Category: KevinMD

In the era of team-based care: Some decisions have to be made alone

There is a lot of talk about team-based care nowadays, and I had seen some shining examples of that, most recently when a patient at my clinic had a suicide in the family. But at the same time, there are so many decisions – judgment calls, really – tha…

How physicians and administrators can get to a place of greater trust

Recently, I wrote about some key findings from a 2018 survey of U.S. physicians by The Physicians Foundation. It’s no surprise to anyone working in health care today that the survey found alarming levels of professional dissatisfaction, burnout, and pe…

Medical education fails trainees interested in primary care

“She is meant for more than just primary care,” mused an attending on my internal medicine rotation in medical school. He was referring to a particularly adept resident with whom we were working. This resident was planning on practicing clinic-based ge…

Does running cause arthritis?

In general, physical activity is important in maintaining your health. Many people falsely believe that running can cause arthritis but research show that this isn’t necessarily true. In reality, walking, running or strenuous exercise can signifi…

Telemedicine and access: Leave no patient behind

Telehealth, using video to have an acute medical care visit, puts some of the power of choice back into our patient’s hands. To best frame telehealth and its use cases, the National Quality Forum published a report in 2017, outlining the following four…

It’s important to keep tight controls on benzodiazepines

When I completed my residency training in 2017 I never imagined so much of my clinical efforts would be directed towards educating patients about controlled substances. As I stepped into clinical practice and took over patients who had long-term relati…

Change the approach to triage to alleviate ER overcrowding

“Triage” is French for “to sort.” It developed as a concept on the battlefield as a way to address injured soldiers and ensure that care was provided to those most in need. In the emergency department, triage is usually the responsibility of a trained,…

A physician’s first 100 days on Twitter

Since finishing my medical training recently, many of my friends have embraced their newfound freedom as attendings in traditional ways: reviving long-neglected hobbies, finally exercising regularly, enjoying more time with loved ones. Me? I joined Twi…

Tucked in: an image that gives a sense of peace

I need to see Justin before my workday commences. I’m a social worker at the outpatient cancer center where Justin has been treated for an aggressive colon cancer. Seeing him today means visiting him in the hospital, up the road from the center. …

Chocolate for coughs? Look beyond the headlines.

Everyone loves chocolate, and nobody likes to cough. So when headlines like these appeared, they made a big media splash: Apparently Chocolate Might Be Better for Treating Coughs than Honey and Lemon. Chocolate Fights Coughs Better Than Codeine, Says S…