What administrators don ’t understand about urgent care centers
Several years ago, a group of us concerned about health care costs and outcomes met with some local HR benefit managers. One was the head HR person of a city. In part of the conversation, she raved about a local chain of urgent care centers. She loved the fact that she could go to one […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 13, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/richard-young" rel="tag" > Richard Young, MD < /a > Tags: Policy Emergency Medicine Primary Care Source Type: blogs

Embrace the teamwork involved in becoming a physician
It ’s Sunday, and the clock is approaching 8 p.m. Every computer in our team room is still on, and the sound of typing is filling the small space. A spread of snacks, interspersed between stethoscopes and stacks of faxed records, is ignored for the time being. This scene was a familiar one on inpatie nt medicine, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/nathaniel-fleming" rel="tag" > Nathaniel Fleming < /a > Tags: Education Hospital-Based Medicine Medical school Source Type: blogs

A physician manages life-work balance
I like work.  I really do.  Although I have been talking up my half retirement, there is a reason I am not going the full monty.  I derive pleasure from being a physician.  The ability to reach out and help other human beings, and get paid for it is amazing.  Not only the work itself, but the […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/docg" rel="tag" > DocG, MD < /a > Tags: Finance Practice Management Source Type: blogs

Why physicians are attracted to real estate investments
The grass is always greener on the other side.   Humans are like that. For reasons that we can never consistently define, any situation other than the one that we are in has potential to be better.  I guess we just like to compare ourselves to others and assume that there is a better life over […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/smart-money-md" rel="tag" > Smart Money, MD < /a > Tags: Finance Practice Management Source Type: blogs

The surprising people who inspire
I didn ’t know that he and I were on the same train. At the Othello stop, I got out of the last car and walked towards the front of the train. The morning chill seeped through my coat and I slid my hands into my pockets. “Dr. Yang!” The doors of the train were still […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/maria-yang" rel="tag" > Maria Yang, MD < /a > Tags: Physician Psychiatry Source Type: blogs

Doctors overcorrect too often
Back when cholesterol target numbers ruled unopposed (before 2013), we all checked fasting lipids every three months. Before 2012, we also checked liver function quarterly in hapless riders on the cholesterol pill merry-go-round. That year the FDA announced there had not been enough reports of statin-induced liver problems to recommend routine monitoring. I have many […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Cardiology Primary Care Source Type: blogs

3 things physicians can learn from politicians
Shock. Horror. Did you just read the title correctly, or are you seeing things? Well, after you recover from the shock of reading a line you probably never thought you could possibly see in writing— let me tell you this: Physicians and politicians are probably as opposite as you can imagine in terms of […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 12, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

Changing the focus from physician burnout to physician well-being
Physician well-being is a major focus of many physician organizations and is frequently highlighted in popular media.   Some have described the root of the problem as a disconnect between expectation and reality.  This is a helpful framework for situations that result in disappointment.  I recently rented a house on Airbnb. Eagerly anticipating our vacation, I […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/amy-locke" rel="tag" > Amy Locke, MD < /a > Tags: Physician Primary Care Source Type: blogs

Make your 15 minutes with a patient memorable
Compassion. Empathy. These are some of the words commonly thrown around in medical school and residency training. If you ask most medical students why they chose medicine, they will respond with something like this: “ I love to help people,” or “I want to save a life.” I remembered when I entered medical school, one […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/adeleke-adesina" rel="tag" > Adeleke Adesina, DO < /a > Tags: Physician Emergency Medicine Primary Care Source Type: blogs

It is time for stewardship of our health insurance system
The bloated nature of health insurance in the United States has been a much-discussed topic in recent years. Particularly with the advent of the Affordable Health Care Act as well in response to physicians ’ frustrations and increasing burnout from dealing with the constraints imposed on them by insurance companies, and at times being forced to […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jenna-holmen" rel="tag" > Jenna Holmen, MD < /a > Tags: Policy Public Health & Source Type: blogs

The civilian casualties of being a doctor
As an ER doctor, I often meet people on the worst day of their lives. I ’m the guy who gets to tell you your mom is dead. I’m the one who works the futile code on your four-year-old, while your screams cut right through everyone in the room. I find your cancer. I tell you […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/side-hustle-scrubs" rel="tag" > Side Hustle Scrubs, MD < /a > Tags: Finance Practice Management Source Type: blogs

