What Chernobyl can teach physicians about avoiding medical errors
I recently started watching the HBO series Chernobyl, chronicling the events surrounding the 1986 disaster. For anyone who hasn ’t seen it yet—I’d highly recommend this excellent production (It’s already deservedly won multiple awards). The great thing about TV like this, which documents real-life events (and I’d put another HBO series John Adams in the same […]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 - February 22, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Malpractice Source Type: blogs

Eradicate burnout with these 2 simple strategies
You ’re at the top of your game. And you are perhaps thinking that this is not how you envisioned life at this stage in your career. Many successful physicians are frustrated that they can’t find the time or energy to be present with their family and friends. They haven’t even thought about activi ties just for […]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 - February 21, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/karyn-grant" rel="tag" > Karyn Grant, BSN < /a > < /span > Tags: Conditions Practice Management Source Type: blogs

Start with the students: Addressing the future of physician suicide
The first day I sought counseling, I felt like I was committing a crime. Our afternoon anatomy lecture had just ended, and the entirety of our first-year medical class —clad in hunter green scrubs and reciting the intrinsic muscles of the back—paraded in what looked like a single-file line to our cafeteria.“Act natural,” I thought. […]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 - February 21, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > < /span > Tags: Education Psychiatry Source Type: blogs

How artificial intelligence will affect brain surgery
Brain surgery is getting smarter. The journal Nature Medicine recently published a study that found a new imaging technique that allows pathologists to diagnose brain tumors faster and more accurately than ever before. The study focused on Invenio Imaging technology ’s use of artificial intelligence (AI) in making accurate diagnoses. So, will computers replace doctors? That’s […]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 - February 21, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/robert-louis" rel="tag" > Robert Louis, MD < /a > < /span > Tags: Physician Surgery Source Type: blogs

The impact of economic inequality on the incidence of mass shootings
Gun violence has become a public health epidemic. Despite countless deaths in mass shootings over the last two decades, the Dickey Amendment —a provision inserted into the 1996 spending bill which blocked federal funding for research on gun violence—remains on the books. While every politician, media pundit, and policy expert “know” the solution, the answers are […]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 - February 21, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/niran-s-al-agba" rel="tag" > Niran S. Al-Agba, MD < /a > < /span > Tags: Policy Public Health & Source Type: blogs

A cardiologist ’s advice to women: How to keep your heart healthy and happy
One of the most important things to understand about heart health is that a woman ’s needs change over time. Risk factors for heart disease like high blood pressure and high cholesterol can become more important as a woman ages.  Hypertension and high cholesterol are not things we may feel. This is why hypertension is called […]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 - February 20, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/dipti-itchhaporia" rel="tag" > Dipti Itchhaporia, MD < /a > < /span > Tags: Conditions Cardiology Source Type: blogs

In the crucible of mistrust and health care
Trust has always been the foundation of any relationship between a patient and those of us in health care. Clinicians enter patient encounters with the presumption they will be trusted, based on their knowledge and good intentions. But medicine is changing, and today patient-doctor relationships are buffeted by a complex labyrinth of a rapidly evolving […]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 - February 20, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/richard-j-baron" rel="tag" > Richard J. Baron, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

The new USMLE Step 1: How your medical school and residency will change
With the advent of countless resources and study aids over the years to help medical students prepare for the USMLE Step 1 exam, ranging from the venerable First Aid review book and Anki flashcard decks, to online tools such as UWorld, Pathoma, SketchyMicro, Firecracker, Amboss, and countless more, the entire process of studying for Step […]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 - February 20, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kevin-zhang" rel="tag" > Kevin Zhang, MD < /a > < /span > Tags: Education Medical school Residency Source Type: blogs

What is the application process for physician long-term disability insurance?
Protecting your lifestyle starts with protecting your income. Disability insurance provides a solid foundation for your financial future by providing you income when you ’re unable to work due to an illness or injury. When most people hear the word “disability,” they immediately think of accidents. But the reality is that 90 percent of disabilities are […]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 - February 20, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/bob-bhayani-mba" rel="tag" > Bob Bhayani, MBA < /a > < /span > Tags: Policy Practice Management Source Type: blogs

A physician ’s experience with local mission work
In December of 2011, I made a career move that changed my life. My life as a surgeon was getting stale. Doing the same old thing for two decades was getting old, and I was looking for something to breathe new life into my surgical practice. I decided to look into doing a short term […]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 - February 20, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/cory-fawcett" rel="tag" > Cory Fawcett, MD < /a > < /span > Tags: Physician Cardiology Primary Care Source Type: blogs

