KevinMD.com - Medical Weblog


 

How this physician escaped the system [PODCAST]

“If you are happy with where you are in the current system – that is wonderful, continue what you are doing. However, if you are feeling trapped, frustrated, or like the work you are doing is no longer meaningful, then there are plenty of opportunities for you to get out of the system. Start looking […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Primary Care, PA NP, CRNA


Winning at parenting without losing yourself

An excerpt from The Working Mom Blueprint: Winning at Parenting Without Losing Yourself. My husband and I ordered a special celebratory dinner the night my first book was published. It was an important professional milestone for me, and I was proud of all the hard work it took to get to that moment. “Come on, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pediatrics, Physician, PA NP, CRNA


5 tips to become a millionaire

1. Setting up automatic investments. The vast majority of young millionaires achieved their financial status by investing money. Unless they are a celebrity or were born into a wealthy family, they had to be diligent about investing money either in the stock market, a business venture, or real estate. You must do the same. One […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Finance, Practice Management, PA NP, CRNA


A student’s volunteer experience at a mobile outreach clinic

In my junior year of high school, I applied for and went on an educational mission trip to the Dominican Republic. Being the son of Uruguayan immigrants, I felt at home in the rural setting while my many classmates marveled at their first view of a culture different from theirs. On that trip, my ability […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Primary Care, PA NP, CRNA, Dominican Republic Being


Responding to the COVID pandemic: a lesson in coalescence [PODCAST]

“When faced with an existential crisis, any organization, as large as a nation or as small as a marriage, will go one of two ways. Either it will bond together, coalesced in a common purpose, or it will collapse in a spasm of blame and shame. While our health care institutions displayed the inestimable value […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Infectious Disease, PA NP, Hospital-Based Medicine, CRNA, COVID-19 Coronavirus


The story of a heart transplant in a 1-year-old, as told by his mother

An excerpt from Nick’s New Heart: 30 Years and Counting. In January of 1991, at twenty-two months old, Nick had another heart catheterization. Andy and I had started thinking about the next stage of surgery to finish the heart repair. Just before Nick was discharged, I discussed it briefly with Dr. Kanter. “Tell me when […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Patient, NICK, Andy, Kanter, Cardiology, PA NP, CRNA


A transformative year for GME recruitment: How the process has changed forever

The 2020-2021 GME recruitment season was transformative. While it was full of new and old challenges for stakeholders, the impact of the first-ever entirely virtual recruitment season will be substantial and long-lasting. Before COVID-19, the long-standing process of in-person interviews was considered “sacred” by many. But this system was simply not possible during a global […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Medical School, GME, Residency, PA NP, CRNA


The health care documents needed at each stage of life

If your 85-year-old mother was rushed to the hospital, would you be able to get the information you need about her condition from the doctors treating her? If your college-age son showed signs of severe depression, could you talk to his therapist? What if your spouse or partner was in a car accident? Would you […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Primary Care, Physician, PA NP, CRNA


Gender disparities in medicine: How popular literature mirrors society [PODCAST]

“Coffee in hand, I decided to try and collect my thoughts. I realized that a large portion of the literature we grew up reading has in many ways tried to implant this subconscious bias that contributes to gender disparities and these ideas about women that have continued to ruminate throughout parts of society to this […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, PA NP, Public Health & Policy, CRNA


The tragic dance of the vaccine rollout

You would think that the vaccine rollout wouldn’t be so difficult. We had some brilliant scientists who raced against time and developed novel vaccines with technology never used before. Both Pfizer and Moderna used unique mRNA technology. The vaccine is administered into your arm muscle and enters your muscle cells. The mRNA instructs your muscle […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pfizer, Infectious Disease, Conditions, PA NP, Moderna, CRNA, COVID-19 Coronavirus