The complex expectations of patients toward their physicians
When my father reached his mid-80s, an accelerating accumulation of physical and mental functioning issues persuaded him to switch to a primary care physician in a concierge medical practice. Although the doctor ’s pedigree proclaimed his competence, he mostly excelled as the medical equivalent of a hotel concierge who can magically procure hard-to-get restaurant reservations at […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 10, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/michael-l-millenson" rel="tag" > Michael L. Millenson < /a > Tags: Patient Patients Primary Care Source Type: blogs

How to deal with politics in the workplace
This article is sponsored by Careers by KevinMD.com. Daily headlines  in newspapers and on websites across the nation and around the Internet seem to inspire and anger, and it’s only natural that politics is a topic on everyone’s mind. We’re all concerned about the economy. We’re all eager to see our political leaders solve the problem […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 10, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/health-ecareers" rel="tag" > Health eCareers < /a > Tags: Policy Practice Management Source Type: blogs

MKSAP: 64-year-old man seen after an intraoperative liver biopsy
Test your medicine knowledge with the  MKSAP challenge, in partnership with the American College of Physicians. A 64-year-old man is evaluated in follow-up after recent abnormal findings on intraoperative liver biopsy. Two days ago he underwent right colon resection for a large villous adenoma with high-grade dysplasia. At the time of surgery, an abnormal-appearing liver was noted […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 10, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Diabetes Gastroenterology Source Type: blogs

Slow thinking and machine learning in medicine
Recently, several high-profile institutions have called attention to the issue of inclusion and equity when artificial intelligence (AI) algorithms are applied in medicine. Leaders from the law, medicine, social sciences and computer sciences are speaking out about the challenges of using smart algorithms to solve social problems. While this topic might easily be dismissed as […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 10, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/drea-burbank-ayo-roberts-chandi-broadbent" rel="tag" > Drea Burbank, MD, Ayo Roberts, and Chandi Broadbent < /a > Tags: Tech Public Health & Policy Source Type: blogs

8 tips to land the residency of your dreams
After countless hours of hard work and three demanding years of medical school, it ’s now time to face the spotlight! If your interview invites have started rolling in and you are feeling intimidated by the thought, follow these tips to land your first choice of clinical residency. 1. Be prompt with your responses to interview invites  […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/cory-fawcett-and-eric-brown" rel="tag" > Cory Fawcett, MD and Eric Brown < /a > Tags: Education Hospital-Based Medicine Medical school Residency Source Type: blogs

You can measure the pulse of a hospital by its coffee shop
I think you can tell a lot about how things are going in a hospital based on the amount of consumption of coffee by its employees.  Visit the Starbucks, Au Bon Pain, Roasterie, Einstein Brothers, or whatever coffee shop inhabits square footage in your hospital, and I’d venture to say that you can take the pulse […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/ellen-poulose-redger" rel="tag" > Ellen Poulose Redger, MD < /a > Tags: Physician Hospital-Based Medicine Source Type: blogs

Doctors are pawns of the health care system
Doctors and other caretakers are the pawns of the health care system. We provide the services that allow hospitals and medical groups to bring in big revenue.  Unless we are contracting directly with insurers, doctors will never realize the true financial firepower that we have. As the health care environment evolves, we are seeing fewer […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/smart-money-md" rel="tag" > Smart Money, MD < /a > Tags: Finance Hospital-Based Medicine Practice Management Source Type: blogs

Physicians are trapped between patient satisfaction and unnecessary prescribing
I don ’t mean to pick on McDonald’s. Insert any other large retail business where customer satisfaction massively trumps every other consideration of the relationship between employee and customer. Telemedicine companies have exploded the past few years. I suspect a lot of my readers have already see n this, but just in case not, a recent study in […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/richard-young" rel="tag" > Richard Young, MD < /a > Tags: Patient Infectious Disease Primary Care Source Type: blogs

The carefully crafted way of how health misinformation spreads
Effective clickbait doesn ’t just happen. It’s carefully crafted. Take this wildly misleading article from CNN: Not exercising worse for your health than smoking, diabetes, and heart disease, study reveals. It’s one example — among many generated daily by various news outlets — of how a mundane observational stu dy can be transformed into viral internet gold. In the days […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mary-chris-jaklevic" rel="tag" > Mary Chris Jaklevic < /a > Tags: Conditions Cardiology Mainstream media Source Type: blogs

