Category: KevinMD

How to avoid negative press and fines during the opioid crisis

No news is good news. Especially for hospitals in the middle of the opioid epidemic. Recently, the University of Michigan Health System (UMHS) agreed to a civil penalty in the amount of $4.3 million for failing to prevent opioid drug diversion and federal recordkeeping violations as a result of a DEA investigation. The headline from […]

With rising obesity, microbiomes tip the scale

Human beings have grappled with obesity for thousands of years. Greek philosopher and physician Galen described “bad humors” as the cause of obesity and prescribed low-calorie foods, massages, baths, greens and garlic to his patients to help them slim down. In the 18th century, William Banting successfully lost weight following a low-carb diet and spread […]

Judges versus coaches in medical education

I flash a smile as I look up from my notes. “Do it again,” I say, encouraged by his progress, “but this time start with the physical exam.” I am the internal medicine resident leading our “twilight” admitting team, and Vikram, a student on the first day of his medicine clerkship, sits across from me. […]

Where this physician finds joy in medicine

My country rotation as a medical student was overshadowed by a heated argument between the general practitioner and his wife. She was sacrificing her life in this “hole of a place” and angrily stormed out to visit her children in boarding school in the city. Decades later, I now understand the frustration and challenges of […]

The myth of compassion in health care

I have a confession. I didn’t enter my profession to help people. I know. It’s shocking. Don’t get me wrong. I take my professional responsibility extremely seriously. I’m only admitting that the primary reason for choosing my profession was not altruistic. I made a practical decision to go down this path because of a junior […]

A physician takes a leap of faith

About two years ago, I made a big career move — I took a leap of faith. I left full-time clinical practice as a neonatologist to become a national medical director for a neonatal resource team. The job was appealing because it was a new challenge for me. I had the opportunity to use my […]

Should your practice hire a physician assistant or nurse practitioner?

This article is sponsored by Careers by KevinMD.com powered by Health eCareers. Nurse practitioners and physician assistants are both advanced-practice providers with considerable autonomy, but they’re not interchangeable. Each brings something slightly different to the table, and if your practice is considering hiring an advanced-level practitioner, it’s important to understand the differences so you can hire appropriately […]

I’m thankful that medicine is a small world

This past week was one of those weeks looming ahead of me that I was already dreading as I entered into it. I was to be working through another holiday and following a string of nights, and I would have a quick turnaround into a mid-shift. As a nocturnist by choice, I rarely work mornings […]

Let’s heal the health care community

“Wisdom is nothing more than healed pain.” –Robert Gary Lee One of the recurring expressions I heard throughout training, from preceptors and attendings to doctors ignoring a lowly medical student/resident eating lunch in the doctor’s lounge, was: “I’m living the dream.” It didn’t take long for me to realize that it was a code meaning […]

A change of clothes might do the residency interview process some good

As a teaching clinician in an internal medicine residency program, it is safe to say that September is one of the more exciting and busier times of the academic year. Walking through the hallways of our department, we encounter bright-eyed fourth-year medical students scurrying about in a frenzy as they make some big decisions about […]