At the graveside, they still talk about judgment, intelligence, and the wisdom that is the practice of medicine. Deans and health care leaders wax poetic as they tell stories of great cures to lift in memoriam remarkable healers. Yet, though we bow to Hippocrates, Osler, and Salk, the time has come to mark a revolution in human history: The art of medicine is dead. It is not that doctors have fallen from ...

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Physician-comedian Brad Nieder, MD on the first time he heard the word, "STAT!" See more at the Healthy Humorist.

A few days ago, just after dawn, while I was out walking the dog, our home phone rang and my wife answered it. She's used to my pager, cell phone, and home phone ringing at all hours, and so she was not all that surprised when an unidentified voice said,"We're looking for the methadone dose for patient John Q. Smith." She told him I was out of the house at the moment, ...

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After life itself, it is said that God’s great gift is vision. 80 percent of what we learn is through vision. Babies are not born with perfect vision. They develop vision over time. A child who never developed good vision does not know what normal vision is -- he or she assumes that however they see is normal. There is nothing like the overwhelming emotion I have each time I ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. For many years, I've wanted to visit Cuba. When travel restrictions to Cuba were relaxed a few years ago, I hoped that I would get there before the first Burger King opened in Havana. I had my chance in May, as a member ...

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An excerpt from The Three Stages of a Physician's Career: Navigating from Training to Beyond Retirement. The practical aspects of making a medical career transition can be divided into three phases or stages: waking up, taking stock, and taking the leap of faith. Note that this process is the same whether the physician is anticipating a transition out of ...

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Physician burnout has become the new “buzzword” in the medical industry that is the catalyst for ongoing research and the implementation of new “pilot projects” in the academic world of medicine. However, the research that is being done, is fairly (and predictably) narrow-minded when it comes to teasing out who really is at highest risk for these burnout, depression and even physician suicide. The research indicates that there are several risk ...

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The “doctor-patient” relationship is tightly woven into the culture and history of medicine. But that special bond is under enormous pressure today. And to keep it from fraying, we need periodically to examine the fabric. Last month, the Council of Accountable Physician Practices (CAPP), representing 28 of the nation’s largest and best medical groups in the U.S., did just that. Annually, CAPP sponsors a meeting in Washington D.C. where it invites ...

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“Noncardiac chest pain” was Laurie Black’s discharge diagnosis. Her chest CT angiogram didn’t show a pulmonary embolus, her troponins were negative for a heart attack and her nuclear stress test was negative for coronary ischemia. “So what do you think it was?” she asked while I read through her hospital discharge summary. “I don’t know. Show me where the pain was,” I answered. “It started on my back, on the left side, and ...

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So, you’re a physician with a love of travel — awesome! One week of your salary allows you to travel anywhere in the world (coach, at least) — double awesome! But, as you are acutely aware, there is a catch … a big one. As a full time doc, how do you possibly get the time off to explore new cultures, hike/bike amazing trails and eat/drink around the globe? As physicians ...

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