Category: KevinMD

A call for accountability in health care

In Dr. Suneel Dhand’s article, “We can do a better job with hospital discharge paperwork,” he advocates for physicians to do a better job at creating discharge instructions that are more appealing and easier for patients to understand. After all, coher…

When will the stigma of mental health end in medicine?

Imagine being a cancer patient afraid of seeing an oncologist because they would likely need to discuss chemotherapy and all the lifestyle changes that it entails. Imagine being a patient with heart failure afraid of seeing the cardiologist because the…

It shouldn’t be this difficult to find shoes for kids with disabilities

My son, Luke, was born 18 months ago with myelomeningocele, the most severe form of spina bifida. Luke and our family have faced many challenges: premature birth at 26 weeks due to complications after in utero surgery for spina bifida; a 171-day stay i…

How can we reduce the no-show rate in primary care?

At a quality and patient safety meeting recently, one of the departments was presenting their annual report on all they have done, reviewing progress that has been made around several quality and patient safety initiatives. One of their project centere…

The many benefits of strengthening the primary care workforce

The United States spends more on health care per capita than any other country in the world — yet health outcomes continue to fall short. In order to close the spending gap with other countries, United States health care policy must focus on reducing c…

It’s time to talk about private equity in gastroenterology

Well, they are calling it the golden age of rectums! The trends are simple and straightforward. First, Baby Boomers and beyond are aging and staying alive longer. The gut, a hidden culprit behind many ailments, requires continuous maintenance. Colonosc…

How urologists can be more sensitive to male patients

Most urology practices in the United States do not employ male nurses or assistants, even in larger cities. This is a serious problem because approximately 75 percent of urology patients are male. Often people wrongly assume that men don’t care a…

The evolution of the stethoscope

The stethoscope. Nothings says “I’m a doctor” more than the stethoscope in a pocket or draped around the neck. Forty-five years ago when I got my first one, a gift from my physician-father, the former was more common. Then we were more likely to wear c…

If you believe the best should lead, include women and underrepresented minorities

I am writing this from the perspective of a woman physician in academic medicine. I am a mid-career cardiac anesthesiologist who works in several national organizations and serve on various committees and boards. I have learned a lot from serving in na…

The risks of co-signing PA and NP charts

We all know that there’s a remarkable shortage of physicians in America and that it’s growing worse.  This is especially true in primary care but it’s present across all specialties.  This shortage alone is a significant stress on practicing physicians…