Category: KevinMD

Should we teach novice physicians how to manage emergencies before they face emergencies?

Soon after match day, I became concerned. I knew I was going into emergency medicine. However, I felt unprepared to manage a clinical encounter with limited time and incomplete information. At the time I entered residency, the only published guides ava…

A medical student’s advice for clinical rotations

As a rising fourth-year med student, these are my words of wisdom for all students who are on their clinical rotations. Your mental health is paramount; do not neglect how you are feeling! There is not one med student that I know of who hasn’t felt anx…

A medical student’s advice for clinical rotations

As a rising fourth-year med student, these are my words of wisdom for all students who are on their clinical rotations. Your mental health is paramount; do not neglect how you are feeling! There is not one med student that I know of who hasn’t felt anx…

Why physicians should acknowledge the validity of second opinions

One of the most valuable jobs I held following fellowship was working as a full-time deputy editor at UpToDate. My “territory” was breast, gynecologic, and genitourinary oncology, and I helped launch cancer survivorship and palliative care. I learned t…

Black Man Syndrome: in memory of Bryan Gowdy

He came to the office in search of help as many patients do, but the circumstances that compelled him to seek medical attention were all too similar to me. I’ve seen it time and again. He said that he couldn’t sleep at one visit. At another, his blood …

Black boxes: health warning or profit warning?

“Boxed warnings” or “black boxes” are the strictest FDA label warnings. They appear on cigarettes, fluoroquinolones (for tendon rupture), Lamictal (for SJS and TEN), Accutane (birth defects), and other products with well-known r…

The primary care solution is obvious, but don’t expect policymakers to jump on board

In a shocking development that could transform the medical profession, the International Journal of Health Services published the findings of a study titled, “Primary care, specialty care, and life chances.” Using multiple regression analysis, the rese…

Doctors, a tech revolution is coming

What if I told you just a few years