An excerpt from Physician—Time to Invest in Yourself: Work-Life Balance, the Needs of the Patient, and Medical-Legal Risk Management. With advances in biotechnology, the average life expectancy is significantly longer today than in the past. As practicing cardiologists, we observe firsthand that even though there are artificial means to prolong our patients’ lives, they are still prematurely aging at an alarming rate. Many are sedentary, overweight, deconditioned, and apathetic. ...

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I want to share a cool idea used at Mission Health in North Carolina. I recently interviewed Dr. Ron Paulus, CEO of the health system. Three years ago the organization launched “Immersion Day,” when board members leave their corporate meeting rooms to shadow the doctors and nurses in their hospitals. Journalists and legislators are also invited to join. They don scrubs, go through an orientation, sign privacy forms, and spend 9 ...

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Mathew preferred using the more biblical term "shepherd." After all, he labored his flock through pastoral pastures and meandering meadows. His parishioners, of course, were sheep and not people. After years of leading them, he could discern subtle differences: the slope of a forehead, the stutter of a step or the variation in bleat. He had a distinct name for every animal in his flock of thousands. Although Mathew preferred isolation, he ...

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How in the heck would three nurses and I ever orchestrate ECMO in the middle of the night in my community ED? I pondered this over tuna tartare while listening to ivory tower docs discuss cutting-edge modalities like they were part of treatment algorithms everywhere. The conversation turned to REBOA, and I wondered how many academicians had ever manned a single-coverage ED. Ivory tower medicine and my world, where ...

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What is grit? In an article in The Guardian, Angela Duckworth, a psychologist often called the guru of grit, defined it as the commitment to finish what you start, to rise from setbacks, to want to improve and succeed, and to undertake sustained and sometimes unpleasant practice in order to do so. She said in a paper that grit is perseverance and passion for long-term goals. I think we’d ...

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evolution-of-radiology-775 James Chang is a radiologist and author of Oh Doctor, The Places You Will Go… He blogs at Poor MD and can be reached on Facebook.

shamingwordsimage In medicine, our motto is first do no harm. Words matter. Choose them wisely. Here are 7 words that shame, blame, and injure people who need our help. 1. Don’t say COMMITTED suicide. Committed implies a crime. Committed rape, burglary, murder. Suicide is not a crime; it’s a medical condition that has been taboo for too long. Let’s come out of the dark ...

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The mantra of striving for excellent customer service is a very American concept. I’m reminded whenever I travel around the world and experience general service expectations elsewhere — even in some very advanced nations in Europe — how far ahead we are in the United States. We totally take it for granted that we can expect high levels of customer care almost everywhere we go, and any complaints and feedback ...

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Transgenderism has been catapulted to the forefront in the media, and it is clear we are in the midst of a cultural shift towards greater acceptance of the transgender community. The January 2017 issue of National Geographic was recently released as a special issue entitled, “Gender Revolution,” featuring a nine-year old transgender girl on its cover. As the construct of fixed gender is challenged and the societal impact of this ...

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About a year ago, Yusuke Tsugawa -- then a doctoral student in the Harvard health policy PhD program -- and I were discussing the evidence around the quality of care delivered by female and male doctors. The data suggested that women practice medicine a little differently than men do. It appeared that practice patterns of female physicians were a little more evidence-based, sticking more closely to
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