The uncertainty of an international medical graduate during the COVID-19 pandemic
A quarter of the physician workforce in the United States consists of international medical graduates (IMGs). This year  4,222 non-U.S. citizens matched in first-year residency positions. I am an IMG from Guatemala, where I completed medical school. In March of 2014, I matched to an internal medicine residency in the United States. The road has been […]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 - July 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/juan-j-delgado-hurtado" rel="tag" > Juan J. Delgado-Hurtado, MD, MPH < /a > < /span > Tags: Policy Public Health & Source Type: blogs

Functional dyspepsia: Causes, treatments, and new directions
Functional dyspepsia (FD) is a common condition, loosely defined by some physicians as a stomach ache without a clear cause. More specifically, it is characterized by the feeling of fullness during or after a meal, or a burning sensation in the mid-upper abdomen, just below the rib cage (not necessarily associated with meals). The symptoms can be severe enough to interfere with finishing meals or participating in regular daily activities. Those with FD often go through multiple tests like upper endoscopy, CT scan, and gastric emptying study. But despite often-severe symptoms, no clear cause (such as cancer, ulcer disease, ...
Source: Harvard Health Blog - July 6, 2020 Category: Consumer Health News Authors: Vikram Rangan, MD Tags: Digestive Disorders Mind body medicine Pain Management Source Type: blogs

How the United States depends on doctors trained in other countries
An excerpt from Doctors’ Orders: The Making of Status Hierarchies in an Elite Profession. Copyright (c) 2020 Tania M. Jenkins. Used by arrangement with the publisher. All rights reserved. I met Trevor on his very first day of residency, at the start of three years of practical, on-the-ground training in internal medicine following medical school. […]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 - July 1, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/tania-m-jenkins" rel="tag" > Tania M. Jenkins, PhD < /a > < /span > Tags: Education Hospital-Based Medicine Medical school Public Health & Policy Residency Source Type: blogs

Silence Can Be Deadly: Speak up for Safety in a Pandemic
By LISA SHIEH MD, PhD, and JINGYI LIU, MD Jingyi Liu Lisa Shieh There have been disturbing reports of hospitals firing doctors and nurses for speaking up about inadequate PPE. The most famous case was at the PeaceHealth St. Joseph hospital in Washington, where Dr. Ming Lin was let go from his position as an ER physician after he used social media to publicize suggestions for protecting patients and staff.  At Northwestern Memorial Hospital in Chicago, a nurse, Lauri Mazurkiewicz warned colleagues that the hospital’s standard face masks were not safe and brought her own N95 mask. She was fired by the hospita...
Source: The Health Care Blog - June 30, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Hospitals Medical Practice Physicians Hospital safety Jingyi Liu Lisa Shieh Quality safety culture Stanford Medicine Source Type: blogs

I Joined Twitter to Teach
I joined Twitter to teach. In May 2016, I started tweeting “questions of the day” for my inpatient hospital medicine team at Thomas Jefferson University Hospital from @RJmdphilly. #GreenQOD (“Green” is our teaching service, and “QOD” for question of the day) was born in the days of only 140 characters per tweet (now expanded to 280), which placed a potentially daunting onus on brevity in phrasing—and answering—clinical questions. My inaugural question? “What’s the real story with beta blockers in reactive airway disease? If increase risk is real, how do you balance risk/benefit?” Rules of t...
Source: Academic Medicine Blog - June 30, 2020 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective social media teaching Twitter Source Type: blogs

A dermatologist on the COVID-19 front lines
Let ’s get the jokes out first. Yes, I am a dermatologist who is on the front lines of the COVID-19 pandemic at my hospital, and no, you do not want me to intubate you. I’m a little different than most dermatologists. I also trained in internal medicine, and I regularly spend time on the 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 - June 15, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/steven-chen" rel="tag" > Steven Chen, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Dermatology Infectious Disease Source Type: blogs

Patients deserve our best all the time, in a pandemic, and at 5:59
It ’s 4:30 a.m. as I trudge to the parking garage with a sense of defeat. I am an internal medicine resident wrapping up a swing shift, the magnanimous buffer to admission responsibilities between the day and overnight ward teams. Though clinically tucking in patients that arrive before six o’clock is often easily accomplished well before […]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 - June 4, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jason-john" rel="tag" > Jason John, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

