Category: KevinMD

What administrators don’t understand about urgent care centers

Several years ago, a group of us concerned about health care costs and outcomes met with some local HR benefit managers. One was the head HR person of a city. In part of the conversation, she raved about a local chain of urgent care centers. She loved …

Embrace the teamwork involved in becoming a physician

It’s Sunday, and the clock is approaching 8 p.m. Every computer in our team room is still on, and the sound of typing is filling the small space. A spread of snacks, interspersed between stethoscopes and stacks of faxed records, is ignored for the time…

A physician manages life-work balance

I like work.  I really do.  Although I have been talking up my half retirement, there is a reason I am not going the full monty.  I derive pleasure from being a physician.  The ability to reach out and help other human beings, and get paid for it is am…

Why physicians are attracted to real estate investments

The grass is always greener on the other side.  Humans are like that. For reasons that we can never consistently define, any situation other than the one that we are in has potential to be better.  I guess we just like to compare ourselves to others an…

The surprising people who inspire

I didn’t know that he and I were on the same train. At the Othello stop, I got out of the last car and walked towards the front of the train. The morning chill seeped through my coat and I slid my hands into my pockets. “Dr. Yang!” The doors of the tra…

Doctors overcorrect too often

Back when cholesterol target numbers ruled unopposed (before 2013), we all checked fasting lipids every three months. Before 2012, we also checked liver function quarterly in hapless riders on the cholesterol pill merry-go-round. That year the FDA anno…

3 things physicians can learn from politicians

Shock. Horror. Did you just read the title correctly, or are you seeing things? Well, after you recover from the shock of reading a line you probably never thought you could possibly see in writing — let me tell you this: Physicians and politicia…

Changing the focus from physician burnout to physician well-being

Physician well-being is a major focus of many physician organizations and is frequently highlighted in popular media.  Some have described the root of the problem as a disconnect between expectation and reality.  This is a helpful framework for situati…

Make your 15 minutes with a patient memorable

Compassion. Empathy. These are some of the words commonly thrown around in medical school and residency training. If you ask most medical students why they chose medicine, they will respond with something like this: “ I love to help people,” or “I want…

It is time for stewardship of our health insurance system

The bloated nature of health insurance in the United States has been a much-discussed topic in recent years. Particularly with the advent of the Affordable Health Care Act as well in response to physicians’ frustrations and increasing burnout from deal…