Misaligned expectations lead to conflict, burnout, and disillusioned physician leaders [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Would you expect the chef at a restaurant to be told that they are not only required to prepare the food in the kitchen but also deliver it to each of the tables and manage the billing? What about sorting out the restaurant’s finances Read more… Misaligned expectations lead to conflict, burnout, and disillusioned physician leaders [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 16, 2022 Category: General Medicine Authors: Tags: Podcast Practice Management Source Type: blogs

How privileged a physician ’ s knowledge is
I was warned about it before we walked into the room. So when I did walk in, I made sure my eyes stayed focused on his eyes, my gaze high and attentive. I smiled, possibly more than normal, to make sure he felt comfortable. Like a puppeteer holding up his doll, I knew it wasn’t Read more… How privileged a physician’s knowledge is originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 16, 2022 Category: General Medicine Authors: Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

Financial survival for physicians in private medical practice
There are two valuable reasons why all physicians, especially medical students, should obtain or demand from their medical school academic business education. About 98 percent of physicians and medical students have never had an academic business education. About 30 to 50 percent of graduating medical students prefer private medical practice—which requires business and marketing knowledge Read more… Financial survival for physicians in private medical practice originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 16, 2022 Category: General Medicine Authors: Tags: Physician Practice Management Source Type: blogs

A health economist acknowledges how financing experiments failed our health system
I read a superb commentary in STAT, “Value-based payment has produced little value. It needs a time-out,” that reviews the failures of “value-based care” and the failure of its promoters to acknowledge those failures. Ideas conceived, tested and found lacking, and used as the basis for more of the same. Distracting from real health system Read more… A health economist acknowledges how financing experiments failed our health system originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 16, 2022 Category: General Medicine Authors: Tags: Policy Public Health & Policy Source Type: blogs

A medical student ’ s advocacy journey [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “As I looked across the boxes on my screen, I saw the gleaming faces of my peers. Just as it did then, and as it has for countless of my peers since, involvement in the Student Osteopathic Medical Association (SOMA) Advocacy Day showed me Read more… A medical student’s advocacy journey [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 15, 2022 Category: General Medicine Authors: Tags: Podcast Medical school Public Health & Policy Source Type: blogs

How every doctor should address a patient ’ s pain
From medical school to residency, I’ve worked with colleagues who don’t prescribe pain medications for their patients who truly need them. Or they are just very hesitant about doing so. Some simply don’t believe in them. Others fear the legal implications like being named to a med mal or wrongful death lawsuit. And several avoid Read more… How every doctor should address a patient’s pain originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 15, 2022 Category: General Medicine Authors: Tags: Conditions Pain Management Source Type: blogs

Academic medicine on life support: a letter to a newly appointed CEO of a leading academic medical institution
Congratulations on our leading academic medical institution (LAMI) yet again making it to the top ten list of the U.S. News & World Report! You have taken the reins in perilous times (globally and domestically), and what you do and what you stand for will determine if this great hospital will not just survive but Read more… Academic medicine on life support: a letter to a newly appointed CEO of a leading academic medical institution originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 15, 2022 Category: General Medicine Authors: Tags: Physician Hospital-Based Medicine Source Type: blogs

Trauma and burnout among frontline health care workers
Thinking back to 2020, concerning the emergence of COVID-19 and the first hard lockdowns all over the world. Individuals from all walks of life were frightened, locking themselves in their homes for fear of being infected. Yet, frontline providers and health care workers had to carry on with their daily jobs. Were they less scared Read more… Trauma and burnout among frontline health care workers originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 15, 2022 Category: General Medicine Authors: Tags: Physician COVID Psychiatry Source Type: blogs

Are you ready to hear the truths about perfectionism? [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Are you a perfectionist? Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really. In theory, perfectionism sounds like a good thing. Who doesn’t want to do and be their best? It can even seem like a harmless way to Read more… Are you ready to hear the truths about perfectionism? [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 14, 2022 Category: General Medicine Authors: Tags: Podcast Psychiatry Source Type: blogs

How doctors can regain control of their software
I spent a year as a UCSF postdoc with the leaked tobacco documents. And this article is taken directly from the tobacco-control playbook. In the tobacco wars, we learned that: when a disease is caused by a for-profit industry, the only successful approach is regulation first, followed by treatment. Here is exactly how and why Read more… How doctors can regain control of their software originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 14, 2022 Category: General Medicine Authors: Tags: Physician Health IT Source Type: blogs

I didn ’ t know her name until it was over
I didn’t know her name until it was over, much too late. What I knew was she was thirteen and that on this winter day, someone in her family had been pulling her behind their car on a sled. No doubt laughing and looking in the rear-view mirror, the person driving had whipsawed around a Read more… I didn’t know her name until it was over originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 14, 2022 Category: General Medicine Authors: Tags: Physician Surgery Source Type: blogs

A pervasive culture of time constraints in health care
Picture this. A patient in a hospital or rehab facility has just finished exercising with therapy. He is thirsty, and he thinks he might as well ask for a snack now because he will be hungry in 30 minutes. His therapist sets him up in his wheelchair (brakes locked), tray table with all necessities positioned Read more… A pervasive culture of time constraints in health care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 14, 2022 Category: General Medicine Authors: Tags: Conditions Practice Management Source Type: blogs

Preserving humanity in the ICU [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Five days before this story begins, where everything is upside down, and the end is the beginning. Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the number of Read more… Preserving humanity in the ICU [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 13, 2022 Category: General Medicine Authors: Tags: Podcast Critical Care Pediatrics Source Type: blogs

Our Shakespearean love affair with BMI
I’m standing outside the exam room, reviewing Marcus, my 16-year-old patient’s growth chart, specifically his BMI. It’s up again, and my heart sinks. I feel that all too common rush of frustration and disappointment and, “Why am I here and what is the point?” “Am I just here to document weight gain in my patients?” Read more… Our Shakespearean love affair with BMI originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 13, 2022 Category: General Medicine Authors: Tags: Conditions Obesity Source Type: blogs

Breast implant illness: It ’ s not all in your head
“It’s just part of getting older.” “Welcome to being a woman.” “I hear this all the time from women. You just need to learn to deal with it.” “Here’s a pill. See you in six months.” “I have run all the labs I can think of. They are all normal. There’s nothing wrong. I’m sure Read more… Breast implant illness: It’s not all in your head originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - August 13, 2022 Category: General Medicine Authors: Tags: Patient Oncology/Hematology Source Type: blogs