Boundaries for women physicians
An excerpt from Boundaries For Women Physicians: Love Your Life And Career In Medicine.
My story is similar to that of countless other women who have chosen careers in medicine. I am a pediatric hematologist/oncologist. A few years ago, I was driving home one afternoon after having spent several hours with …
Comparing charity evaluation websites: What do those ratings mean?
The majority of people who donate money don’t research or compare charitable organizations. Only 1 in 3 research before giving, according to one of the biggest charity ratings websites, Charity Navigator. Giving 2.0 author Laura Arrillaga-Andreessen says only about three percent compare charitable organizations.
These numbers were both surprising and not surprising to me. I have done most of my donating with no more than a cursory …
Why you should add advance directives to your college freshman’s college checklist
Suppose you’re getting ready to send your young adult off to college for the first time. In that case, you’ve likely been spending the summer getting college dorm and apartment essentials lined up: bedding, storage cubes, first aid kit, extension cords, dry erase board and other room necessities. But have you thought about what could happen should they get ensnarled in a health crisis away from home?
It’s a hard …
Melting the iron triangle: Prioritizing health equity in dynamic, innovative health care landscapes
As a master of health administration (MHA) student completing my administrative residency in the health technology industry, I chose to dedicate my capstone project to a topic positioned at the intersection of what I had learned in graduate school and what I had learned during my residency. While administrative residencies are typically in a hospital or consulting setting, I matched with a primary-care-focused electronic health record company as the organization’s …
The great resignation can be stopped. Here’s how.
The 2022 Top States for Business designation has higher stakes than ever, as companies compete for top talent while balancing inflation, supply chain issues, and other ongoing pandemic side effects. However, the solution to employee recruitment and retention is not an expensive corporate relocation; it is time for a corporate wake-up call. American companies must stop or re-examine existing efforts to engage with their employees and instead meaningfully adjust …
Certainty is a fading flame in a failing body
“You should prepare for the future. Your son will never be independent.”
I do not recall hearing those words at their source, but I was only eight when they were relayed to me by my parents. At the time my diagnosis, now characterized as juvenile myoclonic epilepsy, was poorly understood and often confused with more virulent disabling neurological conditions. Despite this fact, I have used the doctor’s prediction as fuel for …
Monkeypox and the prolonged COVID pandemic could seal the fate of the health care system
I understand it’s been over two years since the World Health Organization announced the coronavirus pandemic, and we are tired.
I speak for the thousands of health care workers and frontline workers: We are exhausted, we feel taken for granted, and for many of us, we are leaving the industry. In some cases, we went from health care heroes being villanized as if we somehow benefited from the pandemic. So many …
CMS Medicare fee cuts: The altruism of physicians is used against them
It’s hard to concisely put into words how frustrated physicians are right now. How many other professional groups out there have to fight to not have their compensation cut multiple times a year? Recently, CMS released its proposed physician fee schedule for Medicare for 2023, which reduces the conversion factor by 4.42%. This compounds upon additional cuts such as the resumption …
We’re reacting to medical errors the wrong way
Medical mistakes are as old as the practice of medicine itself, but it wasn’t until 1999 that the United States started paying more attention to them.
Over twenty years later, we may be reducing medical errors — a recent study published in the Journal of the American Medical Association found significant decreases in mistakes in cases of pneumonia, acute myocardial infarction, heart …
Opioid-free orthopedic surgery: Why (and how) my patients go opioid free after surgery
Primum non nocere. First, do no harm.
All doctors are familiar with this credo. From ancient precepts such as the Hippocratic Oath promising to abstain from doing harm to the modern bioethics principle of nonmaleficence, the calling of physicians involves striving to help alleviate suffering and avoid making it worse. In our increasingly complex health care and data environment, avoiding inadvertent harm can be more difficult than one might expect.
