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


 

Carefully consider every aspect of the integration of AI into health care

AI, artificial intelligence, is all the rage right now in medical news media. And this has many practicing physicians, even medical students, concerned. Will AI make diagnose heavy specialties such as dermatology and radiology obsolete? Can AI give rise to new medical specialties? How many tasks traditionally done by doctors will now be handled by […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Tech, Health IT, Hospital-Based Medicine


The win-win solution for patient satisfaction

People are told by big media that doctors will probably hurt you and you will never see it coming.  They are told to stick up for themselves, be an advocate for your child/parent/dependent.  Ask for more tests.  They must be missing something.  Ask for more consults.  A second, third or fourth opinion must be better.  […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Physician, Hospital-Based Medicine, Pediatrics, Practice Management


The social isolation physicians face after they retire

Doctors by our nature do not handle idleness well. We value our vacations, of course. I never sought out a study to see if doctors vacationed differently than others. Some probably hang out someplace warm, others seek out the best eats of the place they are visiting, some cannot wait for the cruise ship to […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Physician, PA NP, Hospital-Based Medicine, CRNA


It is for these patients that the doctors at rural hospitals continue

Rural hospitals are closing their obstetric wards and stopping all obstetric services — at least those hospitals that manage to remain open at all. The tertiary care centers don’t seem to mind.Always wary of those rural hospital disasters in the middle of the night. Accepting transfers from a place where they must not have the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, OB/GYN, PA NP, Hospital-Based Medicine, CRNA


What’s happened to clinician empathy?

In 2006, the Mayo Clinic asked 192 patients an important question: What makes an ideal physician? From their responses, several characteristics emerged. Among the top criteria, they wanted doctors to be “personal,” “empathetic” and “humane.” This shouldn’t come as much of a surprise. Of course, we want doctors who relate to their patients as people […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Mayo Clinic, Primary Care, Physician, PA NP, Hospital-Based Medicine, CRNA


3 health tips to help busy physicians

Practicing medicine at the frontlines is hard. It’s damn hard. Every minute you need to be alert, ready to respond to a potential life or death situation, and be called to another important problem. The current medical practice environment — with excessive bureaucracy, suboptimal information technology, and extreme time pressure with patients — adds exponentially […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Primary Care, Physician, PA NP, Hospital-Based Medicine, CRNA


The difference between learning medicine and doing medicine

Back when I was a third-year medical student, I would sometimes bike to the hospital campus early enough to catch the groundskeepers cleaning the promenade in front of the medical school before the foot traffic arrived. Discovery Walk, as it’s called, is a beautiful promenade with stone murals commemorating the significant discoveries made at Stanford. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Stanford, Medical School, PA NP, Hospital-Based Medicine, CRNA


What do the Challenger disaster and medicine have in common?

On January 28, 1986, the space shuttle Challenger disintegrated shortly after liftoff, resulting in the death of the entire seven-person crew. The subsequent investigation revealed that a joint in the right solid rocket booster failed during liftoff, which occurred due to the inadequacy of the O-ring seals. It was about 28-degrees on the morning of […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, Malpractice, Hospital-Based Medicine, CRNA


All corners of the world meet in the hospital

The pediatric emergency department’s fluorescent light cast its glow on our heads, drifting and drooping, at 3 a.m. Torn between taking a chance on rest and anticipating the next fever, headache, abdominal pain, wheezing or rash that came through the doors, we sat suspended. The nurses tried to stay awake with a parade of old […] 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


Health care workers and administrators aren’t rowing in the same direction

My wife and I once canoed across a glacial lake. There were twelve people in our 30-foot canoe. To reach the shore of the Mendenhall Glacier, we had to paddle two miles across a lake. All twelve of us had to paddle together to reach the shore. But what if we had different goals? What […] 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


Communication in the hospital setting from a medical student perspective

When it comes to communication in the hospital setting, I have seen many iterations. My favorite version was at the VA on the inpatient medicine unit. Every morning, we all met in the medicine team room to discuss patients on the floor. The team’s social worker, nurses, residents, students, and the attending ran down the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Va, Conditions, PA NP, Hospital-Based Medicine, CRNA


The hidden curriculum of medical school can be overwhelming and unforgiving

I met Mr. B during my week on the endocrine service of my internal medicine rotation. My attending told me we were being consulted for this patient’s high sugars and a foot ulcer, and asked me to take the history. I walked into Mr. B’s room and was immediately struck by its stench. Mr. B […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Diabetes, Endocrinology, Medical School, PA NP, Hospital-Based Medicine, CRNA


A paradigm shift in acute pain assessment and management

We have embarked upon a unique strategy to assess and manage pain. “Opioids Rarely Help Bodily Pain” is not a catchy phrase but a mnemonic related to educational learning which serves as the cornerstone of a new acute-pain management paradigm. As is known, the evaluation of pain is extremely difficult due to its subjective nature. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pain Management, Medications, Meds, PA NP, Hospital-Based Medicine, CRNA


A medical student’s first code. Here’s what he learned.

