Posts filtered by tags: Hospital-Based Medicine[x]


 

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


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


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


By jeopardizing privacy, did this physician meet patient satisfaction goals?

An excerpt from Under the Collar: Frank Conversations about Healing that Harms: Simply Speaking. Hospitalist Nigel admitted elderly Ms. Mann who had developed dehydration after several days of unrelenting nausea and vomiting. Respecting patients’ privacy, Nigel asked Ms. Mann to name the individuals with whom the team could disclose her medical course and treatment. Ms. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Nigel, Mann, Physician, PA NP, Hospitalist, Ms Mann, Hospital-Based Medicine, CRNA


Medical facilities: Please keep your immune-deficient patients safe

“Go have a seat,” the receptionist at the imaging center told me, gesturing to the waiting room. It was a close, poorly ventilated space, and several of the chairs were already occupied. I turned back to the receptionist. ”I have a primary immune deficiency,” I patiently explained. “I spoke to the scheduler about this. She said […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Patient, PA NP, Hospital-Based Medicine, Allergies & Immunology, CRNA


My 10 Commandments of a Servant Leader

I have seen great leadership and bad leadership. As a leader, I have also made my share of mistakes, and I am sure I will make more. When I do, I will immediately take ownership of it, learn from it, and do all I can not to make the same mistake. However, there will be […] 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, Hospital-Based Medicine, CRNA


In gratitude to our nation’s residents [PODCAST]

“Most residents are young, often in their mid to late 20s, having spent years ensconced in libraries, research labs, and classrooms learning pathophysiology and pharmacology. Upon graduation from medical school, they are now drafted to the front lines of a generational pandemic, working long hours, often in cities where they are strangers (the process of […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, PA NP, Hospital-Based Medicine, CRNA


We must address glaring disparities in treatment [PODCAST]

“It is not enough to say we are anti-racist; we have to modify our systems to recognize that we have placed individuals of color at risk of poorer outcomes.  Lack of insurance, lack of finances, or even the presence of certain diagnoses may reflect less about the person and more about our society, our infrastructure, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Emergency Medicine, PA NP, Public Health & Policy, Hospital-Based Medicine, CRNA


When it comes to medicine, what kind of practice makes perfect?

The old saying that says “practice makes perfect” is a basic rule taught to every resident starting their training. The follow-up questions that pose themselves: Is it true? How much time does it need to become perfect? What type of practice? Time was answered partially by the journalist Malcolm Gladwell and his famous 10,000 hours […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Malcolm Gladwell, Physician, PA NP, Hospital-Based Medicine, CRNA


For the love of baseball and music: a Boston Hope Music story

After entering Gate D at Fenway Park, John had his temperature taken and verified that he was symptom-free. As he rounded the corner, his friend heard him whisper through his mask, “I think this is real.” He was referring to the calming sounds of a string trio emanating from the concourse, next to the FIELD […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, Hospital-Based Medicine, CRNA, COVID-19 Coronavirus, Boston Hope Music, Fenway Park John


The rise and fall of Hahnemann University Hospital

In March, thousands of medical students received their residency match results. For most specialties, match rates for graduating U.S. MD seniors have typically remained above 90 percent. This almost certain job security is what allows most medical students to consider taking on astronomical amounts of student debt. The individualist message is clear throughout medical school: […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Hahnemann University Hospital, Physician, PA NP, Public Health & Policy, Hospital-Based Medicine, CRNA


Doctor, am I going to make it?

Never have I ever had to rely on my communication skills as much as I have as a physician in the pandemic of 2020. My eyes, however, were not taught those skills. There are pillars in medicine, communication guidelines, and lessons in empathy — all things we learn in our training. I can’t say that […] 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, Hospital-Based Medicine, CRNA, COVID-19 Coronavirus


End the draconian hospital visitation policies during COVID-19 [PODCAST]

“At the start of the pandemic when hospitals were overrun, testing and PPE were scarce, and unknowns about COVID-19 transmission abound, such restrictions were reasonable, perhaps even essential. But we have made progress since then; most hospitals test most if not all admitted patients for COVID-19; most Americans own a mask, and hospitals are able […] 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


When your future steals your present

My whole life has been leaping from one goal to the next.  As far back as I can remember, I always had goals.  Later in life, after practicing for a while, academic and career goals shifted to financial goals. But goals nonetheless.  I never gave myself a chance to not have any goals, to just […] 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, Hospital-Based Medicine, CRNA


Congratulations, you matched! Now what?

One of the best feelings medical students must have is the day they match into a residency training program. This day will end an era and starts another. During those few months before July 1st, all medical students go through this phase of mental transitioning from the medical student to the resident. This transitioning process […] 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, Hospital-Based Medicine, CRNA


Did TIME’S UP Healthcare give false hope to female health care workers?

I do not usually write on this subject. I avoid talking about it also. Not because I do not have what to say but rather because of numerous disturbing memories and experiences since childhood that I intentionally avoid remembering. Events of the last week involving Time’s Up Healthcare pushed me to write this text. I […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Time, Healthcare, Physician, PA NP, Hospital-Based Medicine, CRNA


Can science tell doctors what to wear?

