Physician

The escalating violence in health care workplaces: a critical problem facing the nation’s health care system

Physician
June 2, 2023

The recent shootings at an Atlanta medical facility that left one dead and four seriously wounded are just the most recent, widely published event documenting the accelerating violence occurring in the nation’s health care workplaces.

Violence within our health care workplaces has been a steadily rising and critical problem over the past decade – now further fueled by issues such as fallout from the COVID pandemic – including a political-issue-motivated …

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Is chaos in health care leading us towards socialized medicine? How physician burnout is a catalyst.

Physician
June 2, 2023

A recurring theme expressed by many contributors and commentators to KevinMD is physician burnout.

It is generally accepted that chaos causes burnout. There is no shortage of chaos in the practice of medicine: emotional, physical, personal, professional, and political stresses, not to mention the threat of lawsuits and the cost of liability insurance. This is just the shortlist. There is also no shortage of adjustments that doctors make in response.

It is …

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Why allowing yourself to embrace discomfort is necessary for personal growth

Physician
June 1, 2023

Life coach and author Martha Beck’s 4-Phase Change Cycle begins with Phase 1: “Death and Rebirth.” Martha’s blog contains the Phase I Mantra: “I don’t know what the hell is going on … and that’s OK.”

Many of us try to skip Phase 1. It’s uncomfortable. It’s painful. And, it’s necessary.

I finally accepted the value of Phase 1 after years of trying to jump into Phase 3 of Martha Beck’s Change …

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Unconventional health care, flawed studies, and biases: Navigating the complexities for optimal well-being

Physician
June 1, 2023

When I speak with my less “crunchy” peers, I encounter a considerable amount of resistance to ideas that have initially gained traction in naturopathic or integrative spaces: food as medicine, making “non-toxic” swaps, meditation, or reiki, to name a few.

As humans, we certainly love a good us vs. them mentality, tribalism and all.

But the reality is, many of us have witnessed harm inflicted on patients who sought care in less …

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Finding your ideal work-life balance: tips for prioritizing personal life and achieving professional success

Physician
May 31, 2023

Recently, someone mentioned that the whole work-life balance issue is overrated. They argue that they have enjoyed focusing on academics and work most of their life and feel very satisfied despite the lack of balance. There was also an assertion of a happy family life despite that so-called lack of balance.

That point is well taken, but the work-life balance is subjective, and everyone has their own preferences and priorities in …

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Boxing legends Tyson and Foreman: powerful lessons for a resilient and evolving health care future

Physician
May 31, 2023

The extraordinary stories of Mike Tyson and George Foreman, two esteemed boxers who’ve shaped the sport’s landscapes, are peppered with life lessons extending far beyond a boxing ring’s confines. These lessons, borne out of sweat, determination, and a relentless drive to rise above adversity, apply to various sectors, including the often challenging and constantly evolving health care field.

One key lesson from Tyson’s remarkable journey is the sheer power of resilience …

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7 ways to beat burnout: a guide for health care professionals to reduce stress and reclaim their passion

Physician
May 31, 2023

The burnout bags health care professionals carry are enough to tip the scales of any airline. And just like the fees airlines slap on oversized suitcases, the costs for health care workers are at an all-time high. Staffing shortages, increased patient loads (both their own and those they supervise), medicine costs, resource shortfalls, and everyone’s favorite bag- the never-ending administrative burdens all add to the weight.

The cost? While a distinct …

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Heartwarming stories of cancer patients teaching us about life and the human spirit

Physician
May 30, 2023

I felt uneasy starting my oncology and leukemia rotations. These patients were so sick, and many of them had incurable cancer, often just weeks or days away from death. I wondered how I could help them, what we could do if we couldn’t treat their cancer. I’m grateful that these patients taught me not just much about how we can always help our patients and support them but also much …

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We need a new Hippocratic Oath that puts patient autonomy first

Physician
May 30, 2023

May is the month most American medical students finally see four years of grueling work bear fruit. Most U.S. medical schools hold commencement exercises in May, conferring “doctor of medicine” degrees in elaborate ceremonies. During these ceremonies, graduates recite oaths inspired by the 5th-century B.C. oath of Hippocrates of Kos, the “father of medicine.”

In the mid-20th century, medical schools began administering modernized …

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The meaning of death in medicine: the role of compassionate care in end-of-life patient care

Physician
May 30, 2023

Death is an inevitable part of life, and in medicine, it is a topic that is frequently encountered. As medical professionals, we see patients who are faced with terminal illnesses and inevitably nearing the end of their lives. Dealing with death can be a daunting task, and it’s a topic that requires sensitivity, empathy, and compassion.

