Posts filtered by tags: Physician[x]


 

How long life doesn’t mean dignity

“For the rest of my life, I’ll never see her again or smell the scent of her unwashed hair. I’ll never hug her soft squishy hips or sigh when she tells me to stop sleeping, get up, and enjoy the day.” This runs through my head before I start sobbing in my car. Most of […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Palliative Care, Physician, PA NP, Hospital-Based Medicine, CRNA


What common words and phrases really say about medicine

Medicine is currently struggling with the problem of physician burnout and the specter of diminishing wellness. Despite concerted efforts, burnout continues to expand. In light of this, being vigilant for limitations in the current framing of the issue is prudent. Words express the conceptualizations of our world and frame ideas. Such framing is meant 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, CRNA


Being on the lists of the best and worst doctors

As each calendar year closes, organizations compile best/worst lists: TV shows, movies, exceptional people that bring character or immortality to our year as it fades into history. Medicine has its heroes and scoundrels. I would expect that all physicians can instantly name five teachers who shaped them and five guys they scored as real zeros […] 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, CRNA


The old days of medicine are gone

In the last decade, specifically in the last five to six years, we have seen the gradual disempowerment of America’s physicians as well as their unfortunate patients. Starting with health management organizations, managed care, all the way to the insurance exchange, doctoring has been forcefully wrestled away from physicians only to be placed into the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, America, Practice Management, Primary Care, Physician, PA NP, CRNA


Only when you are a patient do you experience the frailty of being one

We as physicians need a dose of our own medicine as a booster ever so often. I went in for a simple procedure. A lumbar epidural steroid injection for pain which has recently become more than tolerable at times — nothing disabling. Nothing that stops my everyday life and living. I didn’t think much of […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Surgery, Physician, PA NP, Hospital-Based Medicine, CRNA


A physician who lost his daughter

The day is etched in my memory. The knock at the door. Two detectives and one police officer. I knew the news was bad. We sat at our dinner table, and the dreaded words came: “Your daughter is dead.” “How?” I asked. “She hung herself during the night.” My body went numb, and the moment […] 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


For residents unsure about their choice of specialty

About halfway through the internal medicine residency, there comes a time when a resident must decide on what he or she plans to do after three years of training. We may come across a second-year resident saying: What should I do next? Should I become a hospitalist or plan for a fellowship? But in what? […] 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


A divided house always falls: Why doctors lost control of health care

I recently met an old friend of mine for the evening in New York City. He’s a talented young orthopedic surgeon, who has already, in the short amount of time since finishing residency, experienced so many of the problems our health care system faces. The topic of conversation quickly turned to the current state of […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, New York City, Physician, PA NP, Public Health & Policy, CRNA


The elderly couple who bought vitamins at the grocery store

I recently stopped by our local grocery store after work to pick up a handful of items to bring home. With only four items in hand, I luckily found a short checkout line behind this lovely elderly couple who were almost done and ready to pay. As they smiled and made small talk with the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Primary Care, Physician, Geriatrics, PA NP, CRNA


The fallacy of work-life balance in medicine

Physician well-being, burnout, and “work-life balance” are pretty common topics in training.  We start at intern orientation, discussing how to work 80 hours a week, eat, sleep, exercise, and still have some semblance of social life.  It’s like we’ve forgotten the origins of our job title: “resident” or “house staff” — implying that, until recently (and […] 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, CRNA


There is no room for racism in medicine

The news has recently reported the story about the Cleveland Clinic resident, Dr. Lara Kallab, who was fired after making anti-Semitic comments on twitter. Among them, she tweeted that, “I’ll purposely give all the [Jews] the wrong meds.” Not only were people horrified by her comments, but she also lost her job (and possibly career) because […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Twitter, Cleveland Clinic, Physician, PA NP, Hospital-Based Medicine, CRNA, Dr Lara Kallab


A physician’s New Year’s resolutions

2019 is here. I started my year by doing an urgent care shift on New Year’s day.  It was not quite as busy as I expected; most of the shifts I’ve done around the holidays were high-volume, with lots of flu, other respiratory infections, and lacerations sustained while cooking holiday meals.  New Year’s day was […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Primary Care, Physician, PA NP, CRNA


How carefully do most patients or doctors read medical forms?

Does any living, breathing human believe that there is not enough paperwork in our lives? While we are all burdened, I believe that the medical profession is uniquely deluged with an absurd volume of documentation requirements, most of which should be filed under “N” for nonsense. Ask any physician or nurse about this and have […] 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


Patient care suffers when you squeeze patients into a tight schedule

86 minutes. That’s what I found when I added up how late patients were through a single practice session earlier in the week. Some patients arrived on time, and some a few minutes early, but the average was about 8 minutes late, ranging up to one patient who showed up an hour and 12 minutes […] 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


3 things this physician wished he could have done differently

“What took you so long? I’d have thought you would address this issue sooner.” I felt a like a scolded child sitting in the principal’s office. In fact, the small couch I was sitting on rested nearly a foot lower than the chair on which he perched. All the while, the exam table glared back […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Emergency Medicine, Physician, PA NP, CRNA


We need to be more focused on those patients who find the holidays hard

I am beginning to think that we should not see chronic care patients between Thanksgiving and New Year’s Day. It just makes us look bad. Our quality metrics make the last blood pressure and the previous diabetic lab test of the year for each of our patients our final report card. We should quit while […] 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


