When looking at the way medical education and patient care is delivered, there is no question that there is a culture of “knowing.” From the moment a pre-med enters high school, they are bombarded with tests that assess knowledge. This extends througho…
I meet doctors in different arenas. I meet them in clinical settings, at conferences, and by referral. I am noticing a trend. We are keenly aware of what we do not want in medicine. We talk about physician burnout and the impact it has on doctors’ liv…
On the face of it, this seems like a fairly simple business arrangement. My patients or their employers pay money to a health insurance corporation so they, in turn, have sufficient funds available to pay medical claims for services I render. That simp…
There are two versions of “the conversation” we have with men: One is for teenage boys, and it is about wet dreams, sexually transmitted disease, unwanted pregnancy and at one point also about testicular self-examinations. Those have now been edited ou…
During my training to become a primary care physician, the importance of preventive cancer screening was ingrained in me. The idea of catching cancer at an early stage so we can better treat it made intuitive sense. But as I’ve learned over the years, …
Doctors and policy wonks hear a lot these days about “low-value care.” What exactly is that, and should you care? The term refers to tests, medications, and procedures that add little to a patient’s health or well-being but which cost them or the syste…
As a trauma surgeon, it’s my job to diagnose and fix the violent destruction of the human body. One of the questions I get asked very frequently is, “How do you deal with that?” My standard answer is, “After a while, you get used to it.” And while I re…
I made my 10:20 a.m. patient wait while I told my support staff about my day off. “I was getting an ice cream when I saw a car accident. By the time I got there, it was clear that there were no serious injuries and all I did was to distract the p…
Michelangelo once said, “The sculpture is already complete within the marble block before I start my work.” The same insight applies to the scientific potential that resides inside young people. Curiosity is imbued within every human being since our bi…
Some radiologists perceive teleradiology as the “dark side” of our profession. I may have counted myself among those skeptics, but I now see the light and am happy to share a place among the converts. Most of my career has been in traditional private p…
