Category: Hospital-Based Medicine

When a medical facility isn’t equipped to handle profound mental health issues

A person rolls into an outpatient clinic. A pleasant bleach smell emanates from freshly scrubbed chairs. Happy chatter about people’s lives, and this week’s health issues are dimmed by the local radio station playing in the background. The …

The excitement of clinical rotations: Not just learning medicine but doing medicine

The first time a woman went into the final stage of labor, I watched from a corner of the room. As a third-year medical student, I was on my six-week clinical rotation in obstetrics and gynecology, and it was day one of the two-week portion on the labo…

Why this primary care physician still rounds at the hospital

I have been fortunate in that I have not had to hospitalize any patients in the past four weeks.  This means I have an extra 60 minutes or more to prepare for the workday in my office. The streak ended this weekend when my associate, taking his rotatio…

KevinMD’s top posts of 2019

Thank you all for making 2019 another great year on the KevinMD platform. With over 25 million page views, and 500,000 followers across Facebook, Twitter, and LinkedIn, KevinMD continues to be your leading health care voice. KevinMD was named to Medsca…

This doctor has no regrets to becoming a physician. Here are 3 reasons why.

There’s so much negativity out there when it comes to health care, it must be a concern to any young person thinking about entering the field. I certainly spend a lot of time writing about all the challenges we face, and have to hold my hands up to (oc…

Data mining, artificial intelligence, and angels of death

Google is universally well known as a search and advertising company. Now Google is tapping into the $3.5 trillion health care market. To compete with the Apple Watch, Google acquired Fitbit, the wearable exercise, heart rate and sleep tracking device….

The robot will see you now

The year is 2050. You enter the room, ready to speak with your next patient, a 60-year-old white male with recent episodes of chest pain when he climbs the stairs to his office. Before sitting down to speak with him, a monitor in the room pulls up his …

Physicians have been given weed killer. Administrators have been given Miracle-Gro.

Since I last published a blog post dedicated entirely to the above graph a couple of years ago, very little has changed. In fact, I’m sure the divergence of the curves has only grown bigger, as more and more administrators are added to the ranks of hea…

5 improvements needed to modernize the American hospital landscape

Over the past 40 years, the number of U.S. hospitals declined by 12 percent, from more than 7,100 in 1975 to 6,200 in 2017, according to the latest American Hospital Association survey. And, yet, despite shuttering nearly 1,000 facilities, hospitals re…

We need to bring back the feel-good factor to medicine

Consider a medical trainee, in the second year of her medical training, who has made it a point to always show up early to work no matter the situation. She often times stays beyond the end of her shift to help out either her co-residents or juniors. S…