Metric shock: the unintentional consequence of measuring

Health care in U.S. hospitals is suffering from three under-recognized conditions that I will refer to as “Metris,” “Severe Metris” and “Metric Shock.” Metris occurs when a health system begins to focus more on achieving certain metrics than on improving actual patient care. Severe metris occurs when pressured providers begin to base their clinical decisions […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Metris, Primary Care, Physician, PA NP, Hospital-Based Medicine, CRNA


Paid parental leave is long overdue

Recently, President Biden introduced legislation that would provide federal funding for paid parental leave for all parents for up to 12 weeks. As a pediatrician and hopeful soon-to-be parent, I am ecstatic. The American Academy of Pediatrics (AAP) has long advocated for a minimum of 12 weeks of parental leave to promote the health and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, Biden, American Academy of Pediatrics AAP, PA NP, Public Health & Policy, CRNA


A nurse is to a patient what a mother is to a child

I was on inpatient service and had already seen most of the patients on my list. I just had to see one more before I could call it a day and rush out just in time to take my daughter to her tennis lesson. I reviewed the patient’s chart to find out that her cancer […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Nursing, Physician, PA NP, Hospital-Based Medicine, CRNA


The next impending health crisis for families

For over a year, I have watched and witnessed the multitude of ways that COVID has ignited crisis after crisis in our country and across the world. At first, the crisis of the unknown and the ill-prepared – we as health care professionals did not know what we were dealing with, nor did we even […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Infectious Disease, Conditions, PA NP, CRNA, COVID-19 Coronavirus


How reviewing medical malpractice claims made me a better gastroenterologist [PODCAST]

“When a patient is dissatisfied with his or her care, he or she can consult an attorney, who will enlist a physician ‘expert’ to determine if a doctor has deviated from the standard of care and whether that deviation caused a negative outcome. Over the past decade of reviewing cases involving medical malpractice, I have […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, Gastroenterology, PA NP, Malpractice, CRNA


A plea for help from the front lines of the COVID-19 pandemic

I am a palliative care physician in a hospital in our nation’s capital region.  Like most urban hospitals, ours has been hit particularly hard by the COVID-19 pandemic.  My colleagues and I are exhausted and emotionally devastated.  We are not alone.  Yesterday I learned a friend of mine from medical school, a selfless and compassion-driven […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Infectious Disease, Physician, PA NP, CRNA, COVID-19 Coronavirus


Doctors’ mental health: Don’t wait until it’s too late

One of our most talented residents committed suicide during my psychiatric training. I remember relaxing with him in a VA hospital call room several months before his death, laughing together at some of the idiosyncrasies of our unit attending. He opened up to me about his doubt in his choice in psychiatry and how he […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Physician, PA NP, CRNA


Why crying in medicine has made me a stronger, not a weaker, physician

Balding, pale as a ghost, thin and frail, a protruding swollen abdomen. She walks in slowly and unsteady, with her family in tow, and is shown to her exam room. I am the medical student working that day with a surgical oncology attendant, a behemoth in his field. They have come here specifically, from states […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pediatrics, Physician, PA NP, Oncology/Hematology, CRNA


Using nano “couriers” to deliver PKD drugs to just the right address

The term “mRNA lipid nanoparticle” has become common of late, given the use of Pfizer/BioNTech’s and Moderna’s COVID-19 vaccines make of nanoparticles to carry mRNA into cells. Once inside a cell, the mRNA instructs the cell to make pieces of the proteins that make up the SARS-CoV-2 virus, a process called “translation.” In so doing, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pfizer, Infectious Disease, PKD, Conditions, PA NP, Moderna, CRNA, COVID-19 Coronavirus


Rest in peace, primary care [PODCAST]

“The corporatization of medicine has destroyed primary care as a specialty. The primary care physician is supposed to be your go-to doctor, your advocate, the coordinator of your health care. Now that corporations buy out hospitals and private practices in an almost predatory fashion, the priority is turning a profit for the corporation at the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Primary Care, PA NP, CRNA