A flurry of emotions as internal medicine residency comes to an end
As I come to the end of my internal medicine residency, I cannot help but experience a flurry of emotions. I am sure many of you, like myself, are feeling a whole host of sensations: relief at the fact that you have now completed over 23 years of education/training; exuberant joy when you click on […]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 - May 29, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/moksha-patel" rel="tag" > Moksha Patel, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

New 2020 Publications from Professor Thaddeus Pope
I am delighted to have recently delivered complete manuscripts for a number of invited and planned publications. In addition, I list my articles and books that have already been published in 2020. My key objective for June is completing "From Informed Consent to Shared Decision Making: Improving Patient Safety and Reducing Medical Liability Risk with Patient Decision Aids." FORTHCOMING IN 2020 Is There a Right to Delay Determination of Death by Neurologic Criteria? JAMA NEUROLOGY (forthcoming 2020) (with Ariane Lewis, and Richard J. Bonnie). Brain Death: Status Shift and Implications, AMA JOURNAL OF ETHICS (forthcoming 202...
Source: blog.bioethics.net - May 26, 2020 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

I ’m ready for the change COVID-19 will bring
I am a graduating fourth-year medical student and new internal medicine resident — one of many newly minted physicians that will be thrown into the frontline to take care of COVID-19 patients in a little over a month. It’s a strange time to be graduating – we have spent years training to get to 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 - May 24, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/lochan-shah" rel="tag" > Lochan Shah, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Hospital-Based Medicine Infectious Disease Source Type: blogs

COVID-19 isn ’t the great equalizer
I am an internal medicine doctor on the frontline of the COVID-19 pandemic in Oakland, California. Before the first confirmed case at my hospital, I could sense the fear and anxiety of the impending disaster with every interaction I had with colleagues and my patients. This was largely due to the uncertainty of what 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 - May 19, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/shankar-mundluru" rel="tag" > Shankar Mundluru, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Hospital-Based Medicine Hospitalist Infectious Disease Source Type: blogs

The mental health benefits of sharing stories
“But, surely offer you therapy or mental health services?” I asked an internal medicine resident and friend on the frontlines in New York City. “No, not really. Well, there’s one person for our whole group,” they responded. “And do people feel comfortable going to that person?” I prodd ed. “Honestly, even if we had time, it […]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 - May 18, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/vibhu-krishna" rel="tag" > Vibhu Krishna < /a > < /span > Tags: Education COVID-19 coronavirus Infectious Disease Source Type: blogs

How coronavirus took my grandfather ’s life
As a first-year internal medicine resident in NYC, the physical and emotional toll this has placed on me is unmeasurable. My attending physician reminds me of someone commanding a battlefield: my “allied” residents, doctors that chose different specialties but are now deployed to my floor, “coalition” doctors, students that graduated early to help us. 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 - May 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/zaki-y-azam" rel="tag" > Zaki Y. Azam, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Hospital-Based Medicine Infectious Disease Source Type: blogs

Connecting through PPE: patient communication during COVID-19
Communication is the cornerstone of patient care. Patients trust healthcare workers with whom they connect. In the current era of COVID-19, connecting with patients and their families is both critical and yet more difficult than ever before. We draw from our experiences as internal medicine residents to outline the current landscape and provide tips on […]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 - May 13, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/kham-kidia-and-amrapali-maitra" rel="tag" > Kham Kidia, MD and Amrapali Maitra, MD < /a > < /span > Tags: Physician COVID-19 coronavirus Hospital-Based Medicine Infectious Disease Source Type: blogs

Coronavirus and my doctor daughter
In March, I began receiving photographs on my social media apps of my daughter ’s Match Day celebration seven years ago at Tulane Medical School. It was a glorious day, in particular, because my daughter got her first choice: Not only would she be an internal medicine resident at a top-tier hospital in New York, with […]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 - May 2, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/carol-ewig" rel="tag" > Carol Ewig < /a > < /span > Tags: Patient COVID-19 coronavirus Infectious Disease Rheumatology Source Type: blogs