Congratulations to ZDoggMD’s latest, One Sikh, an ode to all the immigrant clinicians who care for our most vulnerable patients.
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Category: Hospital-Based Medicine
Celebrate the contributions immigrants make to our health care system
Breastfeeding and newborn hospitalization rates: What should be done about it?
An August 2018 paper in Academic Pediatrics found an unsettling conclusion: Breastfed newborns have about double the risk of needing to be hospitalized in their first month of life, compared to babies who were formula-fed. The numbers are solid, and th…
How should physicians hear back about their diagnostic errors?
Diagnostic errors (missed, delayed, incorrect diagnoses) are increasingly being recognized as a prevalent cause of harm to patients. At the same time, physicians are simultaneously under pressure to deliver high-quality, low-cost health care. How do ph…
Will medicine become a young person’s sport?
Six months have elapsed since exiting the pageant of my hospital via retirement. Like many people who devote countless hours to professional activities, some mandated, some by compulsion to detail, this windfall of unstructured time, no matter how wel…
A physician’s #MeToo story
I was a resident. He was a physician in a position of power. He took things too far, and I spoke up. Here are some of the actual comments I received. “He’s just a flirt.” “You must have misunderstood him.” “What were you wearing?” “Somebody must have h…
The hidden curriculum of medicine
Think all the way back to your grade school years. Did you know that your personality traits were starting to be honed for the work you do today? Let me give you some examples about myself and see if you can relate. I remember the praise and exhilarati…
Wonder why your hospital is full?
Why is your hospital always full? Actually, it’s more than full. You have twenty boarders in the ED. You turned your postop recovery unit into an overnight surge center. Every day administrators beg you to please, please discharge patients, if possib…
My battle against the nurse’s cap
Florence Nightingale was among the first nurses who started wearing a nurse’s cap. The cap was derived by nuns and represented those caring for the sick. Hair was neatly tightened into a bun and covered by the cap. Back then becoming a nurse was typica…
Why bioethicists fall short of connecting with clinicians
An excerpt from Rethinking Health Care Ethics. Health professionals have not been well served, or at least not well enough served, by the academic community of bioethicists — the philosophers, theologians, lawyers, and social scientists of variou…
The personal and professional challenges of women physicians
I’m often asked to write and speak about being a woman physician. I don’t know that any of my male physician colleagues have ever been asked to talk about being a male physician. Many hospital systems have women in medicine groups, and there’s now a …
