A guest column by the American College of Physicians, exclusive to KevinMD.com. Much has been discussed in recent years around the concept of “practicing at the top of your license.” But what does this really mean? The most common definition is that e…
Transformation of health care is underway: The landscape is filled with innovation, and the horizon is dotted with technological possibilities of “Star Trek” ilk. In a recent New England Journal of Medicine Catalyst article, there was a compelling argu…
When I was a third-year resident, I was invited to join a practice owned by a doctor who had once been my chief resident. This was considered by all of my fellow residents to be the plum job in town, and I was thrilled. The doctor, whom I shall call “J…
The numbers are in. Medscape National Physician Burnout, Depression & Suicide Report 2019 indicates that the rate of physician burnout is still at an all-time high. Forty-four percent of physicians reported feeling burnt out. According to the repor…
Governor Ralph Northam is my governor. I voted for this man. I shook his hand. He works across the street from me. He fights to end the opioid epidemic. He fights for women’s rights. He expanded Medicaid in Virginia. He has enacted programs that will c…
Perhaps the most important aspect of a physician’s role is our diagnostic capabilities. Truly, if we cannot identify and diagnose a patient’s pathology with reasonable accuracy, we cannot effectively treat them and may even cause greater harm. Let’s lo…
“Ms. Taylor*?” “Yes, it’s me. I’m so deeply sorry to you and the team. You all helped me so much when I was here. But I started drinking a day after I left and blacked out.” Two weeks ago, Ms. Taylor was found by her…
Chances are that if you have kids, you’ve had at least one unplanned visit to the hospital. Taking care of children in the emergency department (ED) is a special challenge for many reasons including the fact that the child’s parents don’t choose to see…
A male interventional radiologist who is active in the #HeForShe campaign recently told me that he is being pressured to stop advocating for women. My first instinct was the biggest sigh and eyeroll of my life followed by thoughts of locker room peer p…
During my third year of medical school, I completed a clinical rotation in surgery. I was certain that it would be horrible. I envisioned myself in the OR, getting lightheaded, passing out onto the sterile field and being yelled at by my attending phys…