We must disrupt harm
In the mid-1980s, with the AIDS epidemic on the horizon, austere conservative Margaret Thatcher sanctioned the first needle exchanges in the U.K. to prevent the budgetary burden that HIV might otherwise have become on the National Health Service. Nearly forty years later, New York City opened its first supervised injection sites in November of 2021, where intravenous drug users inject their substances of choice under the watchful eye …
As we live in fear, there is still hope
Fear. It means something different to each person, but collectively we can all agree that fear can be something that drives us to succeed (fearing failure), causes us to take care of ourselves (fear of poor health), and can even promote experiences that wouldn’t otherwise be pursued (fear of missing out, affectionately known by the acronym FOMO). This isn’t the kind of fear I had this past Sunday sitting in …
My “dig deep button” is officially out of service
I started my hospitalist shift like any other day. I arrived at 5:30 a.m. for shift hand-off at 7 a.m. A full hospitalist load and endless administrative tasks to complete, the duality of both roles punctured me like a venomous snake bite. I had two full-time jobs to complete in 12 hours. Impossible! Or was it? I added one and one-half hours to my shift at the beginning–time hidden behind …
Student advocacy through the Student Osteopathic Medical Association (SOMA)
“Nerves ablaze, my voice cracked as I ended my remarks outlining the need for equitable data collection. I leaned towards the screen, adjusted my eyeline to make eye contact, and asked Representative Thomas Suozzi to support The Equitable Data Collection and Disclosure on COVID-19 Act. Representative Suozzi paused for a second, appeared to think over, or perhaps through the points of my argument–and then responded resolutely with, ‘I will cosign …
Physician success is a team sport, so why are you on the field alone?
Get off the field.
Go back to the dugout and rally your team.
Create your rules of engagement.
The structure and hierarchy of medicine teach doctors to compete with one another. From the beginning, we’re told there are a finite number of acceptance letters sent to aspiring physicians. In medical school, we compete for one of a limited number of slots in highly selective and competitive training programs. And as attendings, we have …
Why doctors should write poetry
It’s been two and a half years post-pandemic, and I still don’t feel normal.
There’s a dark veil hanging over my life. I feel oppressed, unable to practice the way I want, unable to live and think in ways other than this abnormal new biological pseudoscience I’m not expected to question so that I’m more inclusive.
There’s a sense of lost purpose like I no longer work to feel fulfilled. Instead, I …
People behaving badly: 4 steps to de-escalate hostile people
Imagine that you are a brand-new attending in a hospital. You have your new starched white coat and stethoscope around your neck. Before you enter your patient’s room, the nurse says, “Whew! Good luck! The patient’s dad is really angry! He’s been yelling for the last ten minutes!”
Are you prepared? Do you know what to do?
The boundaries of unacceptable behavior have eroded in the past few years. Politicians, law enforcement, …
We are all responsible for women physicians’ pay discrepancy
A recent JAMA article showed that starting salaries for female physicians were lower than that of their male counterparts in most subspecialties.
New physicians are not expected to have many differentiating factors besides gender, yet the starting salaries differ. It is important to note that specialties with a higher percentage of women also have lower salaries for bother men and women. As the percentage of women physicians in a given …
The New Zealand health system in crisis: We need to look after our clinicians
I lay on an examination table while a plastic surgeon surveyed my skin to determine if a suspicious mole should be excised. I joked with him that I had once considered plastic surgery as a career. I knew he still worked at the hospital and fired a rhetorical question at him, enquiring if the hospital was still as busy as it was two years ago when I had worked there? …
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Past Week
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The New Zealand health system in crisis: We need to look after our clinicians
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We are all responsible for women physicians’ pay discrepancy
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People behaving badly: 4 steps to de-escalate hostile people
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We’re reacting to medical errors the wrong way
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Certainty is a fading flame in a failing body
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Opioid-free orthopedic surgery: Why (and how) my patients go opioid free after surgery
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Past 6 Months
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The path to gender-affirming care is closing: We need to open it
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Will Smith’s slap is a trauma response
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Please stop saying “provider”
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I’m a physician, not a provider
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Abortion debates need to happen, but both sides need some ground rules
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It’s time to prevent the exploitation of sick people for profit
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Recent Posts
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A physician’s work dread and what he did about it [PODCAST]
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Boundaries for women physicians
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Comparing charity evaluation websites: What do those ratings mean?
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Why you should add advance directives to your college freshman’s college checklist
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I’m a physician, not a provider [PODCAST]
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Melting the iron triangle: Prioritizing health equity in dynamic, innovative health care landscapes
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