5 disruptive trends transforming health care
Spiraling costs, poor quality outcomes, and inequities in access to care are driving significant and long overdue changes to the way health care is administered and managed in the United States. And while the U.S. spends more on health care per person than other wealthy countries, its health outcomes are no better than those 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 - February 19, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/richard-s-isaacs-and-chris-grant" rel="tag" > Richard S. Isaacs, MD and Chris Grant < /a > < /span > Tags: Policy Public Health & Source Type: blogs

The journey from expectation to agreement
We sat in the driveway, my business partner and I, each peering out our opposite windows, each wrapped in the disappointing sense that we had failed one another while the uncaring car simply idled in the background.   “We agreed on this,” my partner said, without turning her face toward me.  “No, you told me how […]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 - February 19, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/carla-j-rotering" rel="tag" > Carla J. Rotering, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

In honor of Black History Month: Thank you to all the doctors breaking boundaries
In honor of Black History Month, I wrote this article to say thank you to all the wonderful black doctors breaking boundaries and exploring careers that would have been unattainable to black people in late 1800 and even early 1900 America. To all the black doctors, your representation in medicine matters a lot. I am […]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 - February 19, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/abena-oduro" rel="tag" > Abena Oduro < /a > < /span > Tags: Education Medical school Primary Care Source Type: blogs

Legislators, please stay out of our exam rooms. Especially when it comes to children and gender.
Legislators have found a new way to insert themselves into the physician-patient relationship. In October and November 2019, news stories regarding a parental dispute over the treatment of a transgender child prompted legislators in Texas, Kentucky, and Georgia to announce plans to introduce bills that would prohibit medical and surgical treatment of transgender children under […]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 - February 19, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/amy-potter" rel="tag" > Amy Potter, MD < /a > < /span > Tags: Policy Pediatrics Public Health & Source Type: blogs

What to do with the extremely defensive doctor
Let’s talk about the doctor who is excessively defensive. I divide this kind of communication blocker into two varieties: physician personality and physician mode of practice. The physician with a defensive personality is one who interprets questions from parents as questioning of her medical judgment. Unlike the supremely egotistical doctor, who is often sufficiently secure […]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 - February 19, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > < /span > Tags: Physician Critical Care Pediatrics Source Type: blogs

More is not always better with fertility treatment
The fertility clinic waiting room is a space where many people will find themselves at some point in their lives. In spite of cheery music, shared success stories, infertility awareness weeks, and positive media campaigns, this can be a challenging and sensitive time. About one in six Canadians experience fertility problems — these range from […]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 - February 18, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/claire-jones-and-eileen-mcmahon" rel="tag" > Claire Jones, MD and Eileen McMahon, NP < /a > < /span > Tags: Conditions OB/GYN Source Type: blogs

My patient isn ’t doing well. Is it my fault?
The front-desk clerk, Ruth, comes to me and says Rose Henderson wants a cab voucher signed — which guaranteed payment. Rose could not be made to understand, Ruth tells me, that we are not permitted to sign vouchers when the person, the client, comes to our offices solely for the purpose of picking up cash […]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 - February 18, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/raymond-abbott" rel="tag" > Raymond Abbott < /a > < /span > Tags: Conditions Psychiatry Source Type: blogs

Why direct primary care is the future
I recently wrote about my new type 1 diabetes diagnosis, the quest for affordable meds and supplies, and the subsequent financial savings found through transparent pricing outside of my insurance plan. I summarized that health care“coverage” is very expensive, whereas medical services may be found much more affordably. My next step was to establish […]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 - February 18, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/todd-rice" rel="tag" > Todd Rice, MD, MBA < /a > < /span > Tags: Physician Diabetes Primary Care Source Type: blogs

Keep attacking doctors: What the New York Times gets wrong about surprise medical bills
Do you think I went too far in  my last blog post, calling out some journalists as “pontificating parasites” who love nothing more than to slam physicians and blame us for the cost of health care? If you do, then you must not have read Elisabeth Rosenthal’s latest salvo in the Feb. 16 New York Times, where she […]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 - February 18, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/karen-s-sibert" rel="tag" > Karen S. Sibert, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Mainstream media Source Type: blogs

Medical error is not the third leading cause of death
Ever since the publication of the infamous 2016  BMJ opinion piece claiming medical error should be considered the third leading cause of death in the U.S., the debate on the true incidence of deaths caused by medical error has been raging. Many, including me, felt the estimate of 251,000 deaths per year from medical error was grossly […]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 - February 18, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/skeptical-scalpel" rel="tag" > Skeptical Scalpel, MD < /a > < /span > Tags: Policy Malpractice Public Health & Source Type: blogs