In 2002, two Stanford dermatologists published a study in which they sent a questionnaire to a week’s worth of patients, asking them their preferences for how medical providers dress. The study covered relatively new ground. Two of the four references were the 1970s best-sellers, Dress for Success, and The Woman’s Dress for Success Book. The […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Stanford, Primary Care, Physician, PA NP, Hospital-Based Medicine, CRNA


Patients are deserving of our best effort and most compassionate care. Every time.

She began telling me the same “sob story,” but this time, I looked at her and coldly said, “Mrs. _____, you are going home. I don’t care what you have to say; you are leaving today. I need the bed for someone else.” She began crying. I walked out without saying another word and wrote […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, Hospital-Based Medicine, CRNA


Samuel Shem, MD on how can we put the connection back into medicine [PODCAST]

“There is a frenzy of trying to use technology to re-establish the healing human connection in the doctor-patient interaction. These efforts range from advanced transcription of voice-to-record, scribes who do the data recording during a patient encounter, and so on. The IT department at NYU Grossman Medical School, where I teach, worked with the dominant […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, PA NP, Samuel Shem, Hospital-Based Medicine, CRNA, NYU Grossman Medical School


How residents can create a positive clinical learning environment [PODCAST]

“For me, the team room became a safe space filled with light, stories, laughter, and food. There, my residents helped me read CT scans, interpret CBCs, come up with the differential for bradycardia, and organize my oral presentations. My residents gifted me confidence, advice on the third year and specialty selection, and Dr. Pestana’s Surgery […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Podcast, Residency, Pestana, PA NP, Hospital-Based Medicine, CRNA


Have stethoscope, will travel

Although it was midwinter, the air coming in through the front windows of the Nissan Versa was balmy.  The radio was tuned to a local station.  It was playing Air Supply’s “Out of Nothing at All.”  This is one of those songs you turn the volume up and allow yourself the one brief moment of […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Nissan, Physician, PA NP, Hospital-Based Medicine, CRNA


The times we need to be reminded why we went into this profession

Years ago, I watched an interview on TV with nurses who cared for a man dying of Ebola. Their words and actions continue to ring as true today during the ongoing coronavirus pandemic as they did then. Their compassion deeply moved me for this man dying a horrible death. They did all they could for […] 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, Hospital-Based Medicine, CRNA


The impact of current work hour restrictions and OSHA misclassification on house staff health

Over 100,000 medical and surgical resident physicians and fellows (combined, “house staff”) are the first-line physicians for most patients in the nation’s 1,100+ teaching hospitals. Maximum weekly work hours regulated by the Accreditation Council for Graduate Medical Education (ACGME) are colloquially cited to be 80 per week. Notably, however, they are 80 hours averaged over […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, OSHA, Residency, PA NP, Hospital-Based Medicine, CRNA


In gratitude to our nation’s residents

Of all the unsung heroes of this plague-time, perhaps those who have endured the most are resident physicians. After graduation from medical school, resident doctors spend three to seven years in intensive specialty training before they can practice independently. Residency is a vestige of apprenticeships from a bleaker past. It is chapter in life when […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, Residency, PA NP, Hospital-Based Medicine, CRNA


Experiences in racism of a female resident physician

I am tired. I am tired of you telling me how to respond to racism. I’ve experienced racism and microaggressions as a brown woman my entire life. You have been trying to control my response for just as long. Stop. In high school, when another student told me to “go back to Africa” and I […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Africa, Physician, PA NP, Hospital-Based Medicine, CRNA


Black physicians are tired of paying the minority tax

Here’s a controversial phrase for a doctor to say that needs to be normalized: “I am tired.” As a physician, working oneself to exhaustion for our patients is often seen as a sign of strength and even heroic.  As a rare Black male in medicine in the midst of a pandemic that is ravaging patients […] 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, Hospital-Based Medicine, CRNA


A physician’s lonely New Year’s eve

The roads are dark and empty at 6:15. Passing through downtown, animated reindeer “fly” through the air in lights on the side of a skyscraper. At the end of the truncated commute, I snag a spot on the second floor of the parking garage—typically rare but plentiful today. In the hospital’s lobby, I pass the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, Hospital-Based Medicine, CRNA


Grief during the pandemic 

With this third surge and our ICUs at zero capacity in Los Angeles, I spent  New Year’s Eve alone at my apartment, recovering from a wards rotation I had completed the night before. No revelry or celebration for me this year.  For months, this virus has been wreaking havoc on our lives and slowly,   then […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Los Angeles, Infectious Disease, Conditions, PA NP, Hospital-Based Medicine, CRNA, COVID-19 Coronavirus


Why some patients refuse care

Vince Hamilton has no legs. For that matter, he has lost the tips to most of his fingers as well.  It made opening soda cans almost impossible.  So when I saw him for the first time, my immediate reaction was one of sympathy. He had been admitted from a nursing home with a swollen red […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Diabetes, Conditions, Cardiology, PA NP, Hospital-Based Medicine, CRNA, Vince Hamilton


This looks a lot different from the trenches: from consulting to the COVID ward

As a young and optimistic business school graduate, I recall when the consulting firm I worked for was retained to evaluate “USA Hospital and Medical Clinics” (pseudonym). “USA” had grown quickly and was struggling to manage the recent expansion. We interviewed doctors, nurses, and medical assistants, and they told us about the problems they faced […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Policy, Practice Management, PA NP, Hospital-Based Medicine, CRNA, USA Hospital