At the forefront of end-of-life care are the principles of compassionate care. It is about …

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How can there be joy in medicine if there is no joy in Mudville?

Physician
May 29, 2023

The following article is part satire and part imagination.

The classic poem “Casey at the Bat” delves into the dashed dreams of 5,000 frenzied fans who gathered to watch the “Mudville Nine” play baseball, pinning their hopes on their star player, Casey. Do they have unrealistic expectations of Casey, or is his prowess over-hyped? And what implications does this time-honored poem have for medical practice?

Parables – short stories that teach a …

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Physician entrepreneurs offer hope for burned out doctors

Physician
May 29, 2023

As I leave a conference organized for a group of physician entrepreneurs, I have so many thoughts running through my head. Some of these thoughts revolve around making my small, fledgling medical practice run more smoothly, reaching more people (and serving them better), and always remembering my why. These are the “business mastermind” skills I signed up to learn at the conference. But I may have come out of this …

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The hidden factor in physician burnout: How the climate crisis is contributing to the erosion of well-being

Physician
May 28, 2023

Anyone who practiced medicine in the past decade will be well acquainted with the myriad discussions about epidemic of burnout and the eroding of well-being among health care providers that has accelerated with the pandemic. With 63 percent of physicians having at least one symptom of burnout and professional fulfillment dropping from 40 to 20 percent in 2021, there are no shortage of culprits. Increased workload, documentation, and administrative …

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Raw humanity on night float: inspiring patient encounters and overcoming challenges

Physician
May 27, 2023

Night float had always been this mythical monster to me, an intimidating prospect that conjured up some of my greatest fears about a residency rotation – jetlag, nocturnal clock, lack of continuity with patients or a day team, multiple pagers and multiple admissions every night. Maybe it was the uncertainty of the unknown that had seemed so daunting.

Somehow, after three admissions on my first night, I found myself still awake …

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Revolutionizing emergency medicine: Overcoming long-term challenges with innovative solutions for physicians and patients

Physician
May 26, 2023

My previous post on this topic described long-term cultural and organizational challenges facing emergency medicine (EM) that pose greater threats to the specialty than temporal challenges (e.g., overproduction of emergency physicians (EPs)). Some challenges are not remediable; they are inherent to the specialty:

  1. short-term patient relationships
  2. unpredictable workload/intensity
  3. frequent, rapid fluctuations of stressful and less-stressful periods

However, many detrimental aspects of EM can be substantially …

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The pediatric health care system tested to the limits: an inside look at the “at capacity” period during the tripledemic

Physician
May 25, 2023

Where should I begin when describing a period that seemed to have no end in sight? When we, as pediatric emergency department (ED) providers, felt like we were drowning in a tsunami of pediatric patients coming from every direction – from adult EDs needing to transfer seizing children for a higher level of care, from EMS coming in with apneic neonates, and from the endless supply of those from the …

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How chronic illness and disability are portrayed in media and the importance of daily choices for improved quality of life

Physician
May 24, 2023

An excerpt from Long Illness: A Practical Guide to Surviving, Healing, and Thriving. Copyright ©2023. Available from Hachette Go, an imprint of Hachette Book Group, Inc.

Let’s say that you have it all together: you are accepting your illness and it is enriching your life. Now turn on the TV, pick up …

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How biased language and stigmatizing labels affect patient care and treatment

Physician
May 23, 2023

During her treatment for acute leukemia, my friend Susan came to me for help and advice while she was in the hospital receiving chemotherapy. I also did her laundry. She went to one of the specialists at a major tertiary care center and had access to the lengthy consultation written by the oncologist. Susan had a career as a highly respected and much-loved elementary school principal in our county school …

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Emulating Michael Jordan’s winning mindset: a path to success for health care professionals and entrepreneurs

Physician
May 23, 2023

Michael Jordan, an iconic figure in basketball, is revered not only for his athletic prowess but also for his relentless dedication, perseverance, and strong work ethic. His career is filled with great lessons that apply universally, transcending the boundaries of sports. They are particularly relevant to health care professionals and entrepreneurs, two roles requiring a similar level of dedication, resilience, and a ceaseless hunger for growth and achievement.

Firstly, Michael Jordan …

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Reflections on 500 patients, unique cases, and making a difference in health care

Physician
May 23, 2023

As I reflect on my first year of residency, it’s hard to believe that I’ve cared for nearly 500 patients spanning across multiple departments; floor medicine, ICU, ER, neurology, cardiology, and surgery. I’ve had the opportunity to perform one central line placement, three intubations, ran a code blue, and performed CPR in both the ICU and the ER. Though these procedures may seem daunting, I learned that confidence comes not …

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