Physician

The process of career transition can be confusing. It doesn’t have to be.

Physician
March 17, 2023

For physicians, the process of career transition can be overwhelming. With the potential to take you out of your comfort zone and into uncharted waters, it’s understandable why Physicians feel apprehensive when it comes to transitioning into a new role or environment.

Understanding what steps would best fit one’s situation as they progress through their career is essential for creating a successful outcome. As a coach that specializes in guiding medical …

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Breaking the cycle of misery in medicine: a practical guide

Physician
March 17, 2023

Presently, two-thirds of all physicians are demoralized and experiencing a less than satisfied work experience for a number of reasons other than it being “our fault” (please do not let them call it “burnout”). The future of finding happiness in practicing primary care medicine does not appear to be promising.

The combination of more complicated medical problems in addition to an increased volume of older patients on the horizon and less …

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Fixing the broken system: Improving clinical documentation in health care

Physician
March 16, 2023

Imagine you found your dream home and hired an inspector to check it out. They walked around for an hour, kicking the tires on the furnace, taking pictures of the roof, peering up the chimney. In the end, they informed you they were done. You ask, “When will I get the report?” They reply, “What report? You hired me to inspect it. A report would be an undue burden.” Wouldn’t …

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Why our quest for self-improvement is failing: Uncovering the immunity to change in health care

Physician
March 16, 2023

I signed up for yet another program in my relentless quest for self-improvement (and perhaps recovery from decades of physician hood). This one features Dr. Lisa Lahey, co-author of Immunity to Change.

This is my second encounter with the book (when the student is ready the master will re-appear?) in which she and her co-author, Robert Kegan, lay out a model to uncover “the disjunction between understanding the need for …

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Resetting the doctor-patient relationship: Navigating the challenges of modern primary care

Physician
March 15, 2023

For some, it may seem strange to think of the doctor-patient interaction as a relationship. In the most basic sense, a relationship is a connection; it is how two or more people or groups regard and behave toward each other. Relationships are not static – they are influenced by an ever-changing social, cultural, and political environment. They must try to adapt or risk tension and strife; the doctor-patient relationship is …

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Paddle your way to wellness: Navigating the whitewater of medicine and finding balance on the water

Physician
March 14, 2023

Whitewater paddlers make it look easy—staying upright in raging waters, navigating huge swells, and leaning and cutting at the right time to avoid dangerous obstacles. And when they do flip upside down, they can pop themselves right back up. It’s a marvel. But no matter how expertly they paddle, they always have to respect the power of the water. They can make careless and costly mistakes when they let their …

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Fostering the next (diverse) generation of clinicians

Physician
March 14, 2023

As a medical student, I never saw myself as a future CEO or anything close. I was often the only Black person in the room in classes and rotations. After I became an attending, I spent a great deal of time and mental energy fitting in. Speaking up and having opinions were luxuries I couldn’t afford, let alone aspiring to leadership.

What made a difference? Having a mentor.

My mentor, Wes Curry, …

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From grief to gratitude: How writing changed my life

Physician
March 14, 2023

Dan died, and I became a writer. I didn’t know it, but I did. Back then, I wrote one story, almost by accident, trying to make sense of my personal chaos. That essay chronicled a small-town doctor losing a beloved middle-aged friend who was rapidly fading from pancreatic cancer. It felt like being dropped into a horrible Lifetime movie come to life, where one day in August 2016, Dan developed …

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Beyond textbooks: the importance of empathy in medicine

Physician
March 14, 2023

An excerpt from All Bleeding Stops.

Megan continues to take his blood pressure every few minutes. With growing tenderness Denis watches her fidgeting with the IV, biting her lip, eyes flitting from one machine to the next, desperately seeking the reassurance she knows will never come.