When medicine stays in the family

This article is sponsored by Careers by KevinMD.com. It’s no secret that some businesses are family businesses and medicine is no exception. The anonymous Northern California cardiologist known as “Dads Dollars Debts” confesses in a blog that, yes, some days he feels like he’s made a difference, and other days, “I just feel like a customer service rep […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Practice Management, Northern California, Physician, PA NP, CRNA


10 surprising things you need to know about the hospital

1. Very little revolves around the patient. For a place dedicated to healing, the hospital does a poor job accommodating patients. Labs are drawn in the middle of the night, so the doctor has them early in the morning. There is no standard rounding time, so the patient is constantly awakened throughout the day. Vitals […] 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


MOC harms physicians in surprising ways

Last year, in response to a continued groundswell of criticism focused on requirements for maintenance of certification (MOC), the American Board of Medical Specialties (ABMS) formed an independent “Vision Commission” on MOC, designed to “reimagine a system of continuing certification.” Although led by ABMS board members, many of the 27 commission members are not directly […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, ABMs, Public Health & Policy, CRNA, American Board of Medical Specialties ABMS, Vision Commission


Real physician harm from MOC. Here’s proof.

Last year, in response to a continued groundswell of criticism focused on requirements for maintenance of certification (MOC), the American Board of Medical Specialties (ABMS) formed an independent “Vision Commission” on MOC, designed to “reimagine a system of continuing certification.” Although led by ABMS board members, many of the 27 commission members are not directly […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, ABMs, Public Health & Policy, CRNA, American Board of Medical Specialties ABMS, Vision Commission


The discrimination against nurse practitioners must stop

I have been a neonatologist for 30-plus years. Throughout my career, nurses and neonatal nurse practitioners (NNPs) have guided me, assisted me and comforted me through difficult patient care issues that arose. Even more importantly, they allowed me to leave the neonatal intensive care unit (NICU) without worrying about how my patients were being taken […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Nursing, NICU, Physician, PA NP, Hospital-Based Medicine, CRNA


Your first 24-hour shift

How can you work for 24 hours in a row? My friends outside of medicine ask me that often. What is it like? I wondered the same thing the night before my first 24-hour shift or “24.” I lay awake worrying, ironically, that I should have gone to bed earlier to rest up for the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, Pulmonology, PA NP, Critical Care, Hospital-Based Medicine, CRNA


Interpersonal medicine already exists. It’s called family medicine.

A commentary in the New England Journal of Medicine titled “Beyond Evidence-Based Medicine” received much well-deserved criticism for not only mischaracterizing EBM, but advocating for a novel approach, “interpersonal medicine,” that was explicitly codified in the recognition of the U.S. specialty of family practice nearly 50 years ago. Here’s what the authors wrote about this practice of medicine that […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs ...
Tags: Health, New England Journal of Medicine, Primary Care, Physician, PA NP, CRNA


How music transformed this physician

I have had a complex relationship with music. As a child, I had several instances of feedback that I was “bad at music.” When my class would sing at assemblies, I would get side glances and subtle and not so subtle clues that I should be at the edges and sing quietly. I played the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Neurology, Physician, PA NP, CRNA


Inaction is driving our collective burnout

I sat knee-to-knee with a nurse practitioner at a school-based clinic in rural Ohio. Choking back tears, she described a patient she couldn’t get out of her head: a middle-school girl, accompanied by her mother and a social worker. Just days prior, the girl was dropped off at her father’s home for the weekend. Before […] 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, Public Health & Policy, CRNA, Ohio Choking


The importance of female role models

There is no doubt about it, I am my mother’s son.   What would you expect? My father died when I was eight years old.  During my formative years, I was brought up solely by my mother.  I believe this is a unique lens in which to see both life and financial independence.  As the 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, CRNA


Patients and physicians need to talk more and tweet less

Long ago, and far away, I encountered a patient that changed the way I practice. I was with a medical student while examining a middle-aged woman who presented with a dramatic eruption that was probably DRESS syndrome (DRESS syndrome was not yet described). I prescribed prednisone and asked her to come in a few days […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Twitter, Dermatology, Physician, PA NP, CRNA


A physician’s plea to Santa Claus

I am a pediatric hospitalist in middle America. I believe in you, and I hope that you believe in me. Many of my patients’ parents do not believe in me, you see, and it makes it hard for me to do my job and to take care of these children in the way that I […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, America, Santa Claus, Physician, PA NP, Hospital-Based Medicine, CRNA


Reclaiming our mission in medicine

A guest column by the American College of Physicians, exclusive to KevinMD.com. When reading (or writing) blog posts, it’s easy to be left with a mostly negative and often depressing view of the current state of medicine.  This is completely understandable as people usually write on topics and issues about which they feel strongly, 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


Physician gives in to police pressure to conduct a forced invasive rectal exam

Recently, news broke about a disturbing act of medical battery carried out by doctors at St. Joe’s Medical Center in Syracuse, New York. The case began when police officers conducted a pretext stop and elected to harass their victim about a small amount of marijuana. As the situation escalated, the cops took the man to […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Syracuse New York, Physician, Gastroenterology, PA NP, Hospital-Based Medicine, CRNA, St Joe 's Medical Center