Every medical couple knows that the lifestyle and career choice brings with it adjustments and sacrifices. Physician spouses and partners often take on more housework and childcare to accommodate long working hours. Physicians may work unusual hours that lead to late-night arrivals, missed bedtime tuck-ins, and less face-to-face time. This can lead many couples to blame medicine for their struggling relationship. Take the example of a resident who has been working ...

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Burnout is a tragedy.  It terminates careers, friendships, marriages and sometimes lives, prematurely.  It threatens the well-being of individuals, families, patients, organizations and our society. The current media focus on the crisis of physician burnout is appropriate and timely, but the industry itself needs a reality check.  While burnout is experienced by the individual, it is the manifestation of a dysfunctional environment that only we as physicians and leaders in ...

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In the interests of full disclosure, I acknowledge with delight that I have a non-time limited board certificate from the American Board of Anesthesiology (ABA), issued before the year 2000. I can just say “no” to recertification. The more I learn about the American Board of Medical Specialties (ABMS) and its highly paid board members, the more disillusioned I’ve become. It’s easy to see why so many physicians today have concluded ...

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The day I got into medical school, my uncle said to me, “You are going to be a doctor!  We finally have a doctor in the family.  You are going to take care of your uncle in his old age.”  Other family members echoed the same sentiment.  First doctor in the family.  Now, we will all have free medical advice. As I progressed through medical school, then internship and residency, then ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. If you are a primary care physician, chances are that you’ve had patients ask you to complete forms for work as part of their employer’s wellness program. Workplace wellness programs have been around for several years, but it seems that more of my patients have ...

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Last week I was in a session with one of my coaching clients, a successful black female physician who is the owner of her own practice. As we were concluding she made a statement to me "I feel like medicine has just sucked the feminine right out of me."  Immediately I related. As women in the professional world, we are always in competition with men whether we are aware of it, ...

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I have a breathtakingly difficult confession to make. A confession that on its face seems rather innocuous but in many ways shakes the foundations of who I always thought I was, and how I identify myself. I no longer love being a physician. There — I said it. I winced even as I strung the words together to write the sentence. You see, to admit this is almost inconceivable. So much of ...

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american society of anesthesiologistsA guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. As a lifelong resident of southeast Louisiana and a veteran of numerous weather and flood-related events that have required me to use my homeowners and flood insurance, I am very familiar with gaps in insurance coverage.  Insurance policies are very detailed agreements that many ...

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“When companies start unbundling costs, it is a sign of increasing consumer power and weakening market power.” This is what CEO David Goldhill and author of Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong told me once. Airlines have unbundled everything that used to be included in a plane ticket. No longer do tickets include meals, in-flight entertainment, and the ability to check in baggage. Today, ...

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“Afternoon,” the doctor says. “What brings you here today?” A cough? A cold? A belly ache? Some feelings of dismay? Well, tell me just what ails you, and I’ll try to do my best, To sort through all your problems and put your fears to rest. But give me just a moment -- my computer must get started. Without attention to its needs, your visit goes uncharted. You say your chest is hurting? And you’re really ...

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