What happens when abortion services aren ’t available
In my very first job as a doctor — working in a London hospital in the 1980s. I always took a ridiculously detailed past medical history for every patient I saw. I started to notice how many elderly women had had septicemia, a life-threatening infection in which enormous amounts of bacteria enter the bloodstream. 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 - February 17, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > < /span > Tags: Conditions OB/GYN Source Type: blogs

Patient bias may endanger both physicians of today and the future
The truth is: While physicians are not allowed to discriminate against their patients, patients are allowed to discriminate against their physicians. This is particularly true in the private sector, fueled by online physician profiles permitting patients to choose provider characteristics ranging from those as benign as Ivy League training background to those as problematic 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 - February 17, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/olamide-omidele" rel="tag" > Olamide Omidele < /a > < /span > Tags: Education OB/GYN Source Type: blogs

Jewish identity is so much more than a person ’s biology
Recently I made a self-deprecating joke among friends, when one of them said, “that’s so Jewish,” to which another quipped, “What do you expect? It’s in the genes.” The idea of a Jewish gene is not necessarily new, but it has become more popular and more concerning in recent years.  For example, today, direct-to-consumer genetic […]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 - February 17, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ira-bedzow" rel="tag" > Ira Bedzow, PhD < /a > < /span > Tags: Physician Genetics Source Type: blogs

The environmental impact of anesthesia
I am in the operating room working with an attending anesthesiologist I have known for years.“Tell me,” I ask,“Do you and your colleagues talk about the difference between Des and Sevo?” He looks at me without responding.“You see,” I continue,“There was a  story on the radio about a hospital that has gotten rid […]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 - February 17, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/bruce-campbell" rel="tag" > Bruce Campbell, MD < /a > < /span > Tags: Physician Surgery Source Type: blogs

I wear my heart on my sleeve for the love of my patients
I am a primary care pediatrician. I am one of the thousands who serve our youngest and most vulnerable each day. Any pediatrician will tell you we are the underdogs of the medical hierarchy. But for me, it ’s still the best calling on Earth. When I walk into an exam room, you will see my […]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 - February 16, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/quinn-bensi" rel="tag" > Quinn Bensi, MD < /a > < /span > Tags: Physician Pediatrics Source Type: blogs

What do hospital discounts really mean?
Our local newspaper recently ran an article on the top of its front page, stating that our monopoly health system is now “expanding health care cost discounts.”  The article was actually a press release– free advertising on the front page. As a primary care physician who refers patients to this health system, I wanted […]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 - February 16, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/robert-s-berry" rel="tag" > Robert S. Berry, MD < /a > < /span > Tags: Policy Hospital-Based Medicine Public Health & Washington Watch Source Type: blogs

The Hufflepuff of medicine
Recently, my mother waited for over an hour for what turned out to be a 5-minute visit with her primary care doctor. Her doctor seemed rushed and stressed, her questions perfunctory, the management plan hurried. And then she was gone. “It’s like she didn’t even know I was there,” my mom relayed to me. This […]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 - February 16, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/neda-frayha" rel="tag" > Neda Frayha, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

When the problem representation and the illness script do not match
Recently we had a patient admitted for a diagnosis that did not really fit his problem representation. The diagnosis was a convenient one, and easily treated. He initially responded to treatment, and we discharged him. The diagnosis assumption nagged at me, but I did not push forward with a test that my mind wanted. A […]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 - February 16, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/robert-centor" rel="tag" > Robert Centor, MD < /a > < /span > Tags: Conditions Pulmonology Source Type: blogs

Physicians are excellent at  floccinaucinihilipilification. What is that?
Physicians are excellent at  floccinaucinihilipilification, which is seeing something as unimportant or worthless.  We engage in floccinaucinihilipilification every time we see a patient. We listen to their story and symptoms, and quickly filter, accept, or discard information until we arrive at our presumed diagnosis. The 18-second rule In 1984, Beckman and Frankel wrote in the Annals 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 - February 15, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/susan-maclellan-tobert" rel="tag" > Susan MacLellan-Tobert, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

As a registered nurse, I do not want to violate my patients ’ rights anymore
I am a critical care RN, and I violated my patients ’ rights. For decades, every day that I worked in the emergency department or the intensive care unit, I violated my patients’ federally protected rights to participate in their plan of care. I didn’t mean to, or want to, but my tasks to maintain 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 - February 15, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/beth-anne-algie" rel="tag" > Beth Anne Algie, RN < /a > < /span > Tags: Conditions Critical Care Hospital-Based Medicine Source Type: blogs

