The simple thing hospitalists can do that can enhance relationships with patients
I have a theory. There is a simple thing hospitalists can do that can enhance relationships with our patients, and even, I bet, improve patient satisfaction scores. The catch is it is not something you can do for yourself; you can only “pay it forward” for somebody else. We know patients who trust their physicians are more likely to follow recommendations, and that trust and confidence in physicians probably leads to higher satisfaction scores. According to data from Tom Lee, Chief Medical Officer at Press Ganey, “confidence in provider” is the key differentiator between those who say they would recommend their p...
Source: Kevin, M.D. - Medical Weblog - August 21, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/christopher-moriates" rel="tag" > Christopher Moriates, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

Fight burnout by following your fear
Three years ago, I left the only path I had ever known to pursue uncertainty on the other side of the world. But let me back up. In July of 2011, five years into my career as an academic hospitalist, the residency work hours changed. Although the intent was obviously to benefit the well-being of the residents and the safety of patients, it took a tremendous toll on attending physicians at my institution. It was such an abrupt and dramatic change, and it didn’t take long until I was on the brink of mental and physical exhaustion, unable to handle even minor setbacks. I’ll spare you all of the details, because you probab...
Source: Kevin, M.D. - Medical Weblog - August 18, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jill-wener" rel="tag" > Jill Wener, MD < /a > Tags: Physician Practice Management Source Type: blogs

Shoshana Ungerleider on End of Life (video)
Hospitalist, philanthropist, and Netflix documentary producer Dr. Shoshana Ungerleider recently joined ZDoggMD to talk about how she balances a clinical career with a passion for transforming public perception around end-of-life care.  She is the... (Source: blog.bioethics.net)
Source: blog.bioethics.net - August 16, 2018 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Xarelto On Discharge for Pulmonary Embolism Decision Tree
Is Xarelto the right medication for you after a life threatening pulmonary embolism?  This medicine is a great option, but how do you know if it is the right medicine for you?  The Happy Hospitalist has provided a detailed flow chart decision tree for you to decide if Xarelto will work for your clotting disorder.  Years of dedicated clinical experience can be summed up in this one simple graph.  So, if you've got a big clot in your lungs and you want to know if you should take Xarelto, look no further.  You have found the answer you've been searching for.Tweet!function(d,s,id){var js,fjs=d.getEleme...
Source: The Happy Hospitalist - August 2, 2018 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs

Tips for fellowship applicants from a program administrator
The season has opened, and panic has spread among senior year residents, chief residents, and hospitalists out in the community. Fellowship applications are live and being viewed by the programs applicants think they want to rank one, two, and three. These incredibly intelligent physicians are refreshing student document network daily now and soon to be hourly as the weeks go on. The anxiety is building as people are waiting to see which program invite them for an interview, or worse never respond. The applicants have done everything they can, now it’s time to just sweat it out, and wait for the invitations to hopefully ...
Source: Kevin, M.D. - Medical Weblog - July 27, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/geri-herling" rel="tag" > Geri Herling, MHA < /a > Tags: Education Medical school Residency Source Type: blogs

A Missed Opportunity For Telemedicine Vendors
Today, most direct-to-consumer telemedicine companies operate on a very simple model. You pay for a visit up front. You talk to the doctor via video, the doctor issues as a prescription if needed and you sign off. Thanks to the availability of e-prescribing options, it’s likely your medication will be waiting for you when you get to the pharmacy. In my experience, the whole process often takes 45 minutes or less. This beats the heck out of having to wait in line at an urgent care center or worse, the emergency department. But what about caring for chronic illnesses that can’t be managed by a drive-by virtual visit?...
Source: EMR and HIPAA - June 29, 2018 Category: Information Technology Authors: Anne Zieger Tags: Connected Health Digital Health EHR Electronic Health Record Electronic Medical Record EMR Healthcare AI HealthCare IT mHealth Mobile Apps Patient Home Monitoring Payers Population Health Population Health Management Telemedici Source Type: blogs

Shouldering the experiences in medicine is both a burden and an honor
I’ve been a doctor for one year. Two years of clinical rotations in medical school ill-prepared me for the reality of this job. Not that I went to bad medical school by any means; working in health care is simply something you can’t learn from a textbook or even on the sidelines as a marginally involved medical student. It is immersive. Working around death and dying individuals can be mentally and physical exhausting, especially in an acute setting like a hospital. Only a few months of residency and everyone has at least one code blue story, that time that things went so badly it would be laughable if only the result ...
Source: Kevin, M.D. - Medical Weblog - June 25, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/laura-selby" rel="tag" > Laura Selby, DO < /a > Tags: Physician Hospital-Based Medicine Source Type: blogs

