Category: Hospital-Based Medicine

I’m not your nurse. I’m your doctor.

It’s 8:00 p.m., and it’s hour 14 in my 28-hour call shift at the large suburban hospital where I’m an intern. You demand to speak with a doctor now, right now. You cannot wait. Your mother is sick, and you want to know exactly what is going on. It doesn’t matter that we already spoke […]

Why do doctors treat their own so cruelly?

Medicine has created a culture where public embarrassment, bullying, and passive-aggression have become pedagogy. How can we seek to care for others, when we treat our own so cruelly? I recently met Angie (name changed), a young university student who had entered the clinical years of medical school. Like many, she was introduced to medicine […]

This physician is a better hospitalist because of the time she spent in the clinic

Not knowing what else to do after finishing my pediatric residency 15 years ago, I became a general pediatrician. Not knowing how to find a job halfway across the country and closer to home, I relied on a recruiter from a smallish town in South Dakota to woo me into private practice. Not knowing how […]

How physicians’ grit is being taken advantage of

A vivid memory stands out from my career. Driving home from the hospital at 3 a.m., I reflected upon my most recent patient’s middle of the night delivery. It wasn’t an easy delivery, as they often aren’t. However, in the end, we had a healthy mom and baby and the family couldn’t have been happier […]

My brother, a physician, died. Could I have done more?

Healers, scientists, leaders — these are all terms that we equate with being a physician. As we spend our years if not decades in training, we strive to become all of these components. But when you miss something — the small details, the nuances of a history and these are the clues that could lead […]

5 tips to medical resident success

The glorious season is upon us. Yes, it is finally autumn. But it is also the season of ERAS with all of its letters of recommendation, USMLE scores, medical school transcripts, and personal statements. I have dutifully reviewed dozens of applicants whose last names begin with the letters “T” through “Z.” I have noted the […]

5 tips to medical resident success

The glorious season is upon us. Yes, it is finally autumn. But it is also the season of ERAS with all of its letters of recommendation, USMLE scores, medical school transcripts, and personal statements. I have dutifully reviewed dozens of applicants whose last names begin with the letters “T” through “Z.” I have noted the […]

When doctors behave badly: a call for civility

A guest column by the American College of Physicians, exclusive to KevinMD.com. It can be as blatant as a public argument between a hospitalist and emergency medicine physician about whether a patient requires admission.  But most commonly it is more nuanced and subtle.  Such as members of one speciality “bad-mouthing” another or a subspecialist criticizing […]

The issues physicians face when changing their name

It’s my first day at a new facility — and I’m prepped with food, snacks and a closed-lid container for my morning coffee and to refill it in the afternoon with water. You never really know how stringent the policies will be for water containers at your new workstation or whether food or snacks are […]

A physician takes a leap of faith

About two years ago, I made a big career move — I took a leap of faith. I left full-time clinical practice as a neonatologist to become a national medical director for a neonatal resource team. The job was appealing because it was a new challenge for me. I had the opportunity to use my […]