NoPRT-640x480 Here’s the latest medical fad: Physician resiliency training. Huh? Doctors are already the most resilient people on the planet. Doctors can go days on call without eating. I know. I have. Doctors can go 24 hours without a bathroom break. (Yes, we even have the most resilient bladders!) Doctors can work 168-hour shifts with little or no sleep as detailed in this whistleblower video. Doctors ...

Read more...

shutterstock_135157130 acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Last month, I shared my take on the mess that we find ourselves in with our electronic health records (EHRs) and referred to the recently published ACP position paper on clinical documentation. The paper includes ...

Read more...

shutterstock_118491940 I used to be a surgical resident in the U.K. One day, I was a little dispirited during a brutal call, and my senior resident asked, “Do you love surgery?” “I like surgery,” I replied. “If you don’t love surgery, love it unconditionally I mean -- like loving your child -- you will be unhappy.” He warned. I really liked surgery. I like radiology. ...

Read more...

The whole thing was rather awkward. I have to admit that I was nervous. I perused the records before he walked through the exam room door. These conversations were always difficult and felt out of place in the office. But I had looked at the numbers over and over again. There was a glaring deficiency that had to be corrected. I planned to jump in right away, but we got sidetracked. He ...

Read more...

“A thousand times we die in one life. We crumble, break and tear apart until the layers of illusion are burned away, and all that is left, is the truth of who and what we really are.” The coronary care unit (CCU) rotation is a unique place. Postoperative cardiothoracic surgery patients among many other pathologies from heart failure to heart transplant fill the unit, and it is the job of the ...

Read more...

shutterstock_74535430 I like to think that doctors are still a profession made up of people who want to help others. Sure, there are other benefits to our jobs. The technical challenge, the intellectual rewards, the financial security. But honestly, we do really get a lot from helping others. It's satisfying to look to your fellow man in a time of need and heal ...

Read more...

shutterstock_205431067 What is it like for physicians to fail their ABMS Maintenance of Certification® (MOC) program examination? How does the largest member board of the ABMS, the American Board of Internal Medicine (ABIM), respond to doctors who fail their secure examination? As I continue to confidentially collect information from physicians who have failed their MOC examination, I thought it would be important to publish ...

Read more...

If you were a cancer center trying to get patients to come to receive care at your facility, what message would you send them? In other words, what would you as a cancer center director think people would value in choosing a place to receive cancer care? One way to answer this would be to survey cancer center directors. You could conduct face-to-face interviews or written surveys. You could hold focus ...

Read more...

shutterstock_59443372 The other day, a teen patient of mine told me she is pansexual. We were having the usual talk I have with teen patients, the one where I we talk about sex and sexuality and birth control and sexually transmitted infections. But over the past few years, that conversation often takes interesting turns when I ask about sexuality, like it did the ...

Read more...

shutterstock_141622243 Some years ago when my father underwent bypass surgery, he was anxious, depressed and in pain as he lay in the hospital bed tied to IV catheters and tubes. Each day, his surgeon, his hospitalist, and other consultant doctors whisked in and out, asking how he was feeling and then ordering a treatment plan. A few years after his full recovery, ...

Read more...

Most Popular