Inquisitive reader Amy asked me if I had any opinions about online screening for depression. The British Medical Journal recently published a debate on this issue. What an excellent question, Amy! I read the opposing arguments, and these are my thoughts: First, I see two different issues. The first is whether the 9-question Patient Health Questionnaire (PHQ-9) is an appropriate tool to use to screen for depression. The second is ...

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According to Wikipedia, "Productivity describes various measures of the efficiency of production. A productivity measure is expressed as the ratio of output to inputs used in a production process, i.e., output per unit of input. Productivity is a crucial factor in production performance of firms and nations." Please tell me how this relates to being a physician or a patient.  We do not produce anything.  Rather we work with individuals to ...

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An app to diagnose melanoma, it sounds convenient and less expensive than going to the dermatologist. But what if you were told that the app had an error rate of 30 percent, would you still take the risk? The advent of digital media has broken physicians’ monopoly on health information, and this freedom comes at a price. Misinformation isn’t just a political issue, but a problem with ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. By the time you read this, Congress will be in session and hopefully not engaged in another watermelon spitting contest on health care (I’d use a urological metaphor, but there may be children in the room). If our Representatives and Senators choose to ...

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This year, I stood on the curb at the 2017 Halifax Pride Parade and watched high-energy floats pass by. Leading the parade was the indigenous float. The vibrant trans youth float warmed my heart. The prime minister waved and called out “Happy Pride!” to the spectators. It was a stream of enthusiastic faces, song, dance, and brightly colored banners. I love pride. It’s is a special time for a lot of ...

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One way to fight burnout is to have a passion outside of medicine, or another passion within medicine.  The work I do with KevinMD is what is preventing me from becoming a burned out, physician statistic.

"The doctors who did this should be hanged." It's a statement the came at me with a bang. It stood out in its thread, in the accusatory way of old courtroom scenes of black and white movies, where the heroine dramatically screams out at the jury, seated wide-eyed in their box nearby. But it was merely a response to a Facebook post on the topic of the opioid epidemic, typed in nonchalantly, ...

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It’s 8:45 p.m. in rural Chiapas, Mexico. A cool blanket wraps around the previously warm day in the small farming town of Honduras. With a syringe of medicine in his front pocket pasante, Dr. Ivan Martinez does a steady jog up a steep hill to see about a patient’s chronic pain. Nestled in the Sierra Madre Mountains, there are few flat places. At the door, he’s immediately and warmly greeted by multiple ...

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Devastating. That alone cannot fully describe the extent of the destruction of property, the displacement of tens of thousands of residents, the injuries and loss of life in the wake of Hurricanes Harvey and Irma. As Americans, our hearts ache for those affected by the flooding. As a medical student, former international development worker in Afghanistan and EMT in South Africa, I also lay awake thinking about the many infectious ...

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As I approach the end of my medical school training, I want to take a moment to reflect upon the invaluable education that my classmates -- novices in medicine but rich in life experiences -- have provided. Nearly all of us identified with the common struggle of medical school: late night study sessions, difficult days, and the general balancing act of focusing on work as well as our own wellness. All ...

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