For much of my career, I understood my responsibility in familiar terms: care for the patient in front of me, advocate for better health systems, and teach the next generation of trainees. I still believe that. But I now believe something else just as strongly: If we are serious about health, we cannot stop at the clinic door. We also have to show up in civic life and in the …
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How civic engagement empowers health care workers

When I was a med student, the thing I loved most about primary care was continuity of care. I loved feeling like I had a sense of my patients’ lives, of the intimate details of their day to day, of their fears and dreams. I thought that this connectedness was all I needed to have a successful career as a primary care …
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Doctors: Fight burnout like it’s the plague
It’s Saturday night at an emergency department (ED) in Boston, MA, and I am faced with a medical student’s dream dilemma: which one of the many interesting cases should I observe? Should I watch trauma surgeons operate on the 17-year-old gunshot victim or work with the ED docs to assess whether a 59-year-old woman is having an acute stroke? That is exactly what I adored about emergency medicine as a …
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How my ER rotation turned me into a primary care doctor