Category Archive: Hospital-Based Medicine

The hazard of the health care common is communication

Both in and outside of health care certain buzz words and phrases become so ubiquitously used that a shared understanding is assumed despite conflicting perceptions of what these sentiments actually mean. Examples in health care include: shared decision making, quality of life, professionalism, patient-centered care, and evidence-based. Each sounds positive and intuitive — what health […]

Primary care uniquely positions us to be our patients’ best allies

My patient The day I met you was early in my second year of internal medicine residency. After much of my internship had been spent on arduous inpatient rotations, I was finally ready to lead my own team of young doctors and students on a high-acuity wards service. Yet, in my continuity clinic, I was […]

The trust patients place in their doctors

When I’m working in a hospital setting as a physician, part of my everyday job duties involves going over consent forms with patients. I am of course a medical physician, rather than a surgeon, so generally don’t have to go over them as often. But I do have to take consent regularly for certain interventions […]

12 tips to help you survive residency

Each year, thousands of newly minted MDs are elevated from mere medical students to — drumroll, please — interns. If that’s you, congratulations and welcome to the world of residency. Welcome to the world of motivation, inspiration and altruism — where you wake up every day knowing this was what you were meant to do. And […]

Patients need an advocate at the bedside

Being a hospitalized patient is perhaps one of the most disempowering experiences an individual can face (besides being in war, or a prisoner). Patients face constant uncertainty; having no idea what time their physician will visit, when they will be taken for their tests, or who will suddenly interrupt them again with a demand – […]

3 steps to gain expertise early in your medical career

As a physician in training, you’re in the first quarter of your new position as an intern or resident. If you are an early career physician, you are adjusting to life as an attending. What exactly does that mean for you? Are you moving from rotation to rotation hopeful that someone will show you the […]

Music is creating beauty in the most surprising of places

“Good morning, Mr. S! How are you feeling today?” I ask as I step into his hospital room. Yesterday, Mr. S was admitted for infective endocarditis and has been tolerating antibiotic treatment well. I am a medical student on my acute cardiology rotation taking care of him. “I’m feeling fine,” he says, and I proceed […]

Moving beyond National Women Physicians Day

The supervising resident’s Voalte phone dinged: “Dr. Mel: Please meet Dr. Rosemond at room 514 for Cardiology rounds.” She scrolled up a few texts and saw that her male counterpart who had rounded the previous day had been addressed as “Dr. Stearnes.” When Mel mentioned the discrepancy to Jacob Stearnes, he just shrugged and said, […]

Medical office design matters

Fresh out of residency and having just turned 29 years old, I started my first job as a general pediatrician in Sioux Falls, South Dakota. One of the first official tasks of my new position involved picking out brand new office furniture for my private windowed office which was housed along the perimeter of the […]

6 things wrong with hospital medicine

In 2002, when I began my first hospitalist job, I was a dyed-in-the-wool hospital medicine convert, convinced that the transfer of inpatient care to true specialists in hospital medicine (hospitalists) would dramatically improve the quality and efficiency of inpatient care, increase patient satisfaction and decrease costs. By 2008, I had developed serious doubts, which prompted […]

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