Intelligence does not protect against the worst of life ’s cruelties
Mr. O has a drinking problem. More specifically, Mr. O drinks far too much and far too often, and for reasons that can’t be addressed with the tool he’s chosen. I met him at what could be called the low point of his life, except I know better than to hope things will look up. […]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 - February 15, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anna-gaddy" rel="tag" > Anna Gaddy, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

Not only do the worst need love, the best are made better by offering it
I once saw an older gentleman who was mentally impaired from birth. A hard enough blow, he had slowly, inexorably drifted into dementia.   He cut his head in a fall, suffering the ravages of gravity as so many do every day, every night. He was Caucasian.  His full-time care-giver was African-American.  That young man was […]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 - February 15, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/edwin-leap" rel="tag" > Edwin Leap, MD < /a > < /span > Tags: Physician Emergency Medicine Source Type: blogs

Numb: How I survived as a physician
On my final day of work before beginning my self-imposed   burnout sabbatical, a colleague asked,“Why don’t you just get on medication?” I remember thinking,“What am I medicating?   I feel nothing.” I was in the vice grip of burnout, overwhelmed, and physically and emotionally exhausted.   But mostly, I was numb. But in reality, 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 - February 14, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kara-pepper" rel="tag" > Kara Pepper, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

Dementia is worse when coupled with inadequate preparation
The chances that you or someone you love will be diagnosed with dementia are shockingly high. By age 65, your chances are already at 9 percent. Make it to age 85, and the chances go up to 33 percent. Of course, if you ’re diagnosed with dementia, it will be a struggle for you to think […]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 - February 14, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mary-braun" rel="tag" > Mary Braun, MD < /a > < /span > Tags: Conditions Geriatrics Neurology Source Type: blogs

Heart of a doctor. Mind of a doctor. Soul of a giver.
Calling. I am awakened by the loud, screeching sound of my pager. I feel my heart race. I look at the clock. It is 3:07 a.m. It ’s cold in the room. I am shivering. I stand up quickly, instinctively. I feel the soreness of my feet for a brief moment, but push that thought aside […]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 - February 14, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kristine-tatosyan-jones" rel="tag" > Kristine Tatosyan-Jones, MD, MBA < /a > < /span > Tags: Physician Primary Care Source Type: blogs

The sexual side effects after prostate cancer treatment
I first met JB* when the receptionist at the clinic called to tell me that a patient was asking to see me. His name did not ring a bell, and on a quick review of my patient schedule for the week, his name did not appear. I went to the waiting room to see if […]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 - February 14, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anne-katz" rel="tag" > Anne Katz, RN, PhD < /a > < /span > Tags: Conditions Oncology/Hematology Source Type: blogs

Teenagers also need routine annual well visits
Life can be hectic.   We all feel the effects of the “busyness” of our daily business, especially with the beginning of a New Year, when we tend to hyper-focus on our “to-do lists” and resolutions.  We can often forget to take care of ourselves and the ones we love.  For example, when was the last […]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 - February 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/johanna-vidal-phelan" rel="tag" > Johanna Vidal Phelan, MD, MBA < /a > < /span > Tags: Conditions Pediatrics Source Type: blogs

How serving LGBTQ patients teaches valuable lessons on patient experience and the practice of medicine
As clinicians, our medical training teaches us to categorize and diagnose. But caring for people can sometimes be gray – it’s not always black or white. In 2017, my colleague Dr. Kyle Christiason launched our health system’s first clinic dedicated to providing compassionate and affirming care to lesbian, gay, bisexual, transgender, queer, and questioning communities. […]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 - February 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/patricia-newland" rel="tag" > Patricia Newland, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

USMLE Step 1 pass/fail winners and losers
On February 12, 2020, the National Board of Medical Examiners (NBME) announced that the USMLE Step 1 will transition to a pass/fail exam in January 2022 at the earliest. This move comes amidst increasing pressure on the NBME regarding its financial conflicts of interest, as well as the tangible sense among medical school deans that […]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 - February 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/aamir-hussain" rel="tag" > Aamir Hussain < /a > < /span > Tags: Education Hospital-Based Medicine Medical school Source Type: blogs

The simple step that helped this physician lose 10 pounds
By the time I turned 40, I had gained and lost 40 pounds at least ten times. It started with the “freshman fifteen” plus another twenty-five in college. In medical school, I was introduced to sweetened coffee beverages, and I snacked on pretzels and candy to stay awake while studying. I got through overnight call […]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 - February 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/katrina-ubell" rel="tag" > Katrina Ubell, MD < /a > < /span > Tags: Conditions Obesity Source Type: blogs

