Posts filtered by tags: Primary Care[x]


 

Physician heal thyself. At your own risk.

My late father often repeated the adage, “Any man who serves as his own lawyer has a fool for a client.” We physicians may not represent ourselves in court, but we often try to treat ourselves or neglect our own medical care — and end up with a fool for a patient. My uncle was […] 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


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


America has seen medical marijuana before: This is what we learned (and forgot)

Very few things in the universe are 100 percent good or 100 percent bad. Cannabis is perfectly ordinary in having a mixture of good qualities (medical benefits) and bad qualities (medical risks). The people who want to make money – lots of money, by the way – from selling marijuana do a perfectly fine job of pointing out the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, America, Medications, Primary Care, Meds, PA NP, CRNA


“Doctor” or first name: Which do you prefer?

This article is sponsored by Careers by KevinMD.com. “Sometimes you want to go where everybody knows your name.” So go the famous lyrics from the theme song for “Cheers,” the iconic sitcom of the 1980s. The name thing can get really personal in medicine — and everyone has an opinion — as evidenced by a plaintive […] 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


The fallacy of patient-centered care

I often wonder what it was like before patient-centered care became a mainstream catchphrase. Was there a poor relationship between the patient and physician in the outpatient setting? Were hospitalized patients’ feelings, desires, goals, and therapy options ignored? It amazes me that we were able to care for patients more than ten years ago without […] 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, Public Health & Policy, CRNA


How Tom Brady and Lebron James can change your patients’ health

As medical professionals, one of the most challenging things to do is to motivate a patient to make changes in their lives. We passionately want the best for our patients, and it is sometimes so difficult for us to be able to connect with and inspire them to take the next step on a path […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Obesity, Tom Brady, Lebron James, Primary Care, Conditions, Cardiology, PA NP, CRNA


Physicians can choose not to be powerless against opioid addiction

I didn’t become a primary care doctor to treat opioid addiction. I wasn’t trained for it. To be honest, it scared me. But when you work, like I do, at a clinic that serves a lot of people who have little money or who struggle with mental health and substance use issues, there comes a […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Primary Care, Conditions, PA NP, CRNA


What if EMRs can never capture the clinical experience?

Apocryphal story from residency: On morning rounds in the critical care unit, the post-call resident starts to present a complicated patient admitted overnight with chest pain, and after the first bits of the history have been presented, the wise old cardiology attending turns to the gathered medical students who are just starting their first clinical […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Tech, Primary Care, Health IT, PA NP, CRNA


An oncologist explains how to get your loved ones tested for cancer

I see several patients daily with cancer. Some days can be tough, but nothing compares to what they are going through. I know that. The physical anguish and toll that chemotherapy, radiation, and surgery can take on the body. The burden that the disease can take on the mind and the soul. It’s devastating and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Primary Care, Conditions, PA NP, Oncology/Hematology, CRNA


Have bad news for your patients? Mind your metaphors.

First, the cancer diagnosis. Then, the barrage of trite encouragements: You can beat this! Don’t give up. Keep fighting! It’s not only friends and family members who utter these clichés — usually at a loss of what else to say. Health care providers also attempt to bolster patients’ morale with well-intentioned but well-worn phrases too. […] 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, Oncology/Hematology, CRNA


The commodification of health care is destroying the doctor-patient relationship

My elderly patients miss the days when, in an emergency, they could call their family doctor at home, and they’d be cared for. Retired doctors reminisce about the “good old days” when they were in charge of their own schedules and could prescribe whatever drug or test they felt necessary based on years of experience. […] 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


Become more than a clinician. Be a healer.

When a patient goes to the doctor, they usually have a specific health problem in mind. Sometimes, the treatment is straightforward; a urinary tract infection warrants antibiotics. A laceration can be sutured. Other issues, however, are more complex. For example, communicating a terminal diagnosis to a patient. Consoling his grieving widow two months later. In […] 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


How telemedicine can help patients and solve physician burnout

I have been practicing telemedicine successfully for four years. In 2015, I had to beg doctors to work in telemedicine. Because so many doctors were wary of it, I started to get licensed in multiple states, and now, I have 15 state licenses. Well, what a difference a few years makes. Now, in 2019, I […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Tech, Mobile Health, Primary Care, Health IT, PA NP, CRNA


How to help your doctor with diagnosis

To treat any condition, the doctor needs to know what it is. You would not expect to have your sore ankle treated with penicillin or to have an appendectomy recommended for your sore throat. While this may be self-evident, I know of at least one patient who had a normal appendix removed because the surgeon […] 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


Physician Strong: a private practice journey

Being a primary care physician, I was afraid to start my own practice. There was discouragement from fellow physicians, hospital leaders, business colleagues, and even patients. Many said that the small practice model was not viable. With insurance mandates, mounting bureaucratic pressures from Medicare and Medicaid, increasing regulations by DEA, higher volumes of paperwork, and […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. ...
Tags: Health, Medicare, DEA, Medicaid, Practice Management, Primary Care, Physician, PA NP, CRNA


Inappropriate antibiotics are the new drugs of abuse

In my clinical practice, I have encountered patient aggression typically with narcotic medications, in particular with the refusal of a refill due to evidence of concerning behavior, like a positive drug screen for drugs not prescribed. Aggressive behavior can include yelling, threatening physical violence or intimidation. I have had less trouble with narcotic-related aggression nowadays […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more...
Tags: Health, Infectious Disease, Primary Care, Meds, PA NP, CRNA


My first patient taught me a humbling lesson

“How do you say cultural competence in Korean?” “I am always treated with respect in America. So why don’t they care about me here?” My first patient at my community clinic rotation struggled to speak English. But she came prepared, her words memorized, printed from Google Translate. “All I want is help.” She had immigrated […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Google, Education, America, Primary Care, PA NP, CRNA


How can doctors address patients’ expectations?

