A few years ago, I was leading the training workstream of a multi-million-dollar EMR implementation.  The platform included 25 applications, from scheduling to revenue collection, and we trained over 17,500 employees in 12 weeks prior to go-live.  A significant part of the training effort included 4100 clinicians (physicians, house staff, medical students, allied health) across 137 specialties in both inpatient and ambulatory workflows. Many of them needed multiple specialty apps ...

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If you're not intricately involved daily with SEO, let me explain what happened in May 2020 and why it will be a huge boost for content created by physicians. First, what is SEO? In short, it is the process of optimizing content found online in order to help it be seen by those searching for the information found in that content. It used to be that people would just stuff their ...

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Despite the fact that many people have difficulty finding a family physician, there remain many options for medical care. From emergency departments to urgent care clinics to clinics based in retail stores and pharmacies, there are several different ways to see a physician, physician assistant, or nurse practitioner. This is can be useful when one has no family physician, or can’t get an appointment. It can be difficult and downright dangerous ...

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Why should we reform the health care system to a physician-led approach? How will that look like? Would a Medicare for all system cure what ails the system? What are some obstacles to implementation? Ken Terry is a journalist. He shares his story and discusses his book, Physician-Led Health Care Reform: A New Approach to ...

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Doctors make great entrepreneurs. How do I know? I’ve worked with hundreds of physician entrepreneurs. Almost every single one of them first thinks that they don’t have it in them to become an entrepreneur and then surprises themselves by being pretty good at it. Here’s what I’ve found is the common thread between physician entrepreneurs:

  1. They are masters of delayed gratification.
  2. They are natural problem solvers.
  3. They are good at marketing.
Masters ...

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An excerpt from Diary of a Medical Student. As a medical student, you find potential patients everywhere. Whether you’re on an airplane or on a romantic dinner date, we’ve all heard those famous words, “Is there a doctor in the house?!” Here are some of my favorite ...

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The recent increase in the number of COVID-19 cases in North America, particularly among young people ages 20-29, is a cause for concern. The reason for this increase seems to be related to poor compliance with public health recommendations. The past few weeks have been filled with reports of university students, for example, having intimate gatherings at bars and dancing the night away at parties with nary a mask on ...

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It's the first day of residency. This morning, the intern was exuberant: the white coat was starched with pride, and the stethoscope brought a new sense of prestige. In last night's lengthy sign-out, the intern proudly asked relevant questions pertaining to patients' diseases. The first patient on the list, Mr. F, has a complicated medical history. With an array of comorbidities, including coronary artery disease, deep vein thrombosis, peripheral artery ...

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Around Thanksgiving, the ceiling light that illuminates most of my apartment burned out. I still haven't replaced it. Instead, I use the flashlight app on my phone to get dressed every morning; and I'm constantly tripping over my shoes, backpack, and other miscellaneous, floor-dwelling items whenever I'm home. All in all, it's not a particularly dignified scenario. Changing light bulbs isn't hard. The problem is that this particular light bulb is encased in a ...

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"There are two battles waging from the COVID-19 virus this year: the obvious fight for human life but also the attack on science. During philosophical and political debates, one steadfast weapon has been the scientific method. Opinion doesn’t matter. State the facts. The thing about facts are, though, that one has to be willing to change previously held points of view with new ...

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My small community ED has a fairly high acuity. As such, I was recently trying to transfer a couple of patients, one of whom was an NSTEMI, pain-free but with a rising troponin. In the process of trying to arrange things, I learned that our main regional referral center was holding a staggering 150 patients in their own ED, all waiting for inpatient beds. I've spent the majority of my career ...

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“How long have you been married?” The question came from a young woman kneeling down by the elevator in the hotel where my wife and I were staying while in Seattle. We were there to celebrate our 40th wedding anniversary with an Alaskan cruise. I hadn’t even noticed her as my wife and I were busy talking about the day. She appeared to be in her twenties. Her appearance was that of ...

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Starting medical school, I knew I would see people on both the best and worst days of their lives. I would witness births and deaths and come out on the other side as a skilled professional. However, I never expected death to be so blunt. On my first day in our student clinic, we saw a patient who had stage 3 chronic kidney disease. He was Spanish speaking, and I recall ...

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COVID has made a home on my computer's desktop. Every morning, there is a repetitive chirping with headlines that describe the vaccine trials and testing. My second reminder is more personal – a file titled, "Dear Kimmy ...," locked in the center of my screen. I'll explain: It's 7:30 p.m. I'm the resident on call in the surgical ICU, and I was just paged: There is a patient with perforated appendicitis ...

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We’ve all heard about the blue wall of silence that describes a belief that law enforcement personnel will refrain from reporting misconduct of their colleagues to the proper authorities. Physicians had similarly been accused of hiding behind a white coat wall of silence, as I have written previously. This describes the belief that physicians do not reliably turn in colleagues who are incompetent and impaired. Personally, I ...

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"For the past six months, I’ve spent my free time becoming a certified life coach. I’m a hospitalist, but a little more than a year ago, I was introduced to life coaching. I love the changes it has produced in my life – particularly how it’s changed me as a mother. Coaching helps me to be more present for my family ...

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asco-logo Many health care facilities are enacting policies during this time of COVID-19 that restrict the number of people attending appointments in person. Family care providers are asked to wait outside or drop off the patient for their appointment and come back to pick them up later. There are, of course, exceptions made for those receiving a new diagnosis or when the ...

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I recently finished my geriatric psychiatry rotation. As a medical student and aspiring psychiatrist, I had the opportunity to participate in the care of those suffering from acute psychosis, depression, bipolar disorder, depression, and more — many of whom were dealing with suicidal ideation. While an engaging experience, I am worried. The climate crisis puts these patients at great risk. I’m a novice to climate advocacy. I’ve long considered myself to be someone ...

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Vote. These four letters reflect one of the most powerful actions in human history – the act of choosing who represents you and your beliefs. As an immigrant child and naturalized citizen, I was not born with the right to vote in the United States of America. Yet, I remember the day I first voted. As I walked into the polling site, I remembered how my grandmother in India offered ...

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We wrote this blog on National Physician Suicide Awareness Day. As a chapter wellness champion for the American College of Physicians, I have spent the past few months planning on what this September should entail. From Webinars to Facebook pages to tweets, I've included anything that I could to let my friends and colleagues know that they are not alone. There is a way out: we just have to keep ...

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