Tenacity in children and the 7 instincts

An excerpt from Tenacity in Children: Nurturing the Seven Instincts for Lifetime Success. Did you ever wonder why babies quickly develop a social smile and look you in the eyes? Is it surprising to learn that the muscles in your ears are set within the range of women’s voices at birth or that babies prefer […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Pediatrics, Conditions, PA NP, CRNA


Physicians should heal themselves first

I was trained in delivering bad news. I knew what to expect. I knew the questions that would come. I have learned the stages of grief. More importantly, I had done this before many times in the past 15 years. This is my job and my responsibility, I told myself. I got to work earlier […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Primary Care, Physician, PA NP, CRNA


A patient’s perspective on genetic testing

I was sitting in a cold hospital room next to my husband, anxiously clutching his hand. The genetic counselor across from us withdrew a piece of paper from a white envelope and placed it on the table. She knew we were anxious to hear the results, so she got right to the point. “You have […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Genetics, Patient, PA NP, CRNA


Bloated notes are a huge problem and a time suck

In a moment of caffeine-depleted delirium, I volunteered to head the creation of a “notes committee” for my 80-member hospitalist group. I placed myself on a 72-hour hold and quickly established a group consensus: “Bloated notes are a huge problem and a time suck. I’m glad you [rather than me] are working on this. My […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Primary Care, Health IT, Physician, PA NP, Hospital-Based Medicine, CRNA


End-of-life conversations: Embrace the responsibility [PODCAST]

“For physicians who lack experience in end-of-life counseling, the process can be daunting at the beginning. However, they can be confident that once they have obtained the proper training, preparation, and experience, these conversations will be among the most fulfilling of their careers. By regarding end-of-life planning as a shared responsibility, physicians can become more […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Palliative Care, PA NP, CRNA


Social math is key to J&J vaccine hesitancy

United States health officials have lifted the 10-day pause of the Johnson & Johnson (J&J) COVID vaccine. This pause dealt a devastating blow to the nationwide vaccination effort. The seven-day moving average of vaccinations in the U.S. peaked right before the pause, and has been trending downward. Fear of developing blood clots is adding to vaccine hesitancy. Moving forward, how can […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, United States, Infectious Disease, Conditions, PA NP, CRNA, COVID-19 Coronavirus, Johnson Johnson J J COVID


The COVID-19 tragedy in India: a caution to other countries

You have seen those harrowing pictures.  Patients dying outside the hospitals while waiting for a bed.  People on oxygen masks gasping for air-sharing beds. Dead bodies piling up in morgues. Overstretched crematoriums and burial grounds.  COVID has hit India very hard in April 2021. This is the second wave of disease in the country. They […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, India, Infectious Disease, Conditions, PA NP, CRNA, COVID-19 Coronavirus


Reflections of an aging physician

A guest column by the American College of Physicians, exclusive to KevinMD. I recall with crystal clarity the day I finished my residency training and thinking to myself that at that point in time, I probably knew the most medicine I ever would. Fast forward to today after many, many years of clinical practice, and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, American College of Physicians, Primary Care, Physician, PA NP, CRNA


A pediatrician’s approach to vaccine hesitancy in a pandemic

I feel privileged to have received both of my COVID-19 vaccine doses. Although, despite the COVID-19 pandemic killing over 562,000 Americans, 37% are hesitant about receiving this vaccine themselves. The World Health Organization defines vaccine hesitancy as a “delay in acceptance or refusal of vaccines despite availability of vaccine services” and in 2019, named vaccine […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, World Health Organization, Infectious Disease, Conditions, PA NP, CRNA, COVID-19 Coronavirus


Falling in love during a pandemic: a medical scribe’s story [PODCAST]

“Nowadays, I go on long walks through the city alone. I make dinner for one. When I go on bike rides, it’s a solo activity. I find comfort in myself, slowing down and making every small occasion a simple, peaceful one. I have a stronger sense of self, and through that, I have rekindled the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Infectious Disease, PA NP, CRNA, COVID-19 Coronavirus