Category: KevinMD

Teaching attendings: Are we Dolores Umbridge?

As luck would have it, I flew (figuratively speaking, of course) down the highway to work this afternoon while listening to the sweeping saga of Harry Potter. As you may know, not unlike the medical students we teach, no student enters the hallowed halls of Hogwarts without a gift. All possess the potential to master […]

The lost art of reassurance medicine

Jerry and his wife, Pam, were not “medical people” and wouldn’t be considered high achievers. They seemed to be taking life in stride with a “mom and pop” disposition. Jerry had Alzheimer’s disease and was returned to his care facility after having a pacemaker inserted. The staff noticed Jerry slumped in his chair and called […]

The shooter in my hospital

It was 5:27 p.m. on a Friday evening when the pager went off. “Ahh,” said the intern, “Three minutes before shift change, and the ER is paging for another admission!” I could see the dismay on his face as he dreaded the thought of staying late on yet another Friday night. I decided to take […]

3 malignant retention strategies in health care contracts

Establishing a medical career inevitably requires signing a number of contracts along the way that we are not trained to evaluate, leaving us at risk for malignant retention strategies. At the beginnings of our careers, we were obligated to sign all contracts offered to us without question. The medical school match did not leave much […]

We’re doctors, but we’re humans too

We are human, we are not indestructible. We have feelings and emotions that can get hurt, probably more than the average person based on the careers we have chosen. Yes, we will pass up on our well-being (such as sleep, hygiene, exercise, relationships with family and friends) to be there for our patients. To receive […]

Pay women physicians equal pay for equal work

“Yes, there is a pay gap.  Female physicians do not work as hard and do not see as many patients as male physicians.  This is because they choose to, or simply don’t want to be rushed, or they don’t want to work long hours.  Most of the time, their priority is something else … family, […]

Let’s reshape the river of burnout

I’ve been river rafting just one time in my life. We paid for a guided trip down Idaho’s famous “River of No Return — the Salmon,” and spent the day traveling stretches of rapids and stretches of calm. It was exhilarating enough for a newbie but not enough to ever feel like my life or […]

Physician resilience: cause or symptom?

Do you ever wonder what compels someone to walk away from their current life to leave all they worked for — jobs, spouses, kids — behind? The community around them are caught off guard of how unhappy or unfulfilled or the silent suffering that made their life so hard. We say it is shocking and […]

A day in the beautiful life of this doctor

Recently, a patient came in around 11 p.m., just as the chaos of the day had settled, and I was thinking of rest after 16 hours of work. He was an older gentleman with vague and concerning complaints that would demand a thorough workup. I suspended my thoughts of self-preservation and stepped in to evaluate […]

The antiquated conversations on the gender pay gap

The pay gap between men and women has been a subject of interest recently, particularly in 2018 reports by Doximity and Medscape. Notably, the gap favors men, is not explained by obvious factors such as hours worked or choice of specialty, and does not seem to be improving. In-depth studies published in the medical literature have examined the relationship between […]