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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We don’t even have to ask, and you certainly don’t need to get out your credentials. It’s so obvious that you are a medical student. And it’s not just the short white coat and student identification badge half-hidden in your linen pocket that says it all. We’ve seen you at all hours around the hospital during your clinical rotations. You tend to appear a half-hour before everyone else, just in time to commandeer ...

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Experiment 1. Stop five random people on your way to work and ask them to name the top public advocates of health and wellness that come to mind. Do I dare speculate that more than a few would mention Dr. Oz. Or Jenny McCarthy? Experiment 2. Stop five medical colleagues and ask them to list their top physician writers and journalists. Do I dare speculate that more than a few would only have ...

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We’ve almost made it. Long gone are the purgatory stints of library study, slaving to solve esoteric problems relating to planks and pulleys. Innumerable several-day exams have been conquered and tucked far away in our memories, hopefully never to haunt us again. The last of our forced smiles and faux-eager nods have been displayed toward ambivalent instructors and medical teams during the throes of our student rotations. Post-graduate training is also nearing ...

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As the youngest member of a family of doctors, it was not uncommon during my childhood to spend summers at my father's private practice. I fondly remember greeting the familiar office staff as I recklessly ran amok among an endless array of rickety cabinets containing an untold amount of aging, yellowed paper charts. My dad's patients would tousle my hair like family and his partners would always leave an insurmountable ...

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shutterstock_202781149 You -- a medical student, resident physician or newly-minted medical attending -- are late in the game.  Sure, you appropriately hopped onto Facebook during your first few years of college, only to rightly disengage around the advent of newsfeeds and cover photos.  You passively signed up to LinkedIn last winter only to remain passively aware that your profile exists unfettered and ...

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We’ve gone through four dreadful pre-medical years of learning everything from the composition of atoms to how an apple exerts force when falling off a tree.  We’ve taken a massive exam full of content mostly unrelated to our future field only to be put through four more years of intense medical education (and several additional massive exams).  We’ve managed to receive a medical degree and have gone through at least ...

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night shift You’ve changed. No longer do we see you sluggishly walking en route to work every morning with refillable coffee thermos in one hand, robotically scanning some kind of social media feed with the other. We are concerned that the regular and cyclic day time group texts received from you are now occurring at odd hours of the night.  Your persistence to move ...

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As a resident of San Francisco (and with Los Angeles just a drive away), I cannot escape the food hate.  Whether it be a campaign against cooked provisions, farmed products or anything of solid consistency, I cannot help but wonder if any possible benefit of these diets outweigh the risk of missing out on amazing grub. But what about gluten-free diets? Gluten sensitivity Gluten, a protein found in foodstuffs such as wheat, barley ...

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As our nation struggles with the mind-boggling algebraic-like task of reigning in on health care expenditures while increasing provider access and high-quality medical care, provider payment structures are in flux between traditional payment methods and relatively new financial structures. While I am no means an expert of health policy nor medical business and financing, I think it's important for medical trainees and enthusiasts alike to understand the very general basics of ...

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