing new radiology equipment that was likely to be highly profitable, but provide dubious benefits to patients. Two of my colleagues asked ...

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Discovering medicines unrehearsed harmony There is something deeply satisfying about hitting the right note on the violin.  On the rare occasion when my left hand is perfectly positioned and my bow arm is applying the perfect amount of pressure on the violin string, the resulting note that resonates from the wooden belly of the instrument is, for lack of a better word, perfect. My favorite piece that ...

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Recently I came across yet another media article with suggestions as to how digital health products can gain more widespread adoption. The writer notes that “we can learn a lot from the pharma and healthcare industries,” and goes on to discuss the importance of engaging the doctor. This article, like many I read, doesn’t acknowledge the downsides of using pharma’s tactics. I have to assume that this is because from a business ...

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It is unfortunate, but now medicine is on the clock.  We now must not only battle disease, but we must also battle time.  Physicians are asked to do more in less time.  Innovations such as EMR (which in theory are supposed to increase efficiency) sometimes actually slow clinical practice to a halt. Additionally, ongoing debate exists as to how best train medical residents and prepare them for the practice of medicine. ...

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I recently attended the University of Miami Miller School of Medicine graduation for the class of 2013. It had special meaning for me since this was the last group of students at the University of Miami Miller School of Medicine-Charles M. Schmidt Florida Atlantic University (FAU) joint venture to pass through my tutelage prior to the Boca Raton program becoming solely an FAU program. One of the graduates visited my office ...

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Nearly twelve years ago, Major League Baseball’s Cleveland Indians were losing to the Seattle Mariners 14-2 in the 6th inning. Cleveland, who were fighting off the resurgent Minnesota Twins and the pesky Chicago White Sox in a tight division race, were playing against a Mariners team that would finish the season tied for the most wins ever in a single season. Despite the seemingly insurmountable lead, Cleveland came back to win ...

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