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Thinking on Your Feet Well: Building Adaptive Expertise in Learners Using Simulation
On this episode of the Academic Medicine Podcast, Sam Clarke, MD, MAS, and Jon Ilgen, MD, PhD, join host Toni Gallo to discuss the importance of teaching adaptive expertise to prepare learners for the types of complex cases they will encounter in clinical practice. This conversation also covers what adaptive expertise is, how simulation can be used to foster this skill in learners, and the complementary relationship between performance-oriented cases and adaptive cases in health professions education. This episode is now available through Apple Podcasts, Spotify, and anywhere else podcasts are available. ...
Source: Academic Medicine Blog - July 24, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast adaptive expertise medical education medical students residents simulation Source Type: blogs

Preventive Medicine is the Key to Value-Based Care
The following is a guest article by Dr. Ed Cladera, Medical Director at AristaMD We’re amid a massive provider shortage, and it’s only getting worse. According to data from the Association of American Medical Colleges, the U.S. is on track to face a shortage of up to 124,000 physicians by 2034. As a result of being unable to access care, patients are pushing off routine health services. Neglected care comes with more complications down the line. Studies have shown that preventative care decreases the incidence of disease and patient mortality, resulting in better care outcomes. Preventive medicine proactively identifie...
Source: EMR and HIPAA - July 18, 2023 Category: Information Technology Authors: Guest Author Tags: Clinical Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System AristaMD Association of American Medical Colleges Decreasing Costs Ed Cladera MD Improving Outcomes Medicaid Medicare PCP Prev Source Type: blogs

I was reading ECGs on the system when I came across this one, called " normal " by the conventional computer algorithm
I come in early for every shift to read the ECGs on the system that have not yet been " confirmed " .  I came across this one:The computer calls is: " SINUS RHYTHM. NORMAL ECG "What do you think? Be VERY careful when the computer calls the ECG " Normal " .  I saw the inferior ST depression (which is reciprocal to subtle STE in aVL) and the subtle ST depression in precordial leads and thought:" If this patient came in with chest pain, then it is an acute OMI. "So I looked on the computer.  Turns out that it was a 50-something patient with no previous cardiac history who had called 911 for chest pain...
Source: Dr. Smith's ECG Blog - July 12, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Modern medicine is disappointing to many of us at the later end of our careers
I graduated from medical school in 1995. I completed an internal medicine and pediatrics residency in 1999, after which I spent three years in private practice, then moved on to a hospitalist practice for the next four years. From there, I transitioned to an ER job, where I have been for the last seventeen years. Read more… Modern medicine is disappointing to many of us at the later end of our careers originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 10, 2023 Category: General Medicine Authors: Tags: Physician Emergency Medicine Rheumatology Source Type: blogs

How direct primary care saved my career and my life
In late 2017, I was standing in the hallway between two different departments in a hospital where I was rounding on a particularly busy day. As a hospitalist, I was very familiar with this facility and where to go in order to find a moment of peace away from the hustle and bustle of my Read more… How direct primary care saved my career and my life originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - July 2, 2023 Category: General Medicine Authors: Tags: Physician Pediatrics Source Type: blogs

Advice for the hospitalist caring for a patient after delirium in the post-anesthesia care unit
You are called by the bedside nurse that your patient arrived on the floor from the post-anesthesia care unit (PACU). The nurse tells you that the patient was delirious and agitated after anesthesia, pulled out their IVs, and was sedated by the PACU team. They are somnolent now, but awaken to voice. Their family is Read more… Advice for the hospitalist caring for a patient after delirium in the post-anesthesia care unit originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 19, 2023 Category: General Medicine Authors: Tags: Physician Psychiatry Surgery Source Type: blogs

What Can We Learn from the Envision Bankruptcy?
This study ignited a firestorm of press criticism and was followed by an aggressive lobbying and PR campaign funded by United and other large commercial payers  aimed at restricting balance billing by firms like Envision.  This campaign culminated in the Dec 2020 Congressional passage of the No Surprises Act, which effectively ended balance billing and subjected thousands of Envision’s out-of-network bills to an arbitration process. NSA went into effect in January 2022.   Ironically, days prior to its Chapter 11 filing, Envision won a $91 million judgment from an arbitration panel against United fo...
Source: The Health Care Blog - May 24, 2023 Category: Consumer Health News Authors: matthew holt Tags: The Business of Health Care Envision HCA Jeff Goldsmith Private equity Sound Physicians Tenet United HealthGroup Source Type: blogs

