Adam Bitterman, DO
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Latest articles
Physician voices

Medicine is a field defined by constant evolution. Advances in technology, groundbreaking research, and shifting patient expectations continually reshape the landscape of health care. As physicians, we are entrusted with providing excellent care. But we must also ensure that our…
Medicine is a field defined by constant evolution. Advances in technology, groundbreaking research, and shifting patient expectations continually reshape the landscape of health care. As physicians, we are entrusted with providing excellent care. But we must also ensure that our knowledge, skills, and approaches remain at the forefront of this ever-changing environment. Staying up to date isn’t just a professional obligation, but a necessity to remain effective and relevant in …
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Medical relevance and evolution: Why physicians must reinvent themselves
Physician voices

A recent discussion with a partner led us to list our academic goals for 2024. It's a process many of us go through each year. What did we accomplish throughout the year? Could we have done better? Is there more…
A recent discussion with a partner led us to list our academic goals for 2024.
It’s a process many of us go through each year. What did we accomplish throughout the year? Could we have done better? Is there more to do? How could we improve? What’s on tap for the upcoming year?
It’s an annual ritual, I know.
We reviewed his overall plan and went through how he could accomplish his professional …
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New year, new resolutions: an orthopedic surgeon’s path to balancing career and family in 2024
Physician voices

Do patients truly understand? The question is not meant to be rhetorical. I have many conversations throughout the day with patients across all socioeconomic backgrounds and with varying levels of education. The discussions include details surrounding their disease-specific particulars, treatment…
Do patients truly understand?
The question is not meant to be rhetorical. I have many conversations throughout the day with patients across all socioeconomic backgrounds and with varying levels of education.
The discussions include details surrounding their disease-specific particulars, treatment options, and surgical protocols. Patients digest my thoughts and then respond with specific questions of their own. They ask for instructions as well as the nuances of the healing process.
I confess that …
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The physician-patient connection: Ensuring mutual understanding
Medical education

As we continue through the summer months, medical students are putting the finishing touches on their elective rotations for their fourth year. These rotations, also known as audition rotations or sub-internships, enable students to "showcase" their talents, meet faculty and…
As we continue through the summer months, medical students are putting the finishing touches on their elective rotations for their fourth year.
These rotations, also known as audition rotations or sub-internships, enable students to “showcase” their talents, meet faculty and residents and put their best foot forward prior to submitting their electronic application.
A 2016 study showed that rotating improved a student’s chance of matching at that program by a factor of …
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What makes up the ideal residency program for you?
Physician voices

Recently, a few colleagues and I sat down with our six incoming interns during a welcoming round-table discussion. Being the closest member of the faculty to these residents in age and time from residency, I was best able to relate…
Recently, a few colleagues and I sat down with our six incoming interns during a welcoming round-table discussion. Being the closest member of the faculty to these residents in age and time from residency, I was best able to relate to them and their current feelings.
I, too, sat in those chairs in a conference room that was last used for graduating our outgoing chief residents. I, too, remember the feelings …
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6 tips for success in residency training
Social media in medicine

"Publish or perish" has been the mantra of academic medicine for as long as can be recalled as the reputations of professors, physicians, and academic centers have hinged on contributions to peer-reviewed literature for years. Yet today’s information era is…
“Publish or perish” has been the mantra of academic medicine for as long as can be recalled as the reputations of professors, physicians, and academic centers have hinged on contributions to peer-reviewed literature for years. Yet today’s information era is dominated by the rapid development of social media and online interactions, which have also resulted in some major advancements to print media …
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The time for academic medicine to embrace social media is now
Physician voices

I recently sat down with a well-known physician within the orthopedic community as well as among the medical socialites of social media. When I walked into his office, the first words out of his mouth were about my attire. As…
I recently sat down with a well-known physician within the orthopedic community as well as among the medical socialites of social media. When I walked into his office, the first words out of his mouth were about my attire. As I was concerned about first impressions, I broke out the fancy suit, custom tailored, of course, a matching shoe and belt …
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Does the attire determine professionalism?
Physician voices
In the academic world, there is an unspoken rule under which faculty, residents, and fellows collectively live and work. Educational programs are to be separate from industry and its financial stronghold. I understand the rule and its application in certain…
In the academic world, there is an unspoken rule under which faculty, residents, and fellows collectively live and work. Educational programs are to be separate from industry and its financial stronghold.
I understand the rule and its application in certain scenarios and clinical departments. But I would like to challenge it within my specialty of orthopedic surgery.
As I finish up residency and look ahead to fellowship, I am constantly thinking about …
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Industry and academia: There is some educational value
Physician voices

There are times when a common cliché may be the best way to describe academic medicine in today’s medical centers. In fact, I have heard patients and their families complain about this, way too often. Simply put, there are many…
There are times when a common cliché may be the best way to describe academic medicine in today’s medical centers. In fact, I have heard patients and their families complain about this, way too often. Simply put, there are many occasions when it seems that there are too many cooks in the kitchen.
When someone gets admitted to the hospital, chronic problems …
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Too many cooks in the kitchen can spoil medical care
Medical education
Congratulations, student doctor, you studied hard and scored well on your exams -- not only on your MCAT but in your organic chemistry classes as well. You mastered anatomy as well as pharmacology, neurology and more “ologies” than you care…
Congratulations, student doctor, you studied hard and scored well on your exams — not only on your MCAT but in your organic chemistry classes as well. You mastered anatomy as well as pharmacology, neurology and more “ologies” than you care to remember. Now it is time to get hands-on learning experience, without being able to hide in the library while preparing for your clerkship shelf exams or showcasing your talents …
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It’s time to reverse the standardized patient experience
Conditions and diseases
Necrotizing fasciitis is a rare but life-threatening soft tissue infection. Its presentation is characterized by rapidly spreading inflammation and resultant death both of the surrounding soft tissue and fascial planes. Prompt recognition and aggressive treatment is paramount in order to…
Necrotizing fasciitis is a rare but life-threatening soft tissue infection. Its presentation is characterized by rapidly spreading inflammation and resultant death both of the surrounding soft tissue and fascial planes. Prompt recognition and aggressive treatment is paramount in order to avoid fatality. Often times, symptoms may overlap in their presentations so one must maintain a high index of suspicion and a multidisciplinary approach facilitated appropriate imaging studies and resulted in a …
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Necrotizing fasciitis: A case study and discussion
Physician voices
Sex sells. US Weekly and People fly off the shelves with the latest reality star drama. Unfortunately, the same does not apply to the diseases running rampant in today’s society. Is there an answer? I would like to say yes,…
Sex sells. US Weekly and People fly off the shelves with the latest reality star drama. Unfortunately, the same does not apply to the diseases running rampant in today’s society. Is there an answer? I would like to say yes, but the ultimate answer remains to be seen. After my four years of undergraduate work and four more years of medical school, I am confident that there are a myriad …
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