The first time I was asked to provide a bio — in this case, it was to appear on my residency's website — I wasn't sure what to include. It was supposed to be short, not really an autobiography or memoir and it was supposed to make our program look approachable, impressive and balanced. I gave a quick summary of my background, my education, my interests, why I picked the ...

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I’ve always likened the job of a primary care physician to that of a chief executive officer of a small business. Family doctors manage the “business” of delivering and coordinating care for more than a thousand patients at an average cost, in the United States, of $8,500 per year: an $8 to $12 million business. Because the actions or inactions of the PCP impact the need for, and cost of, ...

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One of my best friends recently sent me an article from the Wall Street Journal discussing the generation that is about to enter into retirement.  The article highlighted how this generation will have an unacceptably high proportion of people who are unable to retire.  Following a generation that had guaranteed pensions, this left them with the reassurance that they would someday have one, too.  Left ill-prepared for retirement, this ...

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Repercussions. Every action that is taken, especially when it comes to healthcare, has ripple effects, which often end up being more far more significant than we anticipate, turning that ripple into a tidal wave. Every time somebody besides actual health care providers steps into the mix and tell those of us taking care of patients that there is "something else that we have to do," we often see it open up a ...

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In March 2018, The Collaborative for Healing and Renewal in Medicine (CHARM) published an article titled "Charter on Physician Well-being" in JAMA. The piece describes guiding principles and lists recommendations for promoting well-being among physicians. The charter successfully pulls together, in a 2-page document, a comprehensive approach to preventing burnout and fostering well-being among physicians. One recommendation especially caught my attention. “Anticipate and Respond to Inherent Emotional Challenges of ...

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I got together this past weekend with a few of my medical school classmates and ahhh, the memories. Being in the trenches together, just like in residency, tends to create a bond that remains throughout time. We picked up right where we left off and talked about the good ol’ times, how life used to be, and how it is so different now, especially because we now all had families. That ...

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My (sometimes solicited, but often unsolicited) advice for graduating medical students, residents, and fellows: June is one of my favorite times of the year.  One, because it’s summer, but also because it’s graduation season.  I love seeing and hearing about everyone’s accomplishments, and seeing years of hard work come to fruition - although if I’m being honest, it’s bittersweet, because it’s also a reminder of how I’m getting older. This year, I’ve ...

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recent post by the White Coat Investor got me pretty fired up.  Dr. Dahle spoke about three of the main financial enemies that face physicians. The third one that he mentioned had something to do with medical culture.  The gist of it was that talking money in academic medical centers is considered taboo.  While I think WCI is right, it really made me angry.  As an academic attending ...

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An excerpt from 7 Ways to Stop Drama in Your Healthcare Practice. Although the ability to initiate difficult conversations is part of good leadership, I’ve never met a leader who enjoys it. Whether your conversation is about body odor, rude behavior, dress code, personal conduct or performance ...

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No news attracts attention like a physician who’s in trouble with DEA or their state medical board. So, how does it happen, what are the common issues and what can a physician do to safeguard themselves? First, let’s look at what the numbers and the research tell us. The Federation of State Medical Boards (FSMB) tells us that 4,091 physicians were disciplined during ...

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