acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Regardless of specialty, medical practice is challenging in today’s health care landscape. Increasing demands related to workload and job inefficiencies, an ever-increasing administrative burden, the consuming nature of health information technology, and personal and professional values that often conflict with the expectations of the ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. The administrative burden associated with caring for patients in today’s health care system has emerged as a primary driver of the loss of joy in the practice of medicine and the epidemic of burnout among physicians. No medical specialty is immune from the upward ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Of all medical specialties, perhaps the most difficult to understand is internal medicine. While the name suggests that those who practice internal medicine focus primarily on non-dermatologic diseases of “Internal” organ systems (which in many ways is true), unlike other medical fields whose names ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. Because I work for a medical specialty society, I’m frequently asked by non-members why I believe they should belong to a medical professional society.  This is a particularly relevant question these days given the rapidly changing landscape of medicine and with physicians becoming ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. In the late 1800s, William Osler stated, “… if you want a profession in which everything is certain, you had better give up medicine.”  He made this observation at a time when the science underlying health care was nascent, and little was understood ...

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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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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. We are just now beginning to recognize the impact of isolation and loneliness on the health of our patients. Recent cultural and societal changes have led to markedly increased levels of isolation of our patients with a dwindling size and activity of their ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. In the run-up to the Academy Awards this year, like many people I made a concerted effort to see most of the top-nominated pictures.  Of particular interest was Bohemian Rhapsody, the biographical film about the lead singer of the rock band Queen, Freddie ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. The aim of medical education is not only to transfer scientific knowledge, but also impart the wisdom accumulated over the long history of medicine that equips us to apply this knowledge for the betterment of our patients. Although much of medical wisdom transmitted in ...

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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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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. A number of years ago I had an older patient, John, who had just been diagnosed with acute myelogenous leukemia. In discussing his diagnosis, he asked me if I thought that his exposure to radiation in the past might be responsible for his ...

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