shutterstock_109841906 Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 28-year-old man is evaluated for a 5-year history of recurrent headache that occurs several times per month and lasts 12 to 24 hours. He describes the headache as a bilateral frontal pressure associated with nasal congestion and sensitivity to light, sound, and ...

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shutterstock_233166463 "Knowledge is power." The words of Sir Francis Bacon still ring true almost 400 years later. For the most part, knowledge can provide the power to change lives, change communities and change the world. People born in adverse conditions can potentially improve their circumstances with a degree from higher education, and it is why the first college degree in a family ...

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shutterstock_154181867 I was once Australia’s most followed surgeon on Twitter, according to my dear wife. She was probably right, as always. I had more than 3,700 followers on my account, but very few people knew who I was behind that necktie avatar. You see, I was anonymous, or more correctly, pseudonymous. There were three reasons why I chose to start off life on ...

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ZDoggMD with a Katy Perry-inspired take on sleep apnea.  CPAP users rejoice! For those without sleep apnea, watch and you'll something too.

I am often struck that those I work with who have enormous reasons to be depressed -- they may be poor, physically ill, uneducated, and very crazy -- are not depressed, not at least as I describe depression, a state of melancholy and dejection.  In my view, there is a terrible, terrible hopelessness in these situations and in these lives.  And then, there is William Jenkins. With William, I find I ...

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shutterstock_246706588 The annual American Telemedicine Association just wrapped up their national conference in Los Angeles recently. Physician-dignitaries such as Dr. Sanjay Gupta and Dr. Patrick Soon-Shiong gave keynote addresses, the exhibit hall was laden with telemedicine industry advocates, and the Twitter hashtag #ATA2015 was trending with great vigor. The four-day event was well-attended and comfortably demonstrated telemedicine’s emerging popularity. Telemedicine is not new. ...

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shutterstock_161671763 I was at an orientation luncheon prior to my first week of medical school when my new classmate turned to me and asked, "So why did you decide to go back to school?" "Back" to school? In the eyes of this then-23-year-old future doctor, I must have appeared older than I was supposed to be. She was right. I was a little ...

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shutterstock_267760397 I have been exposed to many patient interactions during my first year of medical school. However, my first real patient interaction was when I accompanied my attending to a homeless shelter in downtown Phoenix. I can clearly remember being very excited the day before the visit to the homeless shelter; this was to be the first time I would actually interact with real patients. ...

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Can you imagine a world without health care?  This video shows you.  Courtesy of the U.K.-based Save the Children.  

I’m thankful that my first rotation was family medicine out in Youngstown, Ohio. Youngstown is a small town halfway between Cleveland and Pittsburgh. Everything moves a little slower out there compared to what I’m used to in Brooklyn and Manhattan. Similarly, my family medicine rotation as a whole was slower and calmer compared to my other rotations. I didn’t see any emergency conditions or an excessive number of rare pathologies ...

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robotic prostate exam Medical schools across the country are embracing simulated and virtual patients to train medical students. Drexel University and the University of Florida use a device called Patrick, "a simulated patient that talks to medical students while offering real-time feedback about the virtual prostate exam he’s receiving." Image credit: QKED Science

Practicing the art of medicine is my passion.  Whether I am translating poignant patient cases into prose for public education, providing informative commentary on current mental health news to the media, or speaking to students in a lecture hall, the art of medicine takes many forms. Recently, I was invited to present a TEDx Talk.  TEDx is an independently run event celebrating Technology, Entertainment and Design.  I chose to use ...

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shutterstock_193958318 If it weren’t for social media, I would not know that internal medicine physicians are challenging the ABMS Maintenance of Certification (MOC) requirements and the ABIM.  I became encouraged by their efforts and fascinated with details of the ABIM’s finances.   If you’ve been a board-certified physician for at least three years, you should know about MOC.  According to the American ...

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Co-management agreements are growing in popularity as health care shifts to outcomes-based reimbursement models.  Physicians and hospitals contract with one another in quality-oriented pay-for-performance arrangements, in which physicians oversee and manage service lines (most commonly orthopedics, oncology, and cardiology). The overarching goal of these agreements is quality improvement, which benefits all parties involved -- especially the patient.  The hospital benefits financially in part from reducing costs and physicians receive a base ...

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shutterstock_173620244 This is one of those columns that will risk the respect and friendship of some of my closest colleagues in the health care world.  In addition to disagreeing with me, they may argue that I am giving aid and ammunition to "the enemy," where the enemy might be viewed as those forces in the health care world who really don't want ...

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A continuing series on physician online reputation.   For more KevinMD minutes, please visit my YouTube channel. I want to talk about a tool that I think is essential for any physician who uses social media. It's called Hootsuite. I use Hootsuite in three ways. First to monitor conversations on Twitter. You could assign streams to any topics imaginable. For me I have a topic ...

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shutterstock_149926556 Note: This case is meant to illustrate the potential negative effects of inappropriate imaging.  It is not intended as a diatribe towards any member of the health care team.  Really the only “mistake” made here was the ordering of the CT scan in the first place. A 37-year-old woman presents to her local emergency department (ED) with a 4-hour history of heartburn ...

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In a recent Forbes editorial, conservative commentator John Goodman argues that the Texas Medical Board is sending the state back to “the middle ages” because they are trying to limit the practice of medicine in the absence of a face-to-face, doctor-patient relationship. He believes that telemedicine should have an unfettered role in health care -- diagnosis and treatment should be available to anyone who wishes to share their ...

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shutterstock_176941343 asco-logo Facebook is a remarkable thing. I use it for private matters -- to keep in touch with family and friends from long ago. Because of it, I’ve reconnected with people from every stage of my life, as far back as third grade to high school to college and beyond. One of the ...

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shutterstock_189396983 Out-of-context quote of the day: “We have no malls and no Walmart.  Recruitment is nearly impossible.” These astonishing statements were made by Elizabeth Nelson, a nurse practitioner in Nebraska.  She was not talking about teenage summer jobs.  She was not talking about professional Walmart greeters, addicts of cheap stuff made in China who want an employee discount, or people who really like Cinnabon.   ...

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