The main difference between functional medicine and evidence-based medicine
Figuring out what ’s actually true is far harder than most people realize. Our brains are both hypothesis-generating machines and incredibly credulous. As a result, most of the things we believe to be true turn out to be false. We don’t just mistakenly believe that vaccines cause autism, that the flu shot can giv e us the […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/alex-lickerman" rel="tag" > Alex Lickerman, MD < /a > Tags: Physician Primary Care Source Type: blogs

PSA-based screening for prostate cancer: Interpreting the changing guidelines
Comparing the 2018  U.S. Preventive Services Task Force (USPSTF) recommendation statement on prostate cancer screening in the October 15th issue of American Family Physician with its previous recommendation, the first question family physicians ought to ask is: What new evidence compelled the USPSTF to move from recommending against PSA screening in all men to determining that there was a small net […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kenneth-lin" rel="tag" > Kenneth Lin, MD < /a > Tags: Conditions Oncology/Hematology Primary Care Source Type: blogs

Urgent care isn ’t the answer to our broken system
I’ve only worked four shifts of urgent care so far, but four 12-hour shifts means I’ve seen a lot: a lot of patients, a lot of different ailments, a lot of different reasons that people come to urgent care centers. I have to admit that this has been a breath of fresh air for me; […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rosalind-kaplan" rel="tag" > Rosalind Kaplan, MD < /a > Tags: Physician Primary Care Public Health & Policy Source Type: blogs

A medical student as storyteller and story-listener
“Sondor” is a made-up internet neologism that captures the fleeting but poignant sense of “the realization that each random passerby is living a life as vivid and complex as your own — populated with their own ambitions, friends, routines, worries and inherited craziness.” I think about th is word often when I see my patients. Everyone […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/yoo-jung-kim" rel="tag" > Yoo Jung Kim < /a > Tags: Education Hospital-Based Medicine Medical school Source Type: blogs

A CT scan for kidney cancer? It may depend on where you live.
About one in fifty people reading this essay will be diagnosed with kidney cancer at some time in their life. In fact, one out of one people  writing this essay has already been diagnosed with kidney cancer. (I had a small tumor removed from my left kidney not long after I turned 50.) But how many people […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/peter-ubel" rel="tag" > Peter Ubel, MD < /a > Tags: Conditions Nephrology Oncology/Hematology Source Type: blogs

We need more behavioral health treatment in primary care
I don ’t know how many times a patient has told me, “I was in therapy once, and it didn’t help.” My response is always: “That’s like saying‘I saw a movie once and I didn ’t like it’. ” That usually breaks the ice just a little. In primary care, we certainly run into a few patients […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Conditions Primary Care Psychiatry Source Type: blogs

How do health insurance companies harm patients?
Health care policy has been a hotly debated political topic for many years now. In recent years, new laws passed the halls of Congress while others failed to gain any traction. Despite the rules that have rolled out, health insurance companies have been in the driver ’s seat for decades. While spokespersons for the health insurance […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/linda-girgis" rel="tag" > Linda Girgis, MD < /a > Tags: Physician Public Health & Policy Source Type: blogs

Be a master at your craft by taking time each day to truly rest
I am bad at taking vacations — really bad. It’s not that I don’t take days off or even travel on days off. It’s my near inability to actually unplug and not bring work with me. Despite recovering from a level of burnout a few years ago that left me considering quitting medicine altogether, I […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kelly-cawcutt" rel="tag" > Kelly Cawcutt < /a > Tags: Physician Infectious Disease Source Type: blogs

This attending learned so much from her residents
While riding shotgun in the family minivan on the way home from a fall break water park trip, I received the following text message: I thought of you today! One of the residents here had done a great job with a complex (and really sad) labor and delivery patient, and the nurse was telling me […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/lisa-sieczkowski" rel="tag" > Lisa Sieczkowski, MD < /a > Tags: Physician Hospital-Based Medicine Pediatrics Residency Source Type: blogs

Are physician wellness programs just another checkbox?
Recently, I saw a photo of a slide from the American College of Surgeons Clinical Congress: “The Program Directors Guide to Implementation of Well-being Programs.” While I applaud the ongoing focus in medicine on wellness for both trainees and faculty, I am troubled by the perceived need to standardize and program wellness, creating a “checkbox” […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > Tags: Physician Hospital-Based Medicine Residency Surgery Source Type: blogs