As I become a better baker, I hope that I will continue to become a better doctor
Growing up in a Korean household meant that I had very little experience with the type of baking that most Americans are used to; My grandma made rice cakes, not birthday cakes. But during my third year of medical school, an intern recommended a show called  The Great British Bake Off. After watching a few episodes […]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 - February 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/yoo-jung-kim" rel="tag" > Yoo Jung Kim < /a > < /span > Tags: Education Hospital-Based Medicine Medical school Source Type: blogs

The great bidet mystery
An excerpt from  Dottoressa: An American Doctor in Rome. The great bidet mystery: What’s it for? Americans can live here for decades thinking Italians go to the trouble of installing bidets just so they can soak their feet. If they’ve read Henry Miller, they add so women can wash before and after sex. The trut h is […]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 - February 12, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/susan-levenstein" rel="tag" > Susan Levenstein, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Cultivating your personal partnerships as a physician
The center of a physician’s job is the doctor-patient relationship.   Without a healthy one, the physician is unable to help the patient make meaningful changes in their life to maintain a state of wellness.  Too often, in the process of medical training, a physician’s personal relationships suffer the consequences of long hours, financial strain, 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 - February 12, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/meagan-vermeulen" rel="tag" > Meagan Vermeulen, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

Treating the patient, not the disease
A guest column by the American College of Physicians, exclusive to KevinMD. Engaging personally with our health care system either as a patient or family member is usually an eye-opening experience for most physicians.   It provides a glimpse of what those under our care likely deal with on a daily basis while attempting to manage […]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 - February 12, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/philip-a-masters" rel="tag" > Philip A. Masters, MD < /a > < /span > Tags: Physician American College of Physicians Hospital-Based Medicine Primary Care Source Type: blogs

How minor fixes can help with resident burnout
“How did you like it there?” I ask, sitting down next to a new fellow (between bites of a plump sandwich, hoping there is no spinach in my teeth). I expect to hear the standard resident talking points — long hours, frequent call, and ballooning student loans. Instead, she surprises me. “D o you know how much they charged us […]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 - February 12, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/daniel-orlovich" rel="tag" > Daniel Orlovich, MD, PharmD < /a > < /span > Tags: Education Hospital-Based Medicine Medical school Residency Source Type: blogs

The medicine that defines hospice care
An excerpt from Death Is But a Dream: Finding Hope and Meaning at Life’s End. Published on February 11, 2020 by Avery, and imprint of Penguin Publishing Group, a division of Penguin Random House, LLC. Copyright © 2020 by William Hudson, LLC Dying in the hospital is an expensive proposition that ironically leads to neither […]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 - February 11, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/christopher-kerr" rel="tag" > Christopher Kerr, MD, PhD < /a > < /span > Tags: Conditions Palliative Care Source Type: blogs

Cervical cancer guidelines leaves women confused about annual pelvic exams
There is good news and bad news in the world of women ’s health. The good news is that women do not need annual Pap smears. The bad news is that, upon hearing the good news, many women incorrectly assume they no longer need annual pelvic exams, either. Historically, Pap smears were performed annually, and during […]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 - February 11, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/lisa-n-abaid" rel="tag" > Lisa N. Abaid, MD, MPH < /a > < /span > Tags: Conditions OB/GYN Source Type: blogs

Why doctors need life skills
Medical school prepares doctors for patient care: perform a history and physical, and based on the findings, consider the next diagnostic tests to order, review all data, and develop a treatment plan. By graduation from medical school, you are skilled to perform those duties with a certain level of competency and confidence. Success in 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 - February 11, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/stephanie-wellington" rel="tag" > Stephanie Wellington, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

3 reasons why some physicians aren ’t burned out
I have gotten to the stage where I take a more philosophical approach to the issue of physician burnout and job dissatisfaction. I see it all around me, and it ’s impossible to miss some of the sobering statistics just browsing online any medical publication or social media feed. There’s definitely a very real issue that’s […]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 - February 11, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

A surgeon on the other side of the operation
Today started like any other day. I woke up, got ready, drove into work. I dropped my bag in my office, changed into scrubs, and wandered down to pre-op. After a few minutes of small talk with the staff, I found the patient I was looking for. He was awaiting a major operation. I spoke […]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 - February 10, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/andrew-isaacson" rel="tag" > Andrew Isaacson, MD < /a > < /span > Tags: Physician Surgery Source Type: blogs