shutterstock_267760397 I have been exposed to many patient interactions during my first year of medical school. However, my first real patient interaction was when I accompanied my attending to a homeless shelter in downtown Phoenix. I can clearly remember being very excited the day before the visit to the homeless shelter; this was to be the first time I would actually interact with real patients. ...

Read more...

I’m thankful that my first rotation was family medicine out in Youngstown, Ohio. Youngstown is a small town halfway between Cleveland and Pittsburgh. Everything moves a little slower out there compared to what I’m used to in Brooklyn and Manhattan. Similarly, my family medicine rotation as a whole was slower and calmer compared to my other rotations. I didn’t see any emergency conditions or an excessive number of rare pathologies ...

Read more...

shutterstock_193958318 If it weren’t for social media, I would not know that internal medicine physicians are challenging the ABMS Maintenance of Certification (MOC) requirements and the ABIM.  I became encouraged by their efforts and fascinated with details of the ABIM’s finances.   If you’ve been a board-certified physician for at least three years, you should know about MOC.  According to the American ...

Read more...

In a recent Forbes editorial, conservative commentator John Goodman argues that the Texas Medical Board is sending the state back to “the middle ages” because they are trying to limit the practice of medicine in the absence of a face-to-face, doctor-patient relationship. He believes that telemedicine should have an unfettered role in health care -- diagnosis and treatment should be available to anyone who wishes to share their ...

Read more...

shutterstock_189396983 Out-of-context quote of the day: “We have no malls and no Walmart.  Recruitment is nearly impossible.” These astonishing statements were made by Elizabeth Nelson, a nurse practitioner in Nebraska.  She was not talking about teenage summer jobs.  She was not talking about professional Walmart greeters, addicts of cheap stuff made in China who want an employee discount, or people who really like Cinnabon.   ...

Read more...

shutterstock_246706588 Did you know that you are a “telemedicine provider”? No? I can’t blame you for not knowing, but you are, and always have been. Well, maybe not always, but certainly since Alexander Graham Bell invented the telephone. Better yet, you provide free telemedicine services. Here is an idea: on the home page of your practice website, you should add a big ...

Read more...

When I began the practice of medicine, I used to think of the entranceway to the exam room in mystical terms.  How else could I explain my patient's willingness to suspend all social rules and norms upon passing through those magical doors?  They would sit down in front of their baby faced-doctor and talk about things.  Private things.  Scary things. Conversations occurred that would be unthinkable if two strangers were to ...

Read more...

shutterstock_163737929 "I want to tell you my story now," a patient recently told me, a woman who suffers from many physical and emotional ailments.  She had the diagnosis of PTSD on her problem list, along with hospitalizations for "stress," but I never asked beyond that. "OK," I answered, not knowing what to expect.  "Tell me your story." She paused for about 30 seconds, but I ...

Read more...

Who can argue against evidence-based medicine? Who can argue with using evidence to develop guidelines? The key to practicing great medicine must involve using the best evidence to guide our protocols. My son, while in college, was an English major. I remember reading his papers. He often used the phrase “on further reflection.” I often recall that phrase when considering these complex issues. Frederick Nietzsche wrote, “There are not data, only interpretations.” ...

Read more...

shutterstock_134876816 You’ve probably heard that we remember negative things we’re told ten times longer than positive things. What’s the implication for those of us in the medical field? Does all that negativity create more burned out doctors? If you’re at all like me, those negative things started in your training. Did you feel tortured during grand rounds or oral board exams? Yeah. Me, too. And ...

Read more...

Most Popular