Category: Hospital-Based Medicine

I struggle with my pride in the profession and fear of the health care system

I believe in the practice of medicine and enjoy teaching others this amazing art.  However, after experiencing nine months of interactions through medicine as the daughter of a sick patient, I struggle with my pride in the profession and fear of the he…

Everyone needs rudimentary statistical training

Every day we get bombarded in the news with health statistics. Coffee causes cancer! Coffee cures cancer! And so on. Many of these are meant to grab headlines (and, these days, web page clicks), and the articles they accompany are often very poor at te…

How to find your squad in residency

At nearly every stage in our education and training, we find “our people.”  Maybe it’s your table-mate in kindergarten, or the kid with the really cool light-up sneakers in preschool who becomes your best friend.  Maybe it’s your next-door neighbor who…

Here’s why you should get a chaplain for your patient

It was my first week of internal medicine rotation. A newly-minted third-year, I was rotating on the wards back in the spring, when I met a 90-something-year-old gentleman. He had come in for confusion after a fall. There were no relatives or friends i…

The physician’s paradox of healing

Physicians across all levels of training are familiar with the widely recognized truth that our medical system is broken. This damage is evidenced by a paradox; perhaps it will become the great paradox of our time – physicians who were driven to a prof…

What Chernobyl can teach physicians about avoiding medical errors

I recently started watching the HBO series Chernobyl, chronicling the events surrounding the 1986 disaster. For anyone who hasn’t seen it yet—I’d highly recommend this excellent production (It’s already deservedly won multiple awards). The great thing …

Keep attacking doctors: What the New York Times gets wrong about surprise medical bills

Do you think I went too far in my last blog post, calling out some journalists as “pontificating parasites” who love nothing more than to slam physicians and blame us for the cost of health care? If you do, then you must not have read Elisabeth Rosenth…

As a registered nurse, I do not want to violate my patients’ rights anymore

I am a critical care RN, and I violated my patients’ rights. For decades, every day that I worked in the emergency department or the intensive care unit, I violated my patients’ federally protected rights to participate in their plan of care. I didn’t …

Intelligence does not protect against the worst of life’s cruelties

Mr. O has a drinking problem. More specifically, Mr. O drinks far too much and far too often, and for reasons that can’t be addressed with the tool he’s chosen. I met him at what could be called the low point of his life, except I know bett…

USMLE Step 1 pass/fail winners and losers

On February 12, 2020, the National Board of Medical Examiners (NBME) announced that the USMLE Step 1 will transition to a pass/fail exam in January 2022 at the earliest. This move comes amidst increasing pressure on the NBME regarding its financial con…