Well, today it happened. I participated in my first code. We were in the telemetry unit (the room where they monitor all the patients who have EKG strips) to ask about a different patient of mine only to find that a patient was coding (lost a life-sustaining heartbeat). With some coaxing from my attending, the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Medical School, Cardiology, PA NP, Hospital-Based Medicine, CRNA


The most loving thing: end of life and saying goodbye

“Grandma fell and we’re in the emergency room. She’s very distressed and does not look good. I’m going to put the doctor on the phone.” I could hear my mother’s voice strain on the other end of the phone line as I braced myself for my conversation with the emergency department physician. The emergency physician […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Palliative Care, Conditions, PA NP, Hospital-Based Medicine, CRNA


Respect the duty to care for all patients equitably

In my first year of medical school, I attended a lecture on health disparities that focused on the difference in patient outcomes based on race and socioeconomic status. The lecture cited multiple peer-reviewed studies that extensively demonstrated these disparities and how health care professionals, not solely social determinants of health, contribute to them. The lecture […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Medical School, PA NP, Hospital-Based Medicine, CRNA


5 tips for interns tackling a busy schedule

The rotations on adult medicine and critical care are probably the most challenging ones for the residents doing internal medicine residency. No matter how much we try, we tend to feel overwhelmed, fatigued and swamped sometimes. As we progress into residency, we not only gain knowledge and clinical skills but also learn to tackle 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


Sharing administrative pain might give us more joy in medicine

I’m still trying to figure out what happened. I don’t want to be put on suicide watch by the wellness office. It definitely began during our weekly noontime mindfulness session. I came in late, furtively signed in (gotta make that metric) and slipped into a back corner seat. I went zero to REM in 10 […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Physician, PA NP, Hospital-Based Medicine, CRNA


This residency interview season: Be the rebel

Ours is a chaotic and overburdened medical system. As a senior resident, there is every temptation to seek in our incoming classes more obedient interns and junior residents who would obey my orders as their senior without question. I challenge that we must do the harder thing. The explosive growth in the health care industry […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Residency, PA NP, Public Health & Policy, Hospital-Based Medicine, CRNA


Every physician will kill a patient

How did I miss his hypokalemia? Two weeks into my intern year and my patient’s potassium returned at 2.9. Minutes later, he coded. And I felt responsible. As I explained to my partner how my patient had become pulseless after diuresis of his heart failure, she looked at me and said, “Physicians kill patients, it’s […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, Nephrology, Hospital-Based Medicine, CRNA


A research attending starts his month on the wards

An excerpt from The Perfect Dose. Walking towards the clinical rotation to take care of patients after weeks in the research labs was never easy. The long hallway between the two buildings had an almost transformative effect on Mann as he transitioned his persona to that of Dr. Mann. His clothing changed from jeans and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Mann, Physician, PA NP, Hospital-Based Medicine, CRNA


It’s time to view hospitalization as a procedure

I previously suggested that transitioning from the traditional inpatient care model to the hospitalist model inadvertently motivated providers to hospitalize more patients, specifically borderline sick patients.  Our example was a 74-year-old woman with pneumonia whose path to admission met less resistance with a hospitalist at the helm. The question I posed at the end was […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, Hospitalist, Hospital-Based Medicine, CRNA


Turning a patient: a nurse’s act of duty and compassion

I met a fellow nurse at a wedding recently who, upon hearing that I worked at a long-term acute care hospital (LTAC), shrugged his shoulders and said, “Oh, sure. A lot of turns.” I shrugged, too. He had belittled my work, but in a way, he was right. We do execute “a lot of turns” […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Conditions, PA NP, LTAC, Hospital-Based Medicine, CRNA


How a medical student can help the team during clinical rotations

Based on my clinical experiences, there are ten pieces of advice I would give to any medical student starting their rotations that will maximize productivity and lead to a robust and thriving work environment (your interns will thank you). 1. Do as complete of a workup on your assigned patients as you can. Be thorough […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Medical School, PA NP, Hospital-Based Medicine, CRNA


Health care organizations have to take better care of their employees

Anybody who has even a passing interest in health and wellness knows the sobering fact that a large number of medical problems that plague society today are the result of unhealthy living habits. Conditions such as heart disease and diabetes, which are reaching epidemic proportions, are directly linked to poor eating and inactivity. Official statistics […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, Public Health & Policy, Hospital-Based Medicine, CRNA


Celebrate the contributions immigrants make to our health care system

Congratulations to ZDoggMD’s latest, One Sikh, an ode to all the immigrant clinicians who care for our most vulnerable patients. Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Video, PA NP, Hospital-Based Medicine, CRNA


Breastfeeding and newborn hospitalization rates: What should be done about it?

An August 2018 paper in Academic Pediatrics found an unsettling conclusion: Breastfed newborns have about double the risk of needing to be hospitalized in their first month of life, compared to babies who were formula-fed. The numbers are solid, and they jibe with the real-life experience of many pediatricians, including me. So what should we do about […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Pediatrics, Conditions, PA NP, Hospital-Based Medicine, CRNA


How should physicians hear back about their diagnostic errors?

Diagnostic errors (missed, delayed, incorrect diagnoses) are increasingly being recognized as a prevalent cause of harm to patients. At the same time, physicians are simultaneously under pressure to deliver high-quality, low-cost health care. How do physicians come to a balance between the competing demands of addressing underuse versus overuse, and consequently a balance between underdiagnosis […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Lea...
Tags: Health, Policy, PA NP, Hospital-Based Medicine, CRNA


Will medicine become a young person’s sport?

Six months have elapsed since exiting the pageant of my hospital via retirement.  Like many people who devote countless hours to professional activities, some mandated, some by compulsion to detail, this windfall of unstructured time, no matter how well planned, can prove disorienting.  My final destination was a small inner-city hospital, preceded by twenty years […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Physician, PA NP, Hospital-Based Medicine, CRNA


A physician’s #MeToo story

I was a resident. He was a physician in a position of power. He took things too far, and I spoke up. Here are some of the actual comments I received. “He’s just a flirt.” “You must have misunderstood him.” “What were you wearing?” “Somebody must have hated him, to do that to him.” “Perhaps, […] 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