Teaching Wound Care at the American College of Physicians Annual Meeting
I recently had the honor of teaching a section entitled “Wound Care for the Internist.” at the annual meeting of the American College of Physicians (ACP) in San Diego.  ACP is the largest medical specialty organization in the United States with members that include internal medicine physicians, subspecialists, and medical students.  My session was well attended by caregivers from across the healthcare continuum including hospitalists, doctors in outpatient practices, and long-term care providers.  In my introductory remarks I asked the question, “How many of you have had a lecture on wound care in medical school....
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - April 29, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care arterial ulcer bedsores burns chronic wounds decubitus ulcer end-of-life care Jeff Levine MD medical education pressure sores pressure ulcers venous ulce Source Type: blogs

How this doctor found her passion in ballroom dancing [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Meet Corinne Sundar Rao, an internal medicine physician who found her passion in ballroom dancing. After 14 years of practicing medicine, she transitioned into being a full-time hospitalist but still felt like something was missing. One day, she walked into a dance studio and Read more… How this doctor found her passion in ballroom dancing [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 26, 2023 Category: General Medicine Authors: Tags: Podcast Hospital-Based Medicine Source Type: blogs

Navigating success, happiness, and wealth [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! In this episode, hospitalist Miguel Villagra explores the key components of success, happiness, and wealth and how they are interconnected. He sheds light on the art of reacting to life’s offerings, the relationship between happiness and money, and the conversion of effort and enterprise Read more… Navigating success, happiness, and wealth [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 14, 2023 Category: General Medicine Authors: Tags: Podcast Practice Management Source Type: blogs

Gratitude takes practice. How come health care workers aren ’t better at it?
Like interest rates and food prices, burnout among health care providers continues to rise. From my perch—as a hospitalist in a large tertiary hospital—the sheer terror of the early days of the COVID pandemic has been replaced by a grinding fatigue fueled by staffing shortages across the entire health care system. Patients and their families Read more… Gratitude takes practice. How come health care workers aren’t better at it? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 8, 2023 Category: General Medicine Authors: Tags: Physician COVID Psychiatry Source Type: blogs

Celebrate Banana Cream Pie Day with your friendly hospitalist
I am smart, I swear. I graduated near the top of my class in medical school, I swear. I kicked butt on the Step exams, I swear. But ask me to manage someone’s diabetes or hypertension; No, thank you! Thank God for hospitalists, a set of remarkable physicians that allow me to do my job Read more… Celebrate Banana Cream Pie Day with your friendly hospitalist originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 2, 2023 Category: General Medicine Authors:
When I finished my pediatric residency almost 20 years ago, I embarked upon a career in general pediatrics because I didn’t enjoy any particular subspecialty enough to commit my career to it. After spending several years in a mostly outpatient setting (peppered with child abuse consults, circumcisions, and an unsatisfyingly small number of hospitalized patients), Read more… 3 hospitalists’ struggles with board certification: a tale of ineligibility, cancelled tests, and unfair fees originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 21, 2023 Category: General Medicine Authors: Tags: Physician Pediatrics Source Type: blogs

From science nerd to accomplished ballroom dancer: my story as a hospitalist
“Life is about taking chances, trying new things, having fun, making mistakes, and learning from them.” – Anonymous Early journey as a science nerd In high school, science was my thing. I wasn’t like the others. I wasn’t interested in teenage drama. The boys didn’t chase me, and I didn’t chase them. I was that Read more… From science nerd to accomplished ballroom dancer: my story as a hospitalist originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 1, 2023 Category: General Medicine Authors:
We don’t talk about burnout. I recently reunited with a former medical school classmate for lunch and realized that I talked more to him in two hours about my experiences over the past few years than with my hospitalist colleagues at work or my closest friends. I’ve only ever dared to mention anything to my Read more… The unspoken epidemic: Why health care professionals aren’t talking about burnout originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 29, 2023 Category: General Medicine Authors: Tags: Physician Psychiatry Source Type: blogs