In a 2012 blog post called “Things that puzzle me about surgical education,” I wrote the following:

There was the emphasis that still exists today on making sure every resident did research. At last, some are questioning the value of this for the average clinical surgeon. Contrary to the prevailing wisdom, there is no evidence that a resident who is dragged kicking and screaming through a clinical research project or ...

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Recently someone asked me how I started my blog, Brave Enough. The person, a physician, wondered how I made the jump from safe, traditional academia into the world of social media and blogging about women empowerment. “Did you have one moment? Did something happen? What was it?” The conversation made me reflect, as I have been, for several weeks. Like most things, my introspection ended up as words in my journal. Then, words in a ...

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"A teacher affects eternity; he can never tell where his influence stops." - Henry Adams Mrs. Jones (identifying information changed) is a vibrant woman in her eighties who has been admitted to the hospital with swallowing problems and a fever. The CT scans show some swelling next to one of the major blood vessels and our team has been asked to see her and decide if she would benefit from surgery. She ...

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Kang Se-hoon, a surgeon in South Korea, operated on a popular rock singer and song writer in October 2014. According to reports, Shin Hae-chul had abdominal pain, and the surgeon performed laparoscopic lysis of adhesions. Without having obtained consent, he decided to also do a weight reduction procedure. The patient was discharged a few days after surgery but returned a day later with fever and severe abdominal pain. Kang did not ...

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Recently, I attended a conference on social media. The conference was geared towards health care professionals who had a product they wanted to perfect and promote. In speaking with some of these participants, many of whom were physicians, I realized they had no clear marketing plan.  Although a clear and concise marketing plan would help sell their product, I understood that they were working full time and their product was ...

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I was in my surgical residency back in the days of "you can go home when the work is done." A few years before I arrived as an intern, one of my attending surgeons had decided he was going to jump on the trauma train. Trauma was in its infancy back then, and he was convinced (and rightly so) that patients could be greatly helped with this relatively new concept ...

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It was a twilight summer game, and I was parked as usual in right field among the weeds and snake holes. There was no outfield fence, so muffed balls could roll forever. Not gifted with athletic skills, I also had a secret problem. I was blind as an especially myopic mole rat and couldn't even see the second baseman. This would be discovered five years later. I knew one thing ...

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The common critique of surgeons from their medical colleagues is the scant amount of time spent with their patients. As the argument goes, surgery is more impersonal than other specialties and those who practice it see their patients in one dimension. In some sense, they aren’t wrong. For those who wield the scalpel, speed and efficiency are a priority. It's a philosophy perfectly illustrated during morning rounds, the daily tour of patients ...

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A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. If you have not yet heard about Assembly Bill (AB) 3087, a bill that was presented in the California State Assembly this spring, you should keep reading and be very concerned. This bill, introduced by Assemblymember Ash Kalra (D- San ...

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In February 2017, I saw my last patient and left clinical medicine. Most people would say I retired. I have chosen to say I have repurposed. I no longer see patients, but I still work. I am writing the Doctors Guide series of books, keeping up a blog and working with physicians who need help with a financial makeover, usually to eliminate their debt, set themselves up for retirement or ...

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