Physician

Why leaving hospital medicine for private practice was worth the risk

Physician

April 2, 2026

The day I handed in my credentials as medical director, I sat in my car in the parking lot for a long time. I had held that role at Methodist Specialty and Transplant Hospital in San Antonio for years. I had built protocols, chaired committees, mentored residents, and managed crises at hours when the rest of the city slept. I was, by every conventional metric, succeeding. And yet there was …

Why physician neutrality in the face of harm is a choice

Timothy Lesaca, MD

Physician

April 2, 2026

These moments of hesitation keep happening to me. I recognize the harm. I can name it clearly. I have seen its effects over and over again with my patients. And yet, when the conversation turns to its cause, I hesitate. Not because I do not understand. Because I am supposed to stay neutral. Medicine has long held neutrality as a professional virtue. We are taught to rise above politics, to …

How night shift medicine exposes the reality of physician stress

Chinyelu E. Oraedu, MD

Physician

April 2, 2026

At 2 a.m., the hospital is quieter but the stakes are not. A single page can alter the trajectory of a patient’s life. A subtle clinical shift can mark the difference between stability and decline. At night, there is less margin for error, fewer immediate resources, and no room for hesitation. Not long ago, I was called to evaluate a patient who “just did not look right.” The vital signs …

How clinical reassurance impacts patient communication

Alan P. Feren, MD

Physician

April 2, 2026

In clinical practice, reassurance is both necessary and responsible. When a clinician says “nothing concerning,” it is rarely casual. It reflects a judgment: no immediate danger, no clear evidence of serious disease, no indication for urgent intervention. It is often the appropriate conclusion at that moment in time. But what happens to that statement after the visit ends is less often considered. Because outside the clinical context in which it …

The physician leadership transition: Moving beyond the exam room

Maia Carter, MD, MPH

Physician

April 2, 2026

An excerpt from The Leadership Prescription: How High-Performing Clinicians Become Visionary Leaders.

There I was in my habitual rhythm, seeing patients back-to-back and enjoying it. After all, seeing the patients was the fun part; the administrative burden that accompanied it was nauseating and heralded the real risk of burnout. The administrators regarded me as someone who could easily create rapport with the patients. I was the kind of physician who …

Balancing civil rights and trauma in an antisemitism investigation

Arthur Lazarus, MD, MBA

Physician

April 2, 2026

In the wake of the October 2023 Hamas attacks on Israel, allegations of antisemitism surged on American campuses, including at the University of Pennsylvania. In response, the Equal Employment Opportunity Commission (EEOC) launched a Title VII investigation and subpoenaed Penn for the names and contact information of faculty and staff affiliated with Jewish organizations and Jewish Studies programs. Penn resisted. Faculty groups intervened. The phrase that reverberated through court filings …

Lifestyle medicine support: Bridging the gap in patient care

Landen Green, DO

Physician

April 2, 2026

As physicians, we rarely disagree about first principles. Nutrition, physical activity, sleep, stress, and behavioral patterns sit at the foundation of nearly every chronic disease conversation. We counsel patients on these topics every day, sometimes passionately, sometimes hurriedly, often within the narrow time constraints of a packed clinic schedule.

Yet an uncomfortable gap persists between what we know drives long-term outcomes and what we are realistically able to deliver in routine …

The art of medicine and clinical reasoning: a lesson at the bedside

Fazlur Rahman, MD

Physician

April 2, 2026

Throughout my years in medical training, I had heard the maxim, “Medicine is an art.” And yet this notion seemed abstract to me; after all, I had been steeped in science.

Then I came under the spell of a teacher, Professor S. M. Rab, the chairman of the Department of Medicine at DMC. It was he who finally showed me what the art of medicine was all about.

“Simply piling up scientific …

How prior authorization and step therapy harm pain management

Kayvan Haddadan, MD

Physician

April 1, 2026

Imagine a 54-year-old construction worker named Mike living with debilitating chronic lower back pain after years on the job. His doctor recommends a targeted epidural steroid injection and a short course of physical therapy combined with a non-opioid medication that has helped many patients in similar situations regain function and avoid surgery. But the insurance company says no. First, Mike must try cheaper generic pain pills that barely touch his …

Pajama time is for fools

Armand Rodriguez, MD

Physician

April 1, 2026

I really tried to have AI come up with an innocuous-sounding title for this piece: “Caring Hearts, Lighter Wallets: The Financial Reality of Primary Care.” But my poor judgment prevailed so I just decided to insult all of my colleagues right from the start. I assure you, for better or worse, that this article is my original opinion although with AI editing for grammar and clarity (but unfortunately not brevity). …

Read more…

Pajama time is for fools

Overcoming physician burnout with a new care model

Jerina Gani, MD, MPH

Physician

April 1, 2026

Many physicians do not talk about this openly, but at some point in their careers, a quiet question begins to surface: Is this really what it is supposed to feel like? After years, often decades, of training, sacrifice, and dedication, all of us as primary care physicians find ourselves in a position that, on paper, looks successful. We are caring for thousands of patients, maintaining full schedules, and carrying immense …

How ethical dilemmas in medicine affect body donation

Francisco M. Torres, MD

Physician

April 1, 2026

Many clinicians recall cases that stand out not for their diagnostic complexity, but for their ethical dilemmas. One such experience involved a long-time patient, a devout Catholic in his 70s, who asked if donating his body to science conflicted with his church’s teachings.

