The United States is facing a looming physician shortage, and some groups see this as an opportunity to promote an agenda of replacing physicians with nurses. The nurse-as-doctor concept appeared in the Institute of Medicine Future of Nursing 2011 report, which called for a radical change to the nursing structure in the United States, including a goal of ...

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I entered medical school with an intense desire to take care of others. A naturally — sometimes overbearingly — caring person with a penchant for science, becoming a physician was my dream since middle school. My naiveté was quickly slapped by reality when I realized people enter medicine for many other reasons: prestige, job stability, income or a genius fascination of science that sometimes overlooks the suffering human. This crushed my ...

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I remember medical school and residency vividly. How could anyone forget such a sacrifice, such a vital investment in a top-notch education? Hours upon hours of hard work while practical knowledge amassed exponentially every single week. As a lifelong learner committed to excellence, I loved being surrounded by equally dedicated, intelligent high achievers. My classmates in med school and residency were at the top of their class, and we helped ...

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The New York Times reported that drug companies, insurers and pharmacies may “team up” to create effective monopolies. Company executives argue that this would be better for patients and would improve care and outcomes — however, nothing could be further than the truth. These conglomerates would further limit access and drive up costs. Many patients and physicians have found frustration when attempting to prescribe a particular medication ...

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I recently rounded on patients at Providence Hospital as the attending physician on the family medicine residency program's inpatient service. Providence recently closed its maternity ward as the first step in a planned redevelopment of the hospital grounds into a "health village." In the short term, the hospital's decision to stop delivering babies may worsen maternal health disparities, as the entire eastern side of Washington, DC is ...

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STAT_Logo At his recent confirmation hearing, Alex Azar, President Trump’s nominee for secretary of Health and Human Services, was grilled by senators who wanted to know where he stands on requiring employers to provide oral contraception coverage in their employee health plans — even if employers object on religious or moral grounds. While avoiding specifics, Azar ...

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In the wake of the recent flood of allegations of sexual harassment against so many men in so many different positions of power, the refrain has begun, “The rules have changed.” Frivolous concerns about office holiday parties threaten to trivialize the remarkable transformation of women finally being believed, and men finally beginning to be held accountable for their actions. The rules have not changed. What has changed is that, at long ...

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When I read the Washington Post article about the CDC censoring seven words last Friday night, my mind immediately jumped to the youth I take care of every day in my Baltimore clinic.  It felt like a direct attack on the very patients I became a doctor to treat: the transgender young person initiating gender-affirming hormone treatment; the young woman seeking inpatient addiction treatment for the first ...

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Many of the everyday coalface problems we face in health care are simply due to suboptimal communication. It could be the patient or family member who doesn’t know what’s going on in the hospital, the nurse who is confused about orders, or the doctor who doesn’t understand the reasoning behind the seemingly terrible administrative directive they are receiving. Take it from me, as someone who has seen health care at close ...

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Results of a study released JAMA Cardiology demonstrated that lower readmission rates among hospitalized heart failure patients, a key focus of recent Medicare value-based payment efforts, were associated with increased patient mortality. In other words, patients admitted to the hospital for heart failure are being re-admitted less frequently, but dying at higher numbers. Value-based pay, as it turns out, where monetary incentives and penalties are tied to ...

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