This article is sponsored by Careers by KevinMD.com. It’s no secret that some businesses are family businesses and medicine is no exception. The anonymous Northern California cardiologist known as “Dads Dollars Debts” confesses in a b…
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MKSAP: 55-year-old man with mild nausea and dyspepsia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 55-year-old man is evaluated in the emergency department for a 2-day history of mild nausea and dyspepsia that is worse with fasting and im…
Investing in the stock market is like playing that game of rock-paper-scissors
Rock-paper-scissors is a game that nearly all of us played as children. It is a game with incredible opportunities to play mind games with your opponent. There is no luck in rock-paper-scissors as with card games. The game does not have complex rules l…
A financial checklist for the pregnant woman physician
Women physicians are disheartened when they discover the financial implications of having children. Most of us will not get paid leave. Many of us are the breadwinning partner. And most of us will not become stay at home moms so we will need to pay for…
The lesson every medical student can learn from emergencies
ing my ER shift for the day, I waited for the shuttle at a busy intersection. Within a minute of drowning myself in music, I saw an obese man at the bus stop suddenly collapse to the ground. I removed my backpack and ran the fastest I have ever run in …
10 surprising things you need to know about the hospital
1. Very little revolves around the patient. For a place dedicated to healing, the hospital does a poor job accommodating patients. Labs are drawn in the middle of the night, so the doctor has them early in the morning. There is no standard rounding tim…
Treating sleep apnea without CPAP
It was 4:00 a.m. when I made it to my parents’ home. My mother called me to say that my father was having a hard time breathing. I could hear him struggling in the background. I ran inside to see my mother cradling my father on the floor — not breathin…
The clinical burden of documentation
The purpose of clinical documentation is to efficiently communicate critical data to peers in a readable fashion while meeting compliance and billing requirements. This documentation should not represent a data dump. Physicians continually increase our…
Real physician harm from MOC. Here’s proof.
Last year, in response to a continued groundswell of criticism focused on requirements for maintenance of certification (MOC), the American Board of Medical Specialties (ABMS) formed an independent “Vision Commission” on MOC, designed to &#…
The discrimination against nurse practitioners must stop
I have been a neonatologist for 30-plus years. Throughout my career, nurses and neonatal nurse practitioners (NNPs) have guided me, assisted me and comforted me through difficult patient care issues that arose. Even more importantly, they allowed me to…
