Category: KevinMD

A letter to 2020 interns

Congratulations on becoming PGY-1s! Truthfully, most memories of the times around my internship at Rush Medical College in 1991 are a blur. For example, I cannot recall the popular songs, who won the Super Bowl, or even the model of car I drove. Howeve…

How to recruit more students into family medicine

In 2019, a Policy One-Pager produced by the Robert Graham Center reported that the percentage of the active U.S. physician workforce in primary care practice declined from 32 percent in 2010 to 30 percent in 2018. Although family physicians represent 4…

With COVID-19, a need to deregulate buprenorphine prescriptions [PODCAST]

  “With COVID-19, we have both the unique opportunity and need to deregulate buprenorphine prescriptions. The Substance Abuse and Mental Health Services Administration (SAHMSA) recently updated guidelines for buprenorphine prescriptions. The…

4 ways to decrease your dread of being on-call

Have you ever been faced with an upcoming shift at work and felt an impending sense of doom? This type of anticipation can be a real killjoy. However, taking calls, working nights, weekends, and holidays is all part of the job, right? Worst. Call. Ever…

Why are COVID antibody tests of questionable relevance being marketed to the public?

It started mid-March with the sensation that I had cut one of my knuckles. Within two weeks, several fingers were swollen like sausages, and my fingertips had developed painful, burning spots. Soon thereafter, my husband noted one red, swollen toe. We …

A medical trainee’s experience with mental health

In May 2018, I stood in disbelief as I learned that two of my colleagues took their own lives in a single week. I had only recently come to accept my own struggle with mental illness, and I understood how isolating the battle could be. I grieved for th…

What happens if you are both too rich and too poor for health insurance?

After being kept up all night responding to pages, I was still half-asleep walking into Mr. Jenkins’ room for what I thought would be a routine early morning admission for new-onset seizures. From scanning through the electronic medical record, I was n…

Quality measures have gotten ahead of the science of quality measurement

Physician reimbursement increasingly depends upon measures of health care quality. Physicians who fall short on quality measures now face financial penalties. But it might be quality measures, themselves, that are falling short, according to a study co…

Medical education and engaging children in wearing masks [PODCAST]

“Children are being encouraged to take on the superhero persona and help protect others.  They do this in true average-person-as-the-superhero style by wearing a facemask alone, without any superhero powers or words.  Just as wearing a facemask i…

How improv helps physician leaders

I hit the submit button and thought, “Oh no, what have I done?” I stared at the computer screen, completely frozen, and told myself maybe there was a system error and the order didn’t complete. Then I heard the familiar chime and watched in horror as t…