Category: Pediatrics

Why physicians can’t let go of the golden RVU ring

There is something strangely captivating about the RVU (relative value unit) system in medicine. It’s as if it has become our own “precious”—a golden ring that offers power and financial viability, yet comes at a great cost. Just like the O…

The influence of intergenerational trauma in families of Chinese descent on perceptions of microaggressions

“Do any of you have children?” the patient’s mother asked each of my team members during rounds. I (STG), as the attending, quickly jumped in and mumbled, “Yes, I have (as a foster parent),” and redirected the conversation…

Why the RVU system is failing health care and how to fix it

In medicine, when something isn’t working, we tend to fix it. Whether it’s a treatment plan that isn’t delivering results or a clinical process that’s creating inefficiencies, we identify the problem, adjust the approach, and fi…

Pediatrician shortage reveals deeper health care crisis impacting all physicians

There was an article published recently addressing the shortage of pediatricians. Though the article focused on this specific shortage, it actually raised many additional questions regarding the physician workforce in general. It is difficult to disagr…

How to engage parents in autism therapy [PODCAST]

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We sit down with Angela Nelson, a seasoned health care executive, to discuss the critical role of parent involvement in applied behavior analysis (ABA) therapy for childre…

How to engage parents in autism therapy [PODCAST]

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We sit down with Angela Nelson, a seasoned health care executive, to discuss the critical role of parent involvement in applied behavior analysis (ABA) therapy for childre…

As a doctor, what I learned from knocking on doors for the presidential election

When I’m not knocking on exam-room doors as a pediatrician in New York City, I’m knocking on voters’ doors in Northampton, Pennsylvania—a small county that could determine the outcome of this year’s nail-biting presidential elec…

The enduring cycle of violence: lessons from history’s darkest moments

Ecclesiastes was probably written by many ancient scholars, although Jewish tradition holds that it was written by King Solomon. Whatever the provenance, I think the first chapter holds a nugget of wisdom that we need to try hard to remember: What has …

How this pediatrician overcame cerebral palsy and discrimination in medicine [PODCAST]

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! We welcome Ron M. Aryel, a pediatrician who shares his powerful journey through medical school and residency as a physician with cerebral palsy. Facing discrimination, abl…

Gaps in the pediatric care of autistic children

P.K. presents for a medical evaluation to the early intervention program. He is 26 months old. P.K.’s parents self-referred to the early intervention program because of concerns regarding a delay in his development. The mother reports that he is …