acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Much has been discussed in recent years around the concept of “practicing at the top of your license.”  But what does this really mean? The most common definition is that each medical professional’s routine activities should utilize the full extent of their education, training, ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. When reading (or writing) blog posts, it’s easy to be left with a mostly negative and often depressing view of the current state of medicine.  This is completely understandable as people usually write on topics and issues about which they feel strongly, and ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. I distinctly recall during residency a much older and well-respected clinical teacher periodically opining that what was needed in a particular patient case was “a dose of the tincture of time.” For those less familiar with more historic terminology, a tincture is an alcoholic ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Those of us who provide clinical care inevitably have patients who simply don’t do what we tell them.  And this isn’t limited to only primary care but is encountered in all specialties and by subspecialists and consultants alike. Not only can this be frustrating ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. It can be as blatant as a public argument between a hospitalist and emergency medicine physician about whether a patient requires admission.  But most commonly it is more nuanced and subtle.  Such as members of one speciality “bad-mouthing” another or a subspecialist criticizing ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. I’m writing this as both an observation and confession. The observation is that my professional colleagues are increasingly unwilling or unable to disengage from work-related technology in what would otherwise be considered “personal” time. It is increasingly common to receive work-related emails or see non-urgent ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. I recently saw a new patient who came to our practice following a lengthy hospitalization. He is in his 80s with a fairly complex medical history typical of many in this age range. Yet, after carefully sifting through my first introduction to this ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Trust is the belief that another person or entity will act in your best interest, and it serves as the foundation upon which the doctor-patient relationship and our health care system are built. But we have a significant trust paradox in American medicine. As ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Her name is Wanda Poltawska. She is currently 96 years old and showing the physical signs of advanced aging, but remains mentally sharp and insightful. What makes her special is that in 1941, at 19 years of age, she was sent to a concentration ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. I recently saw a 74-year-old patient to establish ongoing care. In reviewing her medical history, she presented me with the list of the 15 medications she was taking. I was a bit shocked given her medical history which really consisted of only the ...

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