She thinks she’s not a good doctor because she hasn’t memorized enough textbooks or performed enough …

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Unintended consequences of Health Care Quality Improvement Act: a violation of physicians’ civil and constitutional rights

Physician
March 13, 2023

The Black Lives Matter and Me Too movements, as well as the Human Rights Campaign for the LGBTQ+ community, are a few examples of where American democracy and values have triumphed in restoring dignity and civil and constitutional rights to marginalized individuals. Although much work remains to be done, the enlightenment brought about by these movements will undoubtedly continue to strengthen American democracy. However, it is concerning that during the …

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Healing from the pandemic: a journey to recovery

Physician
March 13, 2023

While it appears we are on the downhill slope of COVID-19’s integration into everyday life, burnout rates are rising, and organizational trust is taking a nose-dive. Aren’t we supposed to be in the post-disaster recovery phase? What is the bottleneck holding us back from moving toward our new horizon? On the surface, issues like operating losses, staffing shortages, and scarcity of supplies appear to be a few of the big …

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Be like Mike (Jordan) and build your personal doctor brand

Physician
March 13, 2023

Gatorade’s commercial featuring Michael Jordan from 1992 and its catchy song, “Like Mike,” is now part of pop culture history. The lyrics were likable. “I dream I move, I dream I groove, like Mike, if I could be like Mike, oh if I could be like Mike.” Let’s face it, growing up, many of us dreamed to be like Mike. As their first athlete endorser, Michael Jordan elevated the Gatorade …

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The paradox of health IT: Improving care, impeding communication

Physician
March 12, 2023

Advancements in health IT have created ease and efficiency in delivering health care that has never been seen before. Electronic ordering and prescribing have reduced medication errors from misinterpreting handwritten information. The interoperable transmission of critical patient history, lab work, and digital imaging from one hospital to another has reduced costs and unnecessary extraneous tests. Virtual care and telehealth utilization during the COVID-19 pandemic has revolutionized how patient encounters are …

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The fight for reproductive health: Why medication abortion matters

Physician
March 11, 2023

As an OB/GYN, I know that medication abortion is safe, commonly used, and effective. Women’s rights, family building, and abortion are recognized in many international human rights documents. The United Nations’ 1966 Human Rights Treaty states that all people have a right to the highest attainable standard of health. The ability for someone to choose when and if they want to have a child is the basis of the Reproductive Justice framework and is paramount …

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The collaboration between radiologists and clinicians for optimal diagnostic outcomes

Physician
March 11, 2023

When I was doing my transitional year in internal medicine, I was essentially bullied for going into diagnostic radiology by my co-residents and the internal medicine attending doctors I worked with. They used to tell me that my “forever job” would be to sit on a chair in a dark room and dictate “correlate clinically” all day long. And I would immediately argue: No! That’s terrible! I would never do …

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A hands-off approach to medical exams is potentially deadly

Physician
March 11, 2023

My mother passed away in early December. She had been battling Alzheimer’s disease for several years. Her communication was poor due to the disease. The caregivers in the memory care unit where she was located stated that she had been vomiting the night before her death. The next morning, she was moaning, and they believed she was in pain. An ambulance was called, and she was taken to the local …

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Shopify’s meeting policy for health care: a game changer for providers and patients

Physician
March 10, 2023

We’ve all been there, sitting in a virtual meeting, our eyes glaze over, and our minds wander as yet another PowerPoint slide drones on. The experience can make even the most dedicated health care professional question the value of meetings altogether.

But in health care settings, meetings can be a matter of life and death. Physicians and health care administrators are tasked with managing complex care teams, staying up-to-date on …

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The reality of health care workers in the pandemic: burnout, overwork, and inadequate support

Physician
March 10, 2023

“We appreciate your tireless efforts in these difficult times.”

Eyeroll. No, you don’t. I don’t need another meeting or committee. I don’t need a “Burn-Out Committee Action Plan.” I don’t need a “token of appreciation”— a pair of socks? (Really? How much did that cost?) I don’t need another seasoned and respected nurse leaving to travel and make bank or going to some made-up administrative role. I don’t need to come …

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The benefits of facing mortality: How Bruce Springsteen and other rock stars prove productivity can increase with age

Physician
March 10, 2023

According to Chris Jordan, a New Jersey shore native who writes about music and entertainment, Bruce Springsteen and the E Street Band performed “like their lives depended on it” when they recently kicked off their 2023 tour in Tampa, Florida early February. The tour will keep the 73-year-old Springsteen on the road for six months, playing a total of 62 concerts, proving that mortality can be a …

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Physicians in crisis: the battle for autonomy and happiness in a broken system

Physician
March 9, 2023

What’s one of the biggest complaints we physicians have about the current state of our jobs? It’s that we’ve lost our autonomy, that it has been taken from us by a health care system more focused on profits than on the well-being of patients and ourselves.

As a physician, you know firsthand how dysfunctional health care has become. There is abundant evidence that the modern health care system is more than …

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CME Spotlights