Yes, suggestions for improvement are coming at you from every angle.  Administrators, your patients, your colleagues, your mother, yourself.  It’s quite possible that the last thing you feel you need are resolutions.  But for those of you that are looking to make some concrete changes in 2017, here are some to consider: 1. Take care of yourself as well as you take care of your patients. 2016 has proven to us ...

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I bought my first house a few days before starting my second year of residency in St Louis. It was a townhome: two bedrooms, one and a half baths, hardwood floors and lots of wall space. So much wall space, in fact, that I immediately began to look for ways to adorn all those barren surfaces. After visiting some local art galleries, I came to two conclusions. I knew exactly what ...

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Being sick is a horrible enough time without having to worry about how much it’s going to cost you. Unfortunately, the United States is unique among developed nations in not ensuring that the populace has a safety net that will protect them against exorbitant personal health care expenses. It’s a terrible thing to have to deal with as a physician. I went to medical school to learn how to take ...

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Much of the discussion surrounding the presidential election this year focused on fake news.  There were countless stories in newspapers and on television news shows about these obviously biased and fictitious posts that might have affected the outcome of the election. I could not help thinking during this campaign season that if you think fake news is bad for politics, you should try being a physician. As physicians, we are on the ...

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An excerpt from Preventing Physician Burnout: Curing the Chaos and Returning Joy to the Practice of Medicine. Mark Linzer’s research identified workplace chaos as one of the key predictors of physician stress, burnout, and intention to ...

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  Since finishing my residency several years ago, I’ve worked in almost every type of hospital up and down the East Coast, from big urban academic medical centers to more rural community outposts. Although I primarily practice hospital medicine, working with both smaller private groups and being a hospital employee, I empathize a lot with my independent practice colleagues and brethren. I almost certainly would have gone down the route of ...

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“I mean, ever since it happened, I just don’t feel safe anymore … they come out of nowhere … my heart will be pounding and pounding … they can get me at night, even if I’m in my mom’s house. I haven’t worked this whole month, and don’t know how I’ll go back.” Ms. Smith is a young white woman who is presenting with panic attacks. “Doctor, the pain is so bad ...

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I learned recently that the Massachusetts legislature passed the latest installment of the naturopathic licensing bill S.2335 in the final minutes of the 2016 legislative session. The bill is currently sitting on Governor Charlie Baker’s desk. He has a few days to sign the bill, which would make Massachusetts the 19th state to license naturopaths. If he does nothing, S.2335 will die from a pocket veto. Senate Bill 2335 is asking a ...

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U.S. life expectancy declined in 2015 for the first time in more than two decades, according to a National Center for Health Statistics study released last week. The decline of 0.1 percent was ever so slight ― life expectancy at birth was 78.8 years in 2015, compared to 78.9 years in 2014. However, this reversal of a long-time upward trend makes these results significant. While many researchers are scratching ...

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New Year’s resolutions have the potential to make our lives new and different and better than ever. But they also can do more harm than good. That’s because we put all our energy into setting the goal and don’t do the homework necessary to meet that goal. By the time February arrives, we’ve relapsed to our old habits and, what’s worse, we’ve given up hope of ever losing that weight ...

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