Category: Hospital-Based Medicine

You are the reason I became a physician

I can smell the wafting aroma of frying onions and tomatoes as I am upstairs, just waking for the day. I am 10 years old, and these aromas are the staple of my childhood. It brings back memories of home. I walk downstairs and see my dad stirring the to…

Dear medicine: I’m breaking up with you

I’m breaking up with you. I fell in love with you when I was just a child sitting in my grandfather’s family practice office. He put that magical white coat on me, sat me at his desk, welcomed in my first patient, and I was smitten. I grew up pla…

Medical students are more than just numbers

Student G.M is a 228. When she came to our school, she was a 31. When she went to college, she was a 1270. Now we must make this number a caring, feeling person who has the empathy to impact the lives of patients for decades. Makes sense, right? Wrong!…

Proper endings like this feel right

He was a logical man. A northeast Ohio man. Who worked all his life and worked hard. I can see it in his hands. They are entirely calloused with traces of grease impervious even to pumice soap. A family man. His wife and sons and daughters are at bedsi…

A case for resident activism

In 2019, residents organized coast-to-coast to protest low pay, unsafe working conditions, and insufficient benefits. Residents at the University of Washington and UCLA walked out of the hospital in reaction to stalled contract negotiations. Residents …

Is medicine a minefield of gender discrimination and abuse?

I am a 57-year-old female physician, and I remember an incident that involved a cardiologist on the other end of the phone, roughly fifteen years ago. I had recently started work as a hospitalist, and the cardiologist and I had never met. He clearly di…

Can empathy be taught, or is it innate?

In medical school, I was taught to sit down at eye-level when speaking to a patient, ask them how they’d prefer to be addressed, make sure to ask questions in an open-ended manner to allow patients to express themselves, and interject with &#8220…

Medical error disclosure programs: Old habits die hard

A radical change is emerging from within our health care system: Rather than deny or defend medical errors, some hospitals are acknowledging them upfront. This enlightened response has been gaining ground since 2001 when the University of Michigan Hosp…

Start a hospitalist program with these 6 steps

Just to give you my background, I manage a large hospitalist program for a busy downtown community hospital that is part of a large health system consisting of a total of 29 acute care hospitals in the same geographical area. One of the reasons why our…

System failure: We need a reboot to better handle intersectionality

In medical school, physicians learn how to diagnose and treat medical conditions. We learn about all the different presentations and revel in catching a complex or rare diagnosis. In essence, we learn to categorize disorders based on a cluster of sympt…