Physician heal thyself: Practice medicine on your own terms
Being intentional about everything in your life is one of the major pillars to having a balanced life. It all begins with organizing your priorities; and once you have set your priorities, you can develop a schedule that reflects them. In my case, my top priority is having a career that will allow me to live life on my own terms. Personally, living life on my own terms means having flexibility to balance my career while being present for my children and the rest of my family. To achieve this, I switched from being a nephrologist to being a hospitalist, working as a locum tenens physician. This saves me from working at nigh...
Source: Kevin, M.D. - Medical Weblog - June 16, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/nana-korsah" rel="tag" > Nana Korsah, MD < /a > Tags: Physician Practice Management Source Type: blogs

5 mistakes hospitalists should avoid when starting a locum tenens position
For the last 8 years, I have worked as a locum tenens hospitalist. I began on this path when it was the least popular option upon graduation from residency. I did countless hours of research trying to find accurate information about locum tenens companies, but never found anything written by physicians, only by the companies themselves. So, I stepped into this field blindfolded and learned the hard way. Since then, I have worked with over 16 locum tenens companies, 14 hospitals, and 8 electronic medical record systems. Through these experiences, I’ve realized that, unfortunately, some locum tenens companies do not act w...
Source: Kevin, M.D. - Medical Weblog - June 15, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/geeta-arora" rel="tag" > Geeta Arora, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

More equitable health care starts with you
I am a hospitalist at a safety-net hospital. Through my work, I have come to understand how our daily decisions — filtered through our own biases — influence how health care is implemented, and I had a personal teacher in my first year as an attending. Soon after starting my job, I met Mr. K. He was in his 40s, well-kempt, soft-spoken and had the good habit of looking people in the eyes when talking to them. Originally from New York, he had been living comfortably as a middle manager in restaurant supply sales until an unexpected mixture of midlife crisis and wanderlust struck. He traveled the country looking for a new...
Source: Kevin, M.D. - Medical Weblog - June 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rehaan-shaffie" rel="tag" > Rehaan Shaffie, MD < /a > Tags: Policy Hospitalist Public Health & Washington Watch Source Type: blogs

Physician, heal thyself: How to thrive in your medical career
One of the things that can help a physician live a balanced life is finding ways to thrive in the workplace. This is currently a work in progress for me, but I am excited to share what I have learned so far. For some context, I was previously practicing as a nephrologist; and I transitioned to being a hospitalist on an as-needed basis to create flexibility in my schedule. This has allowed me to spend more time with my young children. Each specialty and practice comes with its set of challenges. Being a nephrologist entailed long hours and traveling to many different locations in a single day. By switching to a hospitalist ...
Source: Kevin, M.D. - Medical Weblog - May 23, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/nana-korsah" rel="tag" > Nana Korsah, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

LITFL Review 332
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 332nd LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription The Most Fair Dinkum Ripper Beauts of the Week Pulmonary embol...
Source: Life in the Fast Lane - May 20, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

What happened 33 years ago changed this physician forever
It has been a struggle to get out of my own way. I’m sure many of you have the same feeling. My health and well-being have suffered mightily from the stress of taking care of others in my work as a physician. I have not taken care of myself. Period. My career does not make me unique in this situation, as the patients I treat every day suffer from similar emotions of frustration and despair. Many of them are trapped in far more serious situations, with truly life-threatening diseases, and they see no visible way out. They are losing, or have lost, hope. I went for a walk today to clear my mind and ponder my path forward. ...
Source: Kevin, M.D. - Medical Weblog - May 15, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/brian-yount" rel="tag" > Brian Yount, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

How I saved my daughter from a medical error
We had no choice in becoming the “crazy” family that left a hospital against medical advice. Our four-day-old daughter was completely helpless, her condition deteriorating and the staff was ignoring our concerns. I carefully turned off the blue lights, removed her from the isolette, placed her in a car seat and eloped from the pediatrics unit. As a hospitalist, I constantly obsess over medical errors. The majority are more subtle than the headlines (wrong-sided surgery). They are things like delays in care, medication errors or communication breakdowns between the health care team. Out of fear of my potential involveme...
Source: Kevin, M.D. - Medical Weblog - May 9, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/varun-verma" rel="tag" > Varun Verma, MD < /a > Tags: Physician Critical Care Pediatrics Source Type: blogs