In 2017, the flagship multispecialty practice of Oregon Medical Group, moved into its new digs -- a 46,000 square foot redesigned medical office building. Practice leaders and the 30-odd clinicians in six different specialties were committed to a coordinated patient experience. They wanted to ensure that patients could move smoothly between sequential visits with different care providers -- on the same day. To this end, the group invested in a ...

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I need your help. I'm trying to figure out how to get rid of something that's terribly broken in our process of taking care of patients, and I can't do it alone. It's time to kill the referrals process, get rid of them altogether. Every day, a huge proportion of the messages we receive through the electronic health record are requests for us to "put in a referral." Patient has low back pain, has ...

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I was a tumultuous cloud of hope and fear as I tiptoed into my new job on a recent Sunday after five months off. By Wednesday morning, with my first three nightshifts behind me, I had already stayed late three mornings to keep up with charting in an unfamiliar EMR and succumbed to stress-eating chocolate at the nurses' station. I was reacquainted with the challenges of staying awake all night, ...

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I always warn my medical students to be careful what they say in front of patients, or patients' families or friends. "You never know who's listening!" I add. They may think that I'm exaggerating — but I have my reasons. Early in my career as an internist/nephrologist, if I had a free moment, I'd head for the emergency room. I might get a referral, and the coffee and conversation were usually ...

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Have you ever wondered why most people who volunteer have an overall more positive outlook on life? Giving back to your community and serving others through volunteer work can benefit your life a variety of different ways. My list below outlines the power of volunteering and its surprising benefits. 1. Volunteering affects your thoughts. Being able to connect with others, even animals, can improve your mood. Humans are social beings who require ...

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“The ones you leave behind ...” That phrase often connotes loved ones who have lost a family member, friend or colleague through death. I have thought of the same phrase often lately in a different context — one of increasing prevalence. Here, I refer to the patients and colleagues left behind by the loss of a primary physician. No one would begrudge the retirement of a physician who has served his or her patients ...

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As a physician, is it acceptable to say no? After working as a hospital medicine physician across five different states and internationally, I’ve realized that saying no is actually imperative. Physicians are stretched thin, abused, demonized and expected to be superhuman when it comes to patient care. We secretly complain in online forums, we commiserate with other physicians in on-call rooms, sometimes we even seek mental health help, but rarely ...

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When we first met and got married, my husband Josh wanted to be a math teacher. Since I was also pursuing a career in teaching, I thought this was a great idea. I envisioned both of us teaching together in the same school district for forty years, becoming local superstars! We would know all the kids in town and spend our summer vacations traveling to exotic locations around the globe. ...

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When we look back on the last century, the pace and number of advances in our ability to treat disease and injury is truly astonishing. The exponential growth of technology has contributed to this greatly, as we see new advances often come in the form of new technologies. Amazing innovations in the fields of endoscopy, catheterization, robotics, imaging, navigation, 3D printing and more allow us to do things that were ...

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Editor's note: This story contains a racial slur crucial to the writer's story. Life has a funny tendency of unexpectedly throwing things your way. We, physicians, deal with this regularly. You never know what’s lurking about to put a huge dent in your day. Particularly vexing are ugly circumstances that rock your core. And few strike such a nerve as bigotry. When encountering a confrontational individual, our natural response — via human ...

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