A continuing series on physician online reputation.   For more KevinMD minutes, please visit my YouTube channel. Here is one question I get a lot: "How often should doctors blog?" Well, it could be once a week, once a month, once every two weeks; there is no set number. But it should be a number that you have to stick with for at least six months. Too often, I hear doctors ...

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shutterstock_141076960 As someone who has practiced hospital medicine up and down the East Coast for the last several years, I’ve had the fortune of working with some absolutely terrific colleagues. The hospital environment is by its very nature a busy and hectic one -- where we all put our heads down and work tirelessly at the coalface for hours on end. Doctors ...

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shutterstock_239583778 There was once a woman whom I met for the first time when she came to the ER, on death's door, metaphorically. I told her and her family just how seriously ill she was, and how slim the chances of survival. We all agreed on that day to take a shot at it -- at survival, that is -- despite lousy ...

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There is much to learn as a new physician, but some patients teach you things you never meant to learn. This happened to me a few months ago. I was taking care of a 26 year old who had an end-stage, inoperable brain tumor that was causing progressive seizure activity. He was admitted with a headache. He had just been discharged about one week ago with similar symptoms. We treated his ...

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Evidence-based medicine (EBM) has been classically described as “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”  At first look, this well-accepted approach to clinical medicine appears not only completely reasonable, but also somewhat obvious given the immense amount of research available for academic consumption. EBM has been repeatedly preached as the gold standard of clinical care across all medical ...

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shutterstock_105328079 No one wants to hear that they have a disease. And yet everyone will develop some degree of degenerative disc disease (DDD) -- or degenerative spine disease -- over the course of a lifetime. DDD refers to a combination of age-related and wear-and-tear-related changes that occur within the spine over time. It is very common and a natural part of aging. Most ...

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A new series by the physicians over at Health Sketch explain what a stroke is and its symptoms.  A nice explanation, presented in visual, easy to understand terms.

shutterstock_221545084 With my third year of medical school coming to a close, here is what I wish I did differently, wish I knew beforehand or figured out along the way during my core clinical rotations. It's nothing groundbreaking, and you may have heard this before, but it can't hurt to hear it from someone else. Hold yourself accountable for the welfare of your ...

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shutterstock_10582288 I've been volunteering in an emergency department of a Southern Californian community hospital for five years. I clean gurneys, stock shelves, provide support for RNs and EMTs and translate for Spanish-speaking patients. Since my job requires minimal intellectual effort, I’ve had considerable time to observe the staff and contemplate the inspiring work they do. I’ve watched them perform heroically with sick babies, ...

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shutterstock_153221729 I recently gave two talks at my residency program, one on health care innovation and another on intimate partner violence. I know little about each topic, but my goal as presenter was merely to know more than each person in the room. To require residents to give talks as newly-minted “experts” on topics creates a paradox of generating both anxiety and ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 53-year-old woman is evaluated for a 3-month history of swelling of the face, hands, and feet. She has untreated hepatitis C virus infection. She takes lithium for bipolar disorder. She has no additional symptoms. On physical examination, temperature is normal, blood pressure is 134/93 mm Hg, pulse rate is 71/min, and respiration ...

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A continuing series on physician online reputation.  Created in partnership with The Doctors Company as part of their social media resources for physicians Let's talk about three ways that physicians can use social media today. The first way is to filter information. More patients than ever are going online to research their diagnosis and treatment options but sometimes the information that they're reading online ...

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shutterstock_50607919 Physician, heal thyself. That's the unwritten rule, sadly, for us. I am a physician. I am therefore invincible and inhuman and all the things my patients cannot be. To seek help is a sign of weakness, and our profession has no place for the weak of body, mind or spirit. We work through illness because our patients deserve that and disease and ...

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One of the core components in transforming a practice is team-based care, and this concept consistently is a focus of many conversations among physicians across the country. My employer, the Quillen College of Medicine at East Tennessee State University (ETSU), also has embraced this concept. And the outstanding group of interprofessional educators with whom I work are constantly looking for ways to enhance not only the way we provide team-based ...

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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 ...

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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 ...

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shutterstock_133609640 When I began volunteering during my first year of medical school at our student-run free clinic, I noticed that I felt stressed out in the chaotic environment, from the director’s tough questions and the long wait times to present to an attending. My muscles tight, I would feel exhausted after leaving the clinic. I knew, even at that time, it was ...

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A continuing series on physician online reputation.   For more KevinMD minutes, please visit my YouTube channel Did you know that talking to mainstream media is a great way to define your reputation online? That's because newspaper stories and television appearances eventually will find their way online, and it's a great way to control the message that surrounds your name. An interview with the New York Times ...

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american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Earlier this year, I spoke to an audience of physician anesthesiologists about setting up a basic quality assurance (QA) program within their departments. At the end of the presentation, one physician anesthesiologist stated that his group “will not let anyone out of the operating room ...

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shutterstock_250129084 As adolescent medicine physicians based in the Bronx, which has one of the highest teen pregnancy rates in the nation, we frequently see how young patients become pregnant before they are ready to be parents. While U.S. pregnancy rates among girls aged 15 to 19 years have been declining over the past two decades, still nearly 600,000 girls younger than 20 years ...

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