No one wants to be sick, especially when no one can tell them what is wrong. In the U.S., we live in a culture where we want instant results; we want easy answers for complex problems. However, in medicine, there are often no easy fixes. Adverse medical events happen, despite our best efforts. For example, […] 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


Will the public be able to resist the pitch from 23andMe?

Just because something is legal, doesn’t make it right. Just because we enjoy a right of free speech, doesn’t mean we should be verbally insulting people. Just because the Food and Drug Administration (FDA) approves a treatment or a test, doesn’t mean we should pursue it. The FDA has given approval to 23andMe, a private […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Genetics, Fda, Food and Drug Administration FDA, Primary Care, Conditions, PA NP, CRNA


Why medical students need more continuity of care training

One of the major challenges of being on medical school rotations is the necessity of changing rotations every four weeks, and how adapting to each new specialty feels like going through the first day of school all over again. I want to share my experience on other side of the coin. About a year ago, […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Education, Primary Care, Geriatrics, PA NP, CRNA


Healers: Peel away the layers

The mud is deep and thick and black. The smoothness of its surface is deceiving, drawing me closer to it with promises of contentment. It lures those who dare to tread upon it into its hidden depths. Hopes are dashed as one struggles for freedom. It is tenacious: Lift one foot upward and the other […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Patients, Patient, Primary Care, PA NP, CRNA


A physician defends Ayurveda: Is it the original personalized medicine?

As more patients and clinicians are searching for holistic approaches to health care, Ayurveda, or the traditional medical system of India, has been gaining popularity in the Western world.  Unfortunately, many allopathic physicians still view this system as “quackery” because of its focus on the “intangibles” of health.  However, Ayurveda has contributed immensely to the […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, India, Primary Care, Conditions, PA NP, CRNA


CMS risks ACO success by forcing move to another track

Like many accountable care organizations, Austin Regional Clinic (ARC) in Texas is building a record of success on the Medicare Shared Savings Program’s (MSSP) so-called “Track One.” Now looming, however, is an automatic transfer of ARC to the MSSP’s riskier “second track” after years of hard work implementing our value-based, population health treatment model. On […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Texas, Cms, Policy, Medicare, Primary Care, PA NP, Medicare Shared Savings Program, MSSP, CRNA, Austin Regional Clinic ARC


@HIMSS, physicians don’t want hype. They just want sensible EMR solutions.

A few years ago, I wrote a KevinMD blog post about how cumbersome it was to complete notes in the electronic medical record (EMR). I proposed a solution in our residency clinic but encountered resistance in the adoption process that eventually led to its abandonment. For someone just trying to solve a problem, it was […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Tech, Primary Care, Health IT, PA NP, CRNA


Why increasing patient volume won’t work

Once again, we find ourselves stuck between a rock and a hard place. Increasingly, providers are being pressured to improve access for our patients, which we certainly think is a good thing. We want our patients to come in, whether it’s for their annual physicals, for ongoing routine management of their chronic health conditions, or […] 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


How many beers is too many?

“I drank beer with my friends. Almost everyone did.” Alcohol has become constitutional to American culture: “grabbing a drink” after work, happy hour, cheers before meals, on New Year’s, or just because. Our society’s normalization of drinking creates a slippery slope toward excessive alcohol use. Unhealthy alcohol use is rampant: one in six Americans drinks […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Psychiatry, Primary Care, Conditions, PA NP, CRNA


Twitch, Fortnite, and the emergence of eSports medicine

Here is a simple question: In terms of social media engagements, who is the most popular athlete in the world? Super Bowl sensation and apparent immortal Tom Brady? Nope. Philanthropist Lebron James? Not even close. International superstar Cristiano Ronaldo? It used to be. Tyler Blevins. For those of you now drawing a blank, unable to […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Instagram, Cristiano Ronaldo, Tom Brady, Lebron James, Primary Care, Orthopedics, Physician, PA NP, CRNA, Tyler Blevins


Opportunities in Primary Care Entrepreneurship

In defining primary care, it is necessary to describe the nature of services provided to patients, as well as to identify who are the primary care providers. The domain of primary care includes the primary care physician, other physicians who include some primary care services in their practices, and some non-physician providers. However, central to ...
Tags: Entrepreneurship, Innovation, Primary Care, Physicians


The secret to making AI work for physicians

If you are a physician or know a physician or have ever visited one, chances are you have probably heard them complain about technology in health care. More to the point, they are likely to be complaining about the one piece of technology that affects their lives minute-to-minute: the electronic health record (EHR). To get […] Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
Tags: Health, Tech, Primary Care, Health IT, PA NP, CRNA