Category: KevinMD

Physicians need to learn to avoid moral errors

There’s an ugly undercurrent that sometimes shows up in the emergency department: indeed all over the world of medicine. I’ve seen it in doctors and nurses alike. It’s a meanness, a smallness, a kind of moral judgment that can lead us to make poor medical decisions. Or it can simply make us poorer in spirit. […]

10 things a pediatric oncologist wants you to know

1. Cancer is not rare.  Technically, childhood cancer is rare compared to adult cancer, but it’s not as rare as you think.   Outside of my work, I can think of 3 people who I know personally that had a childhood cancer.  A teammate on my high school basketball team, my sister-in-law, and a high school […]

Attention PCP colleagues: We can do better with referrals

How many physicians know how many visits they are approving when referring to a specialist? This was a germane question posed to me today. I first asked this question of myself as a junior faculty member, while busting the residents’ chops over the egregious numbers of referral visits they were approving. You see, as any […]

Being a mom doesn’t make you a medical professional

As a mom to two little girls, I understand the lure of online forums. With so many accessible tools — including Google, Instagram, and online support groups like Facebook groups — before a parent brings their child to the doctor, they will inevitably first post their inquiry online. They post a picture: “What’s this rash?” […]

Burnout doesn’t start in medical school

Burnout affects as many as 50 percent of physicians. Interventions have been proposed at virtually every stage of a physician’s life, from medical school to residency training to professional practice. While the rigors of medical training certainly contribute to the high levels of burnout in the profession, there are indications that the trouble begins at […]

Perils of a postpartum pediatrician

During my first pregnancy, I frequently dreamt of my baby. I couldn’t remember the details of facial features or hair color, but I always knew that I was going to have a girl. Three years passed after Claire was born, two more heartbeats were identified and then lost somewhere deep within my abdomen. On two […]

A resident physician’s story of depression

It was 4:30 a.m. on a freezing cold winter morning when I dragged myself to my car and started down the street to the hospital. I was working in the ICU for the month, and sleep had become a commodity I no longer enjoyed. I tried to shake my brain out of the dense fog […]

It’s time to upgrade the outdated intake forms at health care clinics

The process of setting up a new pain management clinic has allowed me to critically consider the role of patient intake forms, an area that has traditionally been ignored by technological advances and institutional innovation. Health care must empower patients to conveniently complete intake forms digitally — whether at home, en-route to our clinics, or […]

Addressing the “ugly truth” about Caribbean medical schools: Why they’re not all the same

Caribbean medical schools are, first and foremost, schools of opportunity. They’re a necessary one, too. Nearly 3,000 U.S. citizens study abroad and match into residencies in the U.S. every year, nearly all of which do so after not gaining admission at home. The Caribbean is a huge part of that. With no shortage of qualified […]

Addressing the “ugly truth” about Caribbean medical schools: Why they’re not all the same

Caribbean medical schools are, first and foremost, schools of opportunity. They’re a necessary one, too. Nearly 3,000 U.S. citizens study abroad and match into residencies in the U.S. every year, nearly all of which do so after not gaining admission at home. The Caribbean is a huge part of that. With no shortage of qualified […]