Rural hospitals are closing their obstetric wards and stopping all obstetric services — at least those hospitals that manage to remain open at all. The tertiary care centers don’t seem to mind.Always wary of those rural hospital disasters in the middle of the night. Accepting transfers from a place where they must not have the latest technology, clearly, your little hospital must be behind the times, only subspecialty care is ...

Read more...

In my first year of medical school, I attended a lecture on health disparities that focused on the difference in patient outcomes based on race and socioeconomic status. The lecture cited multiple peer-reviewed studies that extensively demonstrated these disparities and how health care professionals, not solely social determinants of health, contribute to them. The lecture concluded with an appeal to improve our cultural awareness and acknowledge our conscious and unconscious ...

Read more...

At some point in my career, I had the crazy idea that if I could scale the patient-centric work I was doing in my community at a small rural hospital — then I could make more of an impact. This is why, when a technology company came calling, dangling a carrot in front of my nose to “disrupt” health care, it seemed like a no brainer to make the leap ...

Read more...

In my clinical practice, I have encountered patient aggression typically with narcotic medications, in particular with the refusal of a refill due to evidence of concerning behavior, like a positive drug screen for drugs not prescribed. Aggressive behavior can include yelling, threatening physical violence or intimidation. I have had less trouble with narcotic-related aggression nowadays especially with media coverage of the dangers of narcotic abuse and especially since a lot ...

Read more...

I remember September 27, 2018 like it was yesterday. When Ashley* picked me up from my apartment Thursday morning, I thought it would be like the 138 past Lyft rides I’ve taken since 2017. I was wrong. After I waived to Ashley from the curb, I got settled into the right back seat. The doors locked, and she asked me the usual question. “You from here?” “Yes, I’m a local.” “That’s great! I’m from ...

Read more...

I was a resident. He was a physician in a position of power. He took things too far, and I spoke up. Here are some of the actual comments I received. “He’s just a flirt.” “You must have misunderstood him.” “What were you wearing?” “Somebody must have hated him, to do that to him.” “Perhaps, he just really, really liked you.” “Maybe you had a crush on him too and encouraged him.” I had started a new ...

Read more...

When I was a third-year resident, I was invited to join a practice owned by a doctor who had once been my chief resident. This was considered by all of my fellow residents to be the plum job in town, and I was thrilled. The doctor, whom I shall call “John,” was smart and funny and had a huge practice that he had purchased from a retiring physician. We figured ...

Read more...

I have spent the greater portion of my 20s enduring a premature quarter-life crisis. Patterns of self-doubt and debilitating anxiety became my new normal. I was rejected from medical school — again. After taking time to process the reality that I would have to wait another year to re-apply, I fervently journeyed through a messy jungle of introspection that led me to these six lessons. Although I learned more than I could ...

Read more...

We learn about it in school as a formula. There is a checklist that we are given, and we ask our patients these eight questions and then calculate whether or not they have depression. It’s so simple. Anyone can do it! I never once thought that I would be calculating my own score at the prime of my education. I entered medical school full of hope after years of failures and ...

Read more...

As a first-generation college graduate with the honor of earning my MD and PhD at a federally funded medical scientist training program (MSTP) and nearly no debt upon embarking on the journey of residency, I have a lot to live for and am grateful for all that life has offered me with regard to both mental health and capacity. I am a product of the Baltimore City Public School System. My ...

Read more...

18 Pages

Most Popular

Join 150,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
close-link
✓ Join 150,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.