american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. The health care landscape is changing, and now more than ever we as physicians should be focused on quality of care and ensuring the safety of our patients. Anesthesiology was the first medical specialty to champion patient safety as a specific focus. Over the past century, physician ...

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I remember one day a few years ago when I was talking with one of my friends about the challenges of being a doctor after a tough day at work. I had seen a large number of patients within the span of a few hours, and in addition to many of them being sick, I dealt with family members who had so many questions and who wanted to provide me ...

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shutterstock_224345509 I have a unique perspective as a physician. Having traveled to many hospitals in the past two years, working as a locums emergency physician, I can comment on a variety of issues with a reasonable amount of experience. One of those issues is EMR, or electronic medical records. I have spent plenty of time writing about this in the past, and I ...

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GVE8468-640x424 Standing on the edge of his hotel balcony, a doctor describes the rolling hills. He tells me, “It’s a beautiful place to die.” Ten minutes later, he agrees not to injure himself -- for now. I’m not running a physician suicide hotline. But doctors keep calling me. It’s midnight, and I’m speaking to a psychiatry intern. Bullied by residents and her attending, she ...

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In the last year and a half, I've been able to go to Africa 4 times and Haiti once, for which I give thanks that the world still produces abundant fossil fuels. That much airplane travel does make me feel a bit guilty, even though I'm not actually vacationing. Going to far away places to practice medicine has always been something I hankered after, and it turns out that knowing how ...

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“The patient’s pain is still 9/10, doctor. We’ve already given morphine IV and then changed to Dilaudid IV and then we increased the dose of Dilaudid. Can we give it every two hours instead of every three hours?” the nurse asks me over the telephone. I sigh heavily into the receiver, unsure what to do, feeling more like a drug dealer than a doctor. The patient is on horse-sized doses ...

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There have been huge advances in patient safety, but that doesn’t mean there is no risk when it comes to having surgery and anesthesia. Each year there are more than 100 million operations and procedures performed with anesthesia.  Doctors who specialize in anesthesia -- we’re known as physician anesthesiologists -- play a critical role in keeping patients safe and comfortable before, during, and after surgery. Before surgery, a physician anesthesiologist checks ...

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Dr. Wes has written passionately against MOC: ABIM Pleads for Mercy.

But perhaps we should ask first: Why MOC at all? Contrary to years of propaganda promoted through pseudo-science and journal article citations on the ABIM’s website, might MOC have really been created because the ABIM’s consolidated fund balance dropped 43.2% from $54,009,086 on June 30. 2001 to $30,691,329 by June 30, 2013 while the Standard and Poors 500 index increased 37.7% ...

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In order to interpret the world, we tell ourselves stories.  All day long.  About everything.  That guy in the grocery store who clipped your heels with his cart?  A jerk.  The car that cut you off at that intersection? A jerk.  A little old lady stopping in the middle of the aisle at the grocery store?  Senile. It is automatic, it takes no effort, and it is completely egocentric.  It is ...

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shutterstock_195401897 Have you ever tied your shoes and found that the bow unraveled and you almost tripped over your own laces?  Learning to tie your shoes is a life skills task that you learned as a toddler unless you were trained on Velcro straps!  You performed the task of tying your shoes nearly every day of your life believing that you were ...

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