Posts filtered by tags: Physician[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


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


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


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


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


I’m a doctor who had COVID. Did I deserve this? Does anyone?

During this pandemic, do we blame people for acquiring COVID or do we empathize? I wonder this as I read a message from my senior, who mentions that people are suffering or in isolation due to COVID because of their own negligence. My mind reflects back on all the dying doctors who caught the infection […] 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


Even during a pandemic, I focus on living

Lately, I ask myself, “Where is my focus?” Is it on what’s in my inbox, where I receive daily emails about COVID-19, the vaccine, what’s working, and what’s not? Is it on the news, the trial, the verdict, police shootings, and the state of unrest in our country? And if my focus is on what’s […] 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


Love is the strongest medicine

An excerpt from Love Is the Strongest Medicine: Notes from a Cancer Doctor on Connection, Creativity, and Compassion. For nearly two decades, I’ve been telling my oncology patients, with only a little irony, Welcome to your new normal. There’s no getting around the fact that a cancer diagnosis—for you or someone you love—is life-changing. Sometimes those […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Physician, PA NP, Oncology/Hematology, CRNA


When an attending was canceled by a resident

I am a psychiatrist who volunteers his time on the clinical faculty of the local medical school. This is a role I have valued over the years that has allowed me to give back and mentor young residents as my senior colleagues did for me during my training. Recently, I had a chilling experience that […] 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


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


Don’t push harsh health care realities under the rug

On a recent call with a small health organization in rural Uganda, I asked the director about the C-section rate in the community. In some private maternity centers, this procedure is performed far more often than one might expect. I’ve learned that while this practice may be financially motivated, the extra fees also pay for […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Uganda, Infectious Disease, Physician, OB/GYN, PA NP, CRNA, COVID-19 Coronavirus


A physician’s personal story with opioids

I once spoke at a leadership forum on opioid abuse. I was asked to speak about the role of hospital systems in addressing this important issue. As I thought about what I would say, I realized there was very little I could add. The crisis is epidemic, and hospitals are ill-prepared to do anything proactive. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Orthopedics, Physician, PA NP, CRNA


A patient written off by society. And a loving son.

“Do you know if he has designated anyone to be his health care power of attorney?” I asked the nurse. “Well, with the kind of life he led, I’m pretty sure he wouldn’t have done that,” she replied. Today I met a man for whom life has not been easy.  For the greater part of […] 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 don’t have to leave medicine to heal

So many of us keep looking around and thinking, what now?  Meaning now that “it’s” over, what is next.  Are we supposed to go back to that life from before?  Is that what is happening?  Isn’t that what we are seeing on social media and in the lay press.  The return to normalcy.  The “freedom” […] 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


Why quitting medicine is hard

This is a message to any medical doctor who is unhappy with their career. The individual reasons for this dissatisfaction will vary. Whatever the issue, it is important to ask, “Is the problem correctable?” If yes, then you must act and secure your happiness. If no, you must consider other options. One uncomplicated choice is […] 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


Humane health care outcomes by creating therapeutic alliances

An excerpt from Humanizing Healthcare: Hardwire Humanity into the Future of Health. Now that humanizing health care has tangible meaning, let’s see how people experience it when executed. Having committed to continuously humanizing health care, we need a collective vision for it. We defined the consumer and his or her NSN, referring to them together […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, NSN, Physician, PA NP, Public Health & Policy, CRNA, Humanizing Healthcare


10 ways to pay for women in medicine programs

“That’s great. You want to start a women in medicine program! How are you going to pay for it?” This is the most common question and potential barrier from colleagues, leaders, and those who understand the value of these programs.  We found that our two-year Women Leaders in Medicine program improved burnout, retention, and engagement […] 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, CRNA


Training rural physicians is racial justice

Training physicians to serve in rural areas is a vital piece of modern medical education. It’s also frequently overlooked. Most medical education institutions are in cities, because cities allow us to concentrate the learning opportunities: the specialists, the large hospitals, the high patient volumes. This creates an automatic, unintended bias among doctors—the idea that to […] 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


How shame tried to hijack my medical training

Can you remember a situation when shame showed up and tried to take over? Shame is like that opinionated, argumentative uncle who you only see at family dinners on holidays. His mission to seek and destroy any vulnerable, unsuspecting targets. For me, shame showed up as an uninvited narrator on my first call night, as […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Emergency Medicine, Physician, PA NP, CRNA


How to stop the anti-science charlatans

A couple of weeks ago, I received a text from my aunt that included a link to a physician-created YouTube video about the COVID vaccine. The creator has built her fame and fortune as an anti-vaccination proponent. Knowing that her videos are rubbish, I ignored the text. A couple of days ago, I received the […] 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


3 ways this physician experiences and creates joy

At the start of this year, I decided to go on a “joy quest.” Too often, we rush from one mental worry to the next and don’t take the time to notice, experience, and create the joy that’s either already there or that can be added to our daily lives. The joy and opportunities for […] 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


Save the savers: I’m so tired of physician suicide

This beautiful man lost his life to suicide recently. He was an emergency physician and an incredible advocate for LGBTQIA health care. He was funny and bright. He posted almost daily with funny quips, stories from the ER and support for his colleagues. He was a shining star in our specialty, and now he’s gone. […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Emergency Medicine, Physician, PA NP, CRNA


When are we going to start talking about patients’ bedside manner?

For years the trend has been a continued critique about physicians and their bedside manner, or lack thereof.  It is an important topic as we have moved from a time of paternalistic care to a collaborative model where patients and doctors work together to improve wellness for each individual.  This is a patient-centered model, so […] 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


Learning and refining key clinical skills for residency and beyond: Lessons learned from the Fulbright Program

“Dier Dammen an dier Hären, wëllkomm zu Lëtzebuerg. Déi lokal Auerzeit ass 16:30 Auer.” Ladies and gentlemen, welcome to Luxembourg. The local time is half past four in the afternoon. *** The butterflies floating about my stomach throughout the rocky descent intensified as the plane sped down the landing strip, transitioned to a slow crawl, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Luxembourg, Orthopedics, Physician, PA NP, CRNA, Dier Dammen


The psychology of fear: How to use it to your advantage

Fear is something that most of us have felt at one time or another. That feeling of being threatened, when you feel as though your current state is in jeopardy. It’s an instinctive reflex to flee or fight the threat. This instinct has been with us since our earliest moments on earth. Fear can 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, CRNA


How deep mindset work helped me find the courage to make my career transition

I’ve been semi-retired in clinical medicine for almost four years now.  Initially, I found myself coaching burned out physicians: Helping them recover, finding careers they love, and even starting their own businesses outside the box. However, as I listened to my inner voice, I was led back to my healing roots, and that opened up […] 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