We are in danger of hospitals no longer being safe havens
On the outside, most American hospitals appear completely modernized. If resources are utilized correctly, they appear equipped for any disaster, any CMS audit and any surprise joint commission inspection that may come. The procedural appearance of hospitals seems robust and reflective to medicine in the 21st century. However, the framework for the daily function of […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/andrea-lauffer" rel="tag" > Andrea Lauffer, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

Have difficult conversations now to avoid chaos later
“Before I leave, I want to talk to you about something very important. I want to make sure that nothing is ever done against your wishes, so it doesn ’t matter if you’re 18 or 98 years of age, if you’re a patient being admitted to the hospital, I need to ask you some questions. You’re […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/varun-verma" rel="tag" > Varun Verma, MD < /a > Tags: Physician Palliative Care Source Type: blogs

A patient ’s experience of chemotherapy and radiation
I had my first mammogram at age 35, and for the next 35 years I had mammograms regularly. On my way, I’d pass the entrance to the Thomas Johns Cancer Hospital, outside of Richmond, VA, never thinking that I’d one day cross that threshold myself. When I heard the“C” word, I didn’t know what […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/lynn-lazos" rel="tag" > Lynn Lazos < /a > Tags: Patient Oncology/Hematology Source Type: blogs

This is what the face of resilience looks like
At the age of 17, my younger sister Elisabeth noticed a change in her body — enlargement of the front of her neck. “I just thought I was building muscle from working out,” she innocently rationalized. A series of laboratory tests and imaging followed and led to a much more grave discovery — cancer. There […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 6, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rebekah-fenton" rel="tag" > Rebekah Fenton, MD < /a > Tags: Physician Oncology/Hematology Pediatrics Source Type: blogs

Why it ’s important to determine who’s truly penicillin-allergic
A true allergic reaction is one of the most terrifying events in medicine. A child or adult who is highly allergic to bee stings or peanuts, for instance, can die within minutes without a life-saving epinephrine injection. But one of the most commonly reported allergies — to penicillin — often isn’t a true allergy at […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 6, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/karen-s-sibert" rel="tag" > Karen S. Sibert, MD < /a > Tags: Conditions Infectious Disease Surgery Source Type: blogs

Why patients don ’t do what physicians tell them
A guest column by the American College of Physicians, exclusive to KevinMD.com. Those of us who provide clinical care inevitably have patients who simply don ’t do what we tell them.  And this isn’t limited to only primary care but is encountered in all specialties and by subspecialists and consultants alike. Not only can this be […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 6, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/philip-a-masters" rel="tag" > Philip A. Masters, MD < /a > Tags: Physician American College of Physicians Primary Care Source Type: blogs

There are moments as an anesthesiologist you can ’t erase
There are moments as an anesthesiologist you can ’t erase. No matter how long you go home and sleep, or how many days pass, you won’t forget it. All of these moments involve saying goodbye; while the scenarios change, the message is the same. It is sacred, like watching the exchanging of vows. They are precious, real, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 6, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/sasha-k-shillcutt" rel="tag" > Sasha K. Shillcutt, MD < /a > Tags: Physician Surgery Source Type: blogs

The conservative appeal of Medicare for all
Everyone thinks of“Medicare for all” as a liberal idea, an extremely liberal one embraced by the socialist wing of the Democratic Party. It’s an idea Democrats were hesitant to embrace in the Obama era, for being too far out of mainstream political thought. It was thought of as an idea that was too easy […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 6, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/peter-ubel" rel="tag" > Peter Ubel, MD < /a > Tags: Policy Medicare Public Health & Washington Watch Source Type: blogs

A physician ’s experience with time stress
I have two Achilles’ heels.  Two mental health issues that continually challenge me no matter how introspective and self-aware I become.  One is food.  I have talked before about how food was my money.  As annoying as that can be, I feel like I have a good hold on that one.  With the right intentions and […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 6, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/docg" rel="tag" > DocG, MD < /a > Tags: Physician Practice Management Source Type: blogs

We need to make better use of the health team and technology
Nearly a quarter of a century ago (good heavens, I can hardly believe I have to say that!), when I was just starting out as a junior faculty attending, I remember one of my mentors taking me to the hospital with him on morning rounds to see all of his patients who were admitted to […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Primary Care Source Type: blogs

