We are living in unprecedented times. Times filled with emotion and very little hard science. We are faced with the rapid spread of a new disease that has devastating consequences. The rapid spread is overwhelming our system that is designed for a steady state. Periodically, we are faced with events that overwhelm our system; mass shootings are a prime example. The duration of those events is measured in hours. We ...

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We write personal statements when we apply to medical school and residency. They serve as a sort of window to our soul, our reflections and aspirations, our physician vision and mission. I was doing some soul-searching, and I found my medical school personal statement. The following is a snippet from it:

I believe that the purpose of medicine, of the restoration of health, is to remind people of their own mortality ...

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At a time when health care professionals across the globe are working around the clock against COVID-19, it may seem tone-deaf at best to think about joy in work. We all agree that the top priority for health care leaders now is to focus on expanding testing and ensuring enough proper equipment and other resources for staff. In the health care world's current hierarchy of needs, these are undoubtedly at the ...

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New York University residents are seeking compensation for the increased risk they face as they are called to the frontlines of the COVID-19 pandemic, but leadership has declined their request for hazard pay and now stands accused on social media of gaslighting residents. Residents created a petition, addressed to NYU Langone Medical Center leadership, outlining the increased risk they face as the demand placed on the hospital system ...

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The pandemic has revised the triple aim framework of health care. The simultaneous triple pursuit of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care is currently not possible. With widespread forced lockdowns, we are unable to provide the optimal patient care experience, the health of the population is declining (limited access, postponed procedures, delayed vaccinations, etc.). And while ...

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I accepted my job as chair of the department of pathology at the University of Arkansas before I turned 40, though I didn’t start until after my birthday. I don’t know if I was the youngest chair in the country, but I think I was the only one with a car seat and a spare diaper in my purse. My memories of those first few months are still vivid, even ...

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With the coronavirus pandemic, many cities across the country have shut down. While some people are working from home, many others have been furloughed or lost their jobs altogether. With this rapid decrease in economic activity, the stock market has taken a huge hit. Many people who had a big chunk of their network in stocks, have seen a sharp decline in the overall value of their investments. In the ...

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It's time for some good news and hope about life during and after COVID-19. You may be frantically racing from room to room in your house, and from role to role to keep everything together during this unprecedented time. You're a doctor, parent, teacher, partner, chef, housekeeper, and business owner, to name just a few. Meanwhile, you know that your staff is relaxing at home, catching up on Netflix series, baking cookies, and ...

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Out of the blue, a new virus popped up, and ten weeks later, it is a pandemic. Within the last ten weeks, doctors have identified this new disease, figured out how it is transmitted, identified what body fluid we need to test to determine who has contracted the disease, developed a test for it, mass-produced that test, and distributed the tests all over the world. What an incredible response we ...

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With COVID-19 raging through the nation, and limited supply of PPE at hospitals, doctors and other critical care personnel are at high risk due to their increased and daily exposure to the virus. For health care workers, the need to plan for a possible worst-case outcome for themselves and their families has become an immediate concern. Doctors are spending limited weekend time
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As health care providers, we are facing unprecedented challenges right now.  Thank you to every one of my medical colleagues for your valuable contributions at this moment. Wellness and self-care have never been more important than they are at this moment. We must care for patients to the best of our abilities, but we must also care for ourselves.  If you sacrifice your own physical and emotional health, who will be ...

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As COVID-19 continues to spread throughout the country and leave lasting impacts on our economy, many of us are trying our best to cope with the changes. While this can take a huge toll on our mental health and leave us unsure of our next move, there’s one thing we need to do in the midst of the chaos: Buy long-term disability insurance. Here are six things you ...

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About a decade ago, I had my first doctor-client. And part of what they wanted to discuss was budgeting in order to save more. They just got new jobs and wanted some general planning for the sake of making good decisions. Software for budgeting and spending history didn't exist the way it does now. I wanted to provide the best help I could on this topic, and I knew about budgeting, ...

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Physicians are, without a doubt, some of the most educated professionals around. You spend endless hours studying, taking tests, and jumping through academic hoops in the name of good grades and patient care. But is the education you are receiving truly preparing you for the practice of medicine today? Health care is now considered almost exclusively a business term. And yet there is a lack of business taught in medical school. ...

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The conversations we’ve had with physicians this week confirmed that the primal fight-or-flight response has kicked in as physicians across the nation recognize the COVID-19 pandemic as an imminent threat to the survival of their practices. Some are reacting from a place of fear, while others are proactively evaluating options and making strategic moves. In surgery, there exists a time-honored adage: all bleeding stops eventually. When a patient has unexpected severe ...

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These days are getting harder. Today I heard about physicians getting intubated. I heard about physicians having to make the decision to separate from their children indefinitely. I heard about health care workers who officially ran out of PPE. I heard of hospitals that are nearing capacity and many young patients who are intubated. The calls for help at the frontlines got more desperate. Over the last few days, I’ve also heard ...

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Physician burnout and shortage have a profound impact on the ability to deliver quality, accessible health care in the United States — especially in rural areas where specialists are scarce. Burnout is costing the U.S. health care system roughly $4.6 billion a year, according to a study published in the Annals of Internal Medicine. Another study published in Mayo Clinic Proceedings suggested 54% of physicians have ...

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Eighty-five percent of health care facilities used locum tenens temporary doctors in 2019 to address their staffing shortages or gaps in coverage. Physicians are turning to locum tenens work to allow them more flexibility, extra income, the ability to travel, and exposure to new and evolving patient care environments. But what they are likely not aware of is the price tag on their heads if or when they decide to consider ...

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Medicine is a difficult calling. You already know the sacrifices. As an undergraduate, you gave up time with friends and family so you could be accepted into medical school — where you worked even harder. You understand that the practice of medicine requires you to take responsibility for the care of others ... and the emotional toll that comes with it. In this profession, it's easy to feel like you're alone. Our ...

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If you follow me for any time, you know that I’m about physicians owning your value, recognizing your strength, and balancing your life. I was doing that before it became popular to talk about. While it has a catchy ring to it, what you don’t know is that it was not always that way for me. And no one knew.  It was one of the ways that I struggled in medicine. There ...

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