Category: KevinMD

MKSAP: 24-year-old woman with atopic dermatitis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 24-year-old woman with longstanding atopic dermatitis is evaluated for an acute worsening of her disease in the past week. She has had increased pruritus and now has multiple painful areas within the involved skin. She has been applying petrolatum jelly […]

What is the pediatrician’s role in marijuana use?

I recently listened to DDx, a new podcast from Figure1. In their third episode, a 37-year-old man presents to the emergency department in the middle of the night with persistent vomiting and retching. He is highly vocal and agitated. Upon questioning, he reveals that he experiences these episodes frequently and previous investigations have all been […]

Doctors are conditioned to deny

13 years ago a colleague of mine did a labiaplasty on my 18-year-old daughter for medical reasons. What was supposed to be routine has become a nightmare for her.  Not only did he remove all of her labia minora, but he also denervated her clitoris. When he saw her post-op, he told her she was fine, […]

Doctors are conditioned to deny

13 years ago a colleague of mine did a labiaplasty on my 18-year-old daughter for medical reasons. What was supposed to be routine has become a nightmare for her.  Not only did he remove all of her labia minora, but he also denervated her clitoris. When he saw her post-op, he told her she was fine, […]

Pronouns matter: How we can do better in LGBTQ patient care

In the wake of Pride Month, I have been reflecting on how our health care system impacts the lives of individuals with identities across the gender spectrum. Sometimes, when sending a prescription to a pharmacy for any given patient, we will get a phone call that the date of birth on file with insurance does […]

Restoring the trust in the medical profession

A guest column by the American College of Physicians, exclusive to KevinMD.com. Trust is the belief that another person or entity will act in your best interest, and it serves as the foundation upon which the doctor-patient relationship and our health care system are built. But we have a significant trust paradox in American medicine. […]

Restoring the trust in the medical profession

A guest column by the American College of Physicians, exclusive to KevinMD.com. Trust is the belief that another person or entity will act in your best interest, and it serves as the foundation upon which the doctor-patient relationship and our health care system are built. But we have a significant trust paradox in American medicine. […]

6 pieces of advice for graduating medical students and residents

My (sometimes solicited, but often unsolicited) advice for graduating medical students, residents, and fellows: June is one of my favorite times of the year.  One, because it’s summer, but also because it’s graduation season.  I love seeing and hearing about everyone’s accomplishments, and seeing years of hard work come to fruition – although if I’m […]

It’s time for academic attendings to teach personal finance

A recent post by the White Coat Investor got me pretty fired up.  Dr. Dahle spoke about three of the main financial enemies that face physicians. The third one that he mentioned had something to do with medical culture.  The gist of it was that talking money in academic medical centers is considered taboo.  While I think […]

Here’s why we need socioeconomic diversity

Parents cheer, students rejoice, and teachers relax — it’s graduation season, one of my favorite times of the year. A few weeks ago, the Class of 2018 at Harvard Medical School (HMS) marched across campus to complete their final hoorah as medical students. I observed in awe and noticed something spectacular: most graduates who delivered […]