A guest column by the American College of Physicians, exclusive to KevinMD.com. Regardless of specialty, medical practice is challenging in today’s health care landscape. Increasing demands related to workload and job inefficiencies, an ever-increasing…
One of the least motivating requests I received routinely as a new intern was something like, “… and can we make sure this is a discharge before noon?” I recall a particularly eager nursing manager surveying the resident teams on her unit to gauge our …
It was the middle of winter in downtown Chicago in 1995, and I was sitting across from an apologetic alcoholic holding a slimy NG tube. Mr. Smith, an emaciated man in his sixties, had been on my service for three days with acute pancreatitis, and this …
It’s that time of year when the weather outside is growing colder, the evenings seem to kick off way too early in the day, and the decorations around town remind all of us all of the fast-approaching holiday season. But for many of us obstetricians, th…
There are many disparities in health care. Black mothers have a much higher rate of maternal death than do white women. All women are less likely to get guideline-advised cardiac care than do men. Among the many such examples, perhaps the hardest dispa…
Harvard Medical School student Chloe Li typically dressed in scrubs or an efficient, professional outfit as she went about learning to care for patients in the intense, year-long clerkship program where I teach. For her capstone presentation on graduat…
I’ll admit it. I’m a medical-TV junkie, addicted to 21st-century doctor and hospital dramas (most of which are now streaming on Netflix and other services). Although some physicians are bothered by sensationalized depictions of their profession, I appr…
Recently, at medical schools across the country, first-year students officially donned the physician’s traditional white coat for the first time. The white coat ceremony is a powerful symbolic moment. It signifies that the students are moving bey…
“It should be in my chart.” I’m sure we have all heard this statement uttered with a subtle (or not so subtle) edge of frustration from our patients after asking a question such as “what medications do you take?” I find clinicians despise this comment…
In the current health care system, patient outcomes, and patient satisfaction are increasingly important. With the hospital value-based purchasing program, Medicare adjusts payments to hospitals based on the quality of patient care they provide. Hospit…
