In a moment of caffeine-depleted delirium, I volunteered to head the creation of a “notes committee” for my 80-member hospitalist group. I placed myself on a 72-hour hold and quickly established a group consensus: “Bloated notes are a huge proble…
Category: Hospital-Based Medicine
By jeopardizing privacy, did this physician meet patient satisfaction goals?
An excerpt from Under the Collar: Frank Conversations about Healing that Harms: Simply Speaking. Hospitalist Nigel admitted elderly Ms. Mann who had developed dehydration after several days of unrelenting nausea and vomiting. Respecting patients’ priva…
Medical facilities: Please keep your immune-deficient patients safe
“Go have a seat,” the receptionist at the imaging center told me, gesturing to the waiting room. It was a close, poorly ventilated space, and several of the chairs were already occupied. I turned back to the receptionist. ”I have a primary immune defic…
My 10 Commandments of a Servant Leader
I have seen great leadership and bad leadership. As a leader, I have also made my share of mistakes, and I am sure I will make more. When I do, I will immediately take ownership of it, learn from it, and do all I can not to make the same mistake. Howev…
In gratitude to our nation’s residents [PODCAST]
“Most residents are young, often in their mid to late 20s, having spent years ensconced in libraries, research labs, and classrooms learning pathophysiology and pharmacology. Upon graduation from medical school, they are now drafted to the front …
We must address glaring disparities in treatment [PODCAST]
“It is not enough to say we are anti-racist; we have to modify our systems to recognize that we have placed individuals of color at risk of poorer outcomes. Lack of insurance, lack of finances, or even the presence of certain diagnoses may refle…
When it comes to medicine, what kind of practice makes perfect?
The old saying that says “practice makes perfect” is a basic rule taught to every resident starting their training. The follow-up questions that pose themselves: Is it true? How much time does it need to become perfect? What type of practice? Time was …
For the love of baseball and music: a Boston Hope Music story
After entering Gate D at Fenway Park, John had his temperature taken and verified that he was symptom-free. As he rounded the corner, his friend heard him whisper through his mask, “I think this is real.” He was referring to the calming sounds of a str…
The rise and fall of Hahnemann University Hospital
In March, thousands of medical students received their residency match results. For most specialties, match rates for graduating U.S. MD seniors have typically remained above 90 percent. This almost certain job security is what allows most medical stud…
Doctor, am I going to make it?
Never have I ever had to rely on my communication skills as much as I have as a physician in the pandemic of 2020. My eyes, however, were not taught those skills. There are pillars in medicine, communication guidelines, and lessons in empathy — a…
