Category: Hospital-Based Medicine

Making time for patient advocacy is more important now than ever

“Time is generally the best doctor,” according to the Roman poet Ovid. But these days, in the middle of the pandemic, what doctor has time? Health care professionals already have 29-hour days. In many places, hospitals are at or near capacity because o…

Why COVID-19 is a threat to hospital medicine

As hospitals everywhere have been using every health care provider available to them in response to COVID-19, the specialty of hospital medicine has shown itself to be uniquely suited for coordinating the effort, to be the front of the frontline respon…

What happens when patient capacity and autonomy diverge?

“I can’t take this, doc. It’s gonna kill me. I can’t. I just can’t,” exclaims my patient with persistent refusal of his medication. My frustration is met with my patient care team’s hesitation to give him the m…

The emotional side of being a doctor during the COVID-19 pandemic

It was a Thursday. It was supposed to be one of those “regular” evening shifts. Then, at 6:15 p.m., my first page went off: Bed 11, Mrs. R., Dr. H. needs to talk to you. The page came from the COVID section of the emergency department. I immediately ca…

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 st…

Do not underestimate the power of spending an extra minute with a patient and family member

One aspect of medicine that anyone who reads my work knows I’m most passionate about is keeping excellent communication at the core of health care. It’s a vastly under-taught skill, and although medical schools are certainly getting a lot better at tea…

The key to success as an intern is to be a great teammate

Many people wonder what it’s like to be an intern and how to succeed during your first year as a physician. Is it really as bad as everyone makes it out to be? Are you able to sleep without constantly thinking about your patients and the diagnoses that…

Dear interns: We have your backs

Every July, the same tired “new interns: be scared to go to the hospital” memes and jokes appear. I disagree. I believe that July is as safe as any other month to go to the hospital. July should be celebrated. Medical students and resident physicians a…

In these times of crisis, remember the Golden Rule [PODCAST]

“We are in the midst of a crisis in humanity. While we are still dealing with COVID pandemic and its deleterious health, economic and societal consequences, our troubling past of racism and inequality is rearing its ugly head. The senseless killi…

Are doctors damaged goods?

We sat down at a sun-drenched table in an outdoor restaurant enjoying the fresh breeze while sipping on our favorite drinks. He is a man with immense talent, a slight frame, and the art of the skill in dissecting the arborized vessels away from his mai…