An excerpt from Recapturing Joy in Medicine, During my year as chief resident, I was also president of the Florida Association of Family Medicine Residents. The faculty at my residency program inspired me by their excellence as clinicians and teachers. I trusted their judgment and insight, so when they encouraged ...

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With the announcement of CVS Health HUBs, the synergy of data and business is rapidly coming to the health sector; health systems will become havens only for the severely acutely ill, the more complex, the expensive. In the same way that urgent care centers catered to low acuity, high financial margin problems that both financially supported and congested emergency departments, HealthHUBs will take similar problems away from primary ...

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Language matters. The use of the word "provider" may seem innocuous, but it is significant both for patients and physicians. For patients, it has been perhaps the most pronounced step — if not leap — away from transparency. (Who is who? Nurse, doctor, chiropractor, podiatrist, psychologist? Doesn't matter — everyone is a "provider.") For physicians, the ramifications have been two-fold. One on hand, the use of the word is a demotion by ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. When talking with patients - particularly those with multiple, complicated medical issues - it often doesn’t take very long to hear about their increasingly suboptimal and sometimes harrowing interactions with our health care system. Examples include inpatient experiences in which care is provided by ...

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For a hospital that had once labored to break even, Wheeling Hospital displayed abnormally deep pockets when recruiting doctors. To lure Dr. Adam Tune, an anesthesiologist from nearby Pittsburgh who specialized in pain management, the Catholic hospital built a clinic for him to run on its campus in Wheeling, W.Va. It paid Tune as much as $1.2 million a year — well above the salaries of 90% of pain management physicians ...

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A gray-haired emergency medicine physician once provided the most succinct view of ED efficiency ever uttered. He said, “Sometimes they ask us to dig a ditch. Then they give us spoons with which to do the job.” Though cynical, it is the view of many. There really is only one problem and a single solution to ED efficiency. The problem is variation. The answer is scale. Biologists understand variability best. Biologic ...

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No, vaccines do not cause autism. No, vaccines do not cause cancer. No, vaccines are not toxic. No, getting the disease is not safer than vaccination. Yes, they are safe. Yes, they are effective. As a pediatrician, I spend countless hours each week talking about vaccines and counseling parents about the importance of immunization. While parents may not know anyone with rubella, polio or tetanus — almost every parent knows someone who knows someone ...

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In 1976, we couldn't wait to be nurses. Our starched white dresses with the nurse caps and stripes symbolized our graduation status as we were called one by one to receive our diploma and a rose. We took an oath to care for the sick, to be professional, to critically think, to respect doctors and to respect patients and family members. And to respect each other. It was the age before computers. We ...

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Across the country, many doctors, nurses and other health care workers have remained silent about what is being called an epidemic of violence against them. The violent outbursts come from patients and patients’ families. And for years, it has been considered part of the job. When you visit the Cleveland Clinic emergency department — whether as a patient, family member or friend — a large sign directs you toward a metal detector. An ...

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This article is about learning to protect yourself and your standard of living as a nurse. Now that I am considered a seasoned nurse, I have concluded that there are many essential aspects of the nursing profession that are not discussed during nursing school. It is a shame because many of these topics should be discussed so that new nurses can prepare themselves for issues that may and often occur ...

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