shutterstock_109286840 I have given a number of medical talks over the years -- reports on my research, reviews of surgical topics, mentoring speeches, and grand rounds, among others. I prepare for these talks extensively but tend to speak extemporaneously to engage better with my audience. I’m pleased to say that, in general, I have received good feedback. Several times, however, I have been ...

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“We have an admission.” The dreaded four words for most interns on a day you are swamped with discharges while trying to get your post rounds orders in. “Hypertensive emergency and possible osteomyelitis of the foot,” my senior informed me with a few other details as we made our way to the emergency department. Mr. Rodriguez was a very pleasant middle-aged gentleman, with graying hair and a goatee.  I introduced myself, explained ...

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I recently attended (and spoke at) the Concierge Medicine Assembly in Atlanta.  My role was to give the perspective of a "successful" direct primary care (DPC) practice.  This being the second such conference in three weeks, I've learned that my panel of 600+ patients and survival for two and a half years puts me in the higher ranks of solo DPC practices.  The Atlanta conference was actually a combination conference, catering to ...

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test9 copy It's time to celebrate diversity in surgery with the #ILookLikeASurgeon hashtag. Inspired by surgery resident Heather Logghe, who says it best: "As women surgeons, whether we are in our first year of training or an emeritus professor, it's most important that we ourselves believe we 'look' like surgeons. Because we do." And it's taken off. Below is a continuously-updated Storify of this movement. Spread ...

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shutterstock_110533634 Imagine the scene: You’re in your busy office on a typical day when a letter arrives -- a letter of intent. A patient is suing you for malpractice. From the moment you receive that letter, everything changes. The malpractice claim begins to affect all aspects of your life. You don’t sleep well. You don’t interact well with family members, friends, or colleagues. You ...

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shutterstock_169451723 Dr. Google wants you to think he is your best friend. He is there for you day and night, no waiting rooms or office hours needed. He promises answers, and he gives them now. No testing, no lab draws. Dr. Google provides diagnoses after a few clicks on a keyboard and delivers the news in minutes, if not seconds. Dr. Google will ...

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shutterstock_153221729 “Patient experience. I’d like you to take over the initiative,” he said. I looked to my left and right. Sh*t. He’s talking to me. For a moment, I had an overwhelming sense of insecurity. Give me operations. Give me finance. Give me quality. Give me strategy. But don’t give me patient satisfaction. That’s not me. I’m not light and fluffy. I’m not mushy-gushy. Nor ...

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shutterstock_204483163 One of my favorite books of late has been Confessions by St. Augustine. It is a very honest book that talks about the development of the faith of a young man who struggled to accept the faith that he was raised in. Throughout the book, one can sense the inner turmoil he felt at times trying to reconcile his faith with the ...

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shutterstock_69679648 "There's no crying in baseball!" Over the years, my fellow surgery residents and I heard these words shouted countless times by Dr. Norris, a cantankerous elderly surgeon with whom we had the dubious pleasure of working. Dr. Norris was a former Navy ship surgeon. He didn't operate much anymore, but he fondly remembered the "good old days" when trainees spent days on end in ...

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shutterstock_260657870 What does a millennial physician look like? And, importantly for physicians’ groups, hospitals, and health systems, how do you effectively recruit them to come work for you when they are in such high demand? Much has been written about this generation of overeducated and underemployed young people -- all full of entitlement and purpose -- who have been transforming values and expectations in ...

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