I have a colleague who is a pediatrician in private practice in the suburbs. He has a great practice and loves his patients. One day, he walked in 15 minutes late to a 7:00 a.m. meeting we both attend. “Moms are calling early today.” Parents in his practice have learned to bypass their elaborate phone triage system. They have learned that if you press “1” for emergency, an actual doctor ...

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As a pediatric allergist, I treat several conditions that commonly affect children, including asthma, food allergies, eczema and allergic rhinitis. Almost everyone knows someone affected by some form of allergic condition, which makes for frequent questions from families, referring providers, and the public at large. Early in my career, I noticed that many patients (and even colleagues in other specialties) were asking me questions that were either outdated or born entirely ...

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As I met with the vice dean of academic affairs to discuss my readiness for promotion from assistant to associate professor of pediatrics, I led with the usual list of accomplishments. After all, I thought I was pretty well rounded, with achievements in teaching, patient care, institutional service, quality improvement, and research. Unfortunately, this meeting was not going as I had hoped and I sensed ambivalence from the other end ...

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