Category: KevinMD

Too big to fail: health care’s moral quandary

This could be the mythical and mystical tale of organized health care. Humans and their systems may become organized to evolve as large and stable entities, as disorganized ones may never grow large and may remain perpetually unstable, risking disinteg…

Exploring medical students’ vital role in patient care [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Nicole Cifra, an adolescent medicine physician, as we delve into the often-underestimated but invaluable role of medical students in patient care. Nicole shares her personal journey, e…

Pivot from clinical work? Sometimes the answer is yes, and that’s OK.

“All I know is how to be a doctor.” That’s the story many physicians tell themselves when they feel pulled to pivot from direct patient care. Through working with a coach, therapist, or mentor, doctors see there are always other possi…

Financial challenges for early career physicians

Early in your career as a physician, with a good income, but often significant debt, physicians can make critical financial planning mistakes that follow them their whole career. Avoid them! Early career physicians face unique financial challenges, fro…

Challenges faced by patients with mast cell disorders

As an allergist/immunologist, the spectrum of mast cell disorders, including mastocytosis, idiopathic anaphylaxis, chronic hives, and angioedema, is not a new concept. That said, in recent years, we have seen an uptick in patients presenting with a spe…

Dealing with medical abandonment, neglect, and errors

How should a patient deal with medical patient abandonment? A Japanese saying is, “It is better to fix the problem than to blame.” This invites a learning and growth opportunity for those with less knowledge and experience. Based on this, l…

Secrets to reviving physician autonomy [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join Diane Shannon, an internal medicine physician and physician coach. Explore the evolving landscape of physician autonomy and discover actionable insights on how health care professional…

Why I left medicine – and why AI might convince me to return

My first job as a physician assistant was in a neuro-oncology department. I was young, newly certified, and eager to interact with patients. The physician who mentored me there made sure I had the opportunity to counsel patients, and provide guidance a…

Achieving happiness: practical strategies for physicians

Happiness is a widely discussed and sought-after topic. This dream, or the ideal world of happiness, is something many people claim they want but struggle to find. So, what exactly is happiness? According to the Merriam-Webster dictionary, happiness is…

A patient’s resilience and the challenge of dialysis

After she developed a serious complication, she wanted to know the facts plainly stated. I told her the treatment would change her quality of life; it would be hard but doable. To this, she replied, “Now, don’t bullsh*t me, I don’t li…