For years, I have displayed a favorite prayer on a poster in my office called “Prayer of the Catholic Physician.” This display gave my patient the opening to …

Finding purpose as an international medical graduate in the U.K.

Dr. Afsar Ashraf and Dr. Amal Pulikkal

Physician

April 1, 2026

The second time I landed in the U.K., the dream felt different. My first trip was for an exam; this time, it was for good. I walked into the arrivals hall with two bags. One was a worn suitcase packed with stethoscopes and textbooks. The other was invisible but far heavier, filled with my parents’ hopes and my wife’s unwavering faith.

In the bustling chaos of the international boarding area, after …

Global health security and WHO: Why U.S. withdrawal is dangerous

Adeel Khan, MD

Physician

March 31, 2026

In an increasingly globalized world, pathogens travel faster than ever before. Commercial aviation connects remote villages to major metropolitan hubs in less than a day. Supply chains stretch across continents. Climate change is expanding the geographic range of disease-carrying animals and insects. Against this backdrop, the decision by the United States to withdraw from the World Health Organization (WHO) is not merely short-sighted, it is strategically misguided and frankly dangerous.

Global …

How to find reliable online health information and avoid medical misinformation

M. Bennet Broner, PhD

Physician

March 31, 2026

Previously, I urged readers to use the internet for information about health conditions, medications, and other medical concerns to help make informed decisions about their care. I must modify this based on an online search experience I had that yielded mostly garbage. If I had not known what to seek, I would have been confused, ended my search prematurely, as I expect most people would have, and learned nothing.

To simplify …

Overcoming resource constraints in American medicine

Brooke Buckley, MD, MBA

Physician

March 31, 2026

For much of modern American medicine, we operated with an unspoken assumption: Resources would expand to meet demand. If complexity grew, we added specialists. If volume increased, we built. If margins tightened, we layered new reimbursement strategies. That operating model now feels more like an illusion.

Workforce shortages, supply chain instability, climate disruption, and rising costs have made constraint structural rather than episodic. We are practicing in a globally interdependent system …

Why we need a new medical specialty to fix corporate medicine

Allan Dobzyniak, MD

Physician

March 31, 2026

Perhaps the time has arrived to view the clinical practice of medicine differently. The practitioners are now broadly identified either as primary care providers or specialists. Specialty care is more easily defined, but whether such care is used appropriately is another question.

Primary care now includes pediatrics, internal medicine, and family practice with an increasing number of physician extenders, nurse practitioners, and physician assistants. Primary care has transitioned into something quite …

The hidden costs of diffuse accountability in medical teams

Gus W. Krucke, MD

Physician

March 30, 2026

I have watched the scope-of-practice debate for decades, from call rooms and crowded wards, from intensive care units and emergency departments, and from the deafening quiet that follows a code well run yet not won.

Early in my career, I argued the way many physicians do, with outcome data and workforce projections. Over time, I came to see that those arguments skirt the deeper question: When clinical authority expands, does accountability …

Overcoming moral injury in medicine: a Doctor’s Day reflection

Seleipiri Akobo, MD, MPH, MBA

Physician

March 30, 2026

The white coat has always been a symbol of a sacred trust, a commitment to “do no harm.” But as we approach Doctor’s Day 2026, many of us find ourselves grappling with a different kind of harm. It is not a physical wound, nor is it the “burnout” often cited in corporate wellness modules. It is the moral injury of us.

In our daily practice, we increasingly find ourselves at the …

Why resilience is not the cure for physician burnout

Lisa Rubiano, DO

Physician

March 30, 2026

When I think about the defining trait physicians have, it is perseverance. Persistence in doing something despite difficulty or delay in achieving success. We work hard to get into medical school. If you do not get accepted the first time, you double down. You apply to more schools, take a course for the MCAT, brush up on interview skills, and pad your resume with more research. You explore less traditional …

Physician

Most Popular

Past Week

Past 6 Months

Recent Posts

Subscribe to KevinMD and never miss a story!

Most Popular

Past Week

Past 6 Months

Recent Posts