Category: Hospital-Based Medicine

When physician leaders get acquired and squeezed

As a child, when I first read The Little Prince and saw the picture of the boa constrictor swallowing an elephant, I would often ponder what it felt like to be the elephant. Later in seventh-grade science class, when I learned of amoebae and how they s…

IT deficits are eating hospital profits. CEOs need to wake up.

I work for a hospital network with the world’s slowest computers.  I timed it: Last shift, it took me fifteen minutes to log on. The first computer obtained didn’t function at all.  It had been worked on the day before by information techno…

Should nurse practitioners complete medical residencies?

About three months ago, something awful happened. The oncology nurse practitioner (NP) whom I trained for the past two years in my subspecialty decided to seek employment elsewhere in order to have a more flexible work schedule. My team and I lamented …

A peek behind that 8-minute $300 doctor visit

If you or a loved one has ever been hospitalized, by day two or two of your hospital stay, you likely remember the doctor visiting you every day but not staying more than seven or eight minutes or 10 to 15 minutes max. It may have felt like he or she w…

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 …