A little background before I set off: I study in a medical school in India whose attached public hospital is as busy as it can get. It serves its people absolutely free of cost and is often a refuge for the poor of the society. We often run out of res…
How do you react when presented with your quality data? In my experience, physicians generally respond by: Ignoring the metrics Arguing about why the metrics are wrong Saying the metrics are stupid A lot of doctors refuse to participate in the process …
The Medical College Admission Test (MCAT) should be abolished. This single test — which ranks students by the science they’ve learned before going to medical school — prevents the physician population in the U.S. from looking like the population …
I was recently working in clinic on a Friday afternoon. I was on my last patient of the day, and it had been a particularly long clinic. I had big plans for the weekend and should have already finished. The gentleman entered the room, sat down, and we …
As voters fume about the high cost of health care, politicians have been targeting two well-deserved villains: pharmaceutical companies, whose prices have risen more than inflation, and insurers, who pay their executives millions in salaries while rais…
I had a brief, quiet, intense conversation with a friend today. She had just lost another friend, a close one, to a sudden and tragic accident. “How are you doing?” I asked. “OK,” she replied as she turned to go up the hallway. In a second, I knew bett…
The field of teratology (also known as dysmorphology) is rapidly growing with daily innovations in prenatal medicine, genetics and preventive care that show its uniquely intersectional nature. But, the term teratology, and its derivatives teratoma and …
I love my husband. Not in a common way. My emotional reserve was so shallow that by afternoon, anything but solitude felt like an assault. I was obligated and determined to meet the needs of my daughters, and after that, I had nothing left. I love my k…
What if each new feature of your medical record came with a description of how it would improve patient value, not just how to use it? Could a simple checklist help to achieve Annals’ vision of putting patients first by helping to ensure that hea…
A Health Affairs blog post titled “Fixing Clinical Practice Guidelines” echoed several concerns I’ve discussed previously: practice guidelines are being produced in abundance but often have variable methodological quality, financial c…
