I remember sitting in my residency academic adviser’s office as I was discussing the plans I had designed for my community project at the end of my intern year. I can only imagine what she thought as I looked at her with a blank stare when she ha…
Category: Hospital-Based Medicine
Your greatest role as a doctor? Storyteller.
There are medical honors so rare you don’t even know they exist. When you’re trudging through the slog of PBK/AOA/other — ultimately meaningless — letters, these seem to be the definition of distinction. Just like every other lesson, a patient taught me what real prestige is. Well, it wasn’t entirely that Oslerian, it was the […]
On labor and delivery, there is an “I” in team
I’ve had this idea brewing for a while. It’s taken a while for it to form shape, to work its way from a random niggling thought in my head to something I can articulate with the passion and determination it inspires in me. On labor and delivery: There is an “I” in team. Yes, I […]
We can do a better job with hospital discharge paperwork
The discharge process has now been recognized as one of the most crucial points at which the actions of doctors and hospitals can have a huge impact on immediate health outcomes for our patients. At a time when 30-day readmission rates are still touching almost 20 percent for Medicare patients (higher for certain patients, with […]
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 […]