Explain hemoglobin A1c in 2 minutes
It was a slow day in the emergency department. I was sitting across the bedside from my patient who came in for a left forearm infection checkup. She was a 73-year-old female with a history of diabetes. She was elegant and soft-spoken. Prior to examining her wound, which had been worsening, I asked her what […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/adeleke-adesina" rel="tag" > Adeleke Adesina, DO < /a > Tags: Conditions Diabetes Emergency Medicine Endocrinology Source Type: blogs

Here ’s what the third year of medical school taught me
The dawn of 2018 brought new hopes and new promises for me as I began the third year of my medical school journey. This marked the beginning of a challenging era, one that would test my capabilities to the fullest but also one that was the culmination of countless sacrifices and the fulfillment of years […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/manahil-akmal" rel="tag" > Manahil Akmal < /a > Tags: Education Hospital-Based Medicine Medical school Source Type: blogs

What kind of extracurricular activities do medical schools look for?
Preparing for medical school demands displaying your passion for both medicine and helping others. Like medical schools, other graduate school programs (think: business or law) require strong grades, test scores, leadership experience, and resumes. But medical school requires so much more than that.  Good extracurricular activities for medical school are a particularly important part of the application […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/yosepha-greenfield" rel="tag" > Yosepha Greenfield < /a > Tags: Education Medical school Source Type: blogs

Patient satisfaction: Who is rating the ratings?
Everything is being rated these days. But who is rating the ratings? As a public service, I have been blogging about the shortcomings of various rating systems since 2010. Two recent papers on this topic are worthy of review. In a randomized controlled  study, investigators from the University Hospital of Münster, Germany found that medical students who […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > Tags: Physician Primary Care Source Type: blogs

Help hospitalized patients vote by requesting emergency ballots
Two years ago, when I was still in residency I happened to be on overnight call the day prior to election day. An associate program director of my residency program asked me if I wouldn’t mind being a doctor of record who evaluates whether I agree a patient is too sick to go to the […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/priya-joshi" rel="tag" > Priya Joshi < /a > Tags: Policy Hospital-Based Medicine Hospitalist Public Health & Washington Watch Source Type: blogs

3 ways physician-pharma partnerships are improving quality of care
We ’ve all heard about the importance of greater stakeholder collaboration in health care. It’s the premise of current movements aimed at improving the outlook on some of the most costly, chronic conditions. Like most physicians today, I maintain a tight work schedule to keep bottom-line margins in the black. On a daily basis, I see […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jack-pinney" rel="tag" > Jack Pinney, MD < /a > Tags: Meds Hospital-Based Medicine Primary Care Source Type: blogs

Doctors need to vote. And doctors need to help them.
Doctors need to vote. Everyone should vote, of course, but doctors have a unique perspective on some of the most important issues of the day, and it ’s time we express that perspective in the one place it matters most: the ballot box. Whether it’s the actual effects of bullets on tissue, or the value of […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jonathan-kohler" rel="tag" > Jonathan Kohler, MD < /a > Tags: Physician Public Health & Policy Washington Watch Source Type: blogs

Prescribing unnecessary antibiotics is the path of least resistance
During my urgent care shifts, I see 20 to 30 people with viral upper respiratory infections. They are all feeling miserable, and they just want to feel better. They want an impressive-sounding diagnosis to justify their suffering to themselves, their spouses, and their bosses. They want a prescription medication which will immediately cure their illness, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/emily-orourke" rel="tag" > Emily O'Rourke, MD < /a > Tags: Conditions Infectious Disease Source Type: blogs

When Western medicine fails patients and clinicians
It ’s a common scenario: a patient shows up to my office lugging a bagful of over-the-counter supplements, defiantly informing me that they “don’t believe in prescription drugs.” In the very next breath, they present a lab slip with a list of bloodwork that their alternative medicine doctor wan ts me to order to help diagnose their […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 3, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kimberly-rogers" rel="tag" > Kimberly Rogers, MD < /a > Tags: Meds Medications Primary Care Source Type: blogs

Physicians are more than their jobs
I had a strange thought that both delighted and frightened me in my intern year: I was sitting in my parent ’s living room, exhausted. I had been fortunate enough to complete residency near my parents and visited with them pretty regularly. I realized that being a doctor is like no other job because you eat, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - November 3, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jazbeen-ahmad" rel="tag" > Jazbeen Ahmad, MD < /a > Tags: Physician Practice Management Source Type: blogs