Over the past few years I have talked with many hospitalists.   I know many hospitalist leaders and have many hard working hospitalists. Most classic general internists have viewed the hospitalist movement with skepticism.  Many outpatient internists express jealousy over the salaries and work hours of most hospitalists. But here is what most non-hospitalists do not understand.  In most hospitals in this country hospitalists ...

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"Code Blue ICU ... Code Blue ICU" I was greeted by the PA system as I walked into the hospital this morning. A shiver ran down my spine as I quickened my pace . The days of running to codes are long gone. But since I have a patient In the ICU I was curious and just a little bit worried. As I walked through the sliding doors I passed the room ...

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When someone gets sick, what are their options? They can try to make an urgent appointment that day, but how many of your doctors actually offer that? Most people will have to wait for weeks, if not months, for a regular appointment. Even if you go to a walk-in clinic, the wait will likely be hours, and you're not sure if clinics can take care of everything, so you head to ...

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Recently I wrote a blog about how the American Academy of Pediatrics (AAP) thinks that otherwise healthy children with ear infections should wait a couple of days before starting antibiotics, because many will get better without them. Now there are two articles in the New England Journal of Medicine (here and here) saying that children with ear infections who are given antibiotics are more likely ...

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The Theresa Brown furor has got me thinking.  To be honest, I don’t think the doctor’s apparent offense was really that bad.  I remember giving and taking worse. When I was at medical school and in specialist training, there were senior doctors and nurses of legendary temper and bad disposition.  Tiptoeing around them, and working to their satisfaction, however unreasonable, was an accepted part of the job.  But the ...

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by Paul Rousseau, MD Communication between physicians and patients is critical to quality care and improved outcomes, however, such discussions often seem labored and fraught with anxiety and stress. Physicians commonly speak too much and listen too little, while patients feel swept up in an unfamiliar and frightening situation with loss of control and little-to-no input into care. As I have ...

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by Ashwin Patel As a MD/PhD candidate, I enjoy learning how medicine interfaces with other fields. I found that MDs that have ventured into these fields have the best stories and insights to share. I recently had the privilege of interviewing Dr. David E. Albert, MD. He's a physician, a successful inventor with 30+ patents, and a serial entrepreneur. He has sold two of his companies, one to ...

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by Andrew Schutzbank, MD “He wants to go to Atlantic City for his research time?” must have been the question bouncing around my residency’s Area of Concentration (AOC) Committee. Not that there is anything wrong with Atlantic City per se, but historically, our residency program generously grants three to six weeks of AOC time to allow residents to explore interests and ...

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I have had the pleasure as a medical student to complete my clinical clerkships in the Baltimore area community hospitals, the Johns Hopkins Hospital, and the National Institutes of Health. I will forever cherish these experiences and lessons as I progress through my career. With an educated and wealthy suburban population and a large disadvantaged urban population; Baltimore is symbolic of the challenges and opportunities the healthcare field faces. There are different ...

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I don't know what your destiny will be, but one thing I do know: the only ones among you who will be really happy are those who have sought and found how to serve. - Albert Schweitzer The middle-aged Tanzanian woman lived many hours away and had traveled to the academic medical center in Moshi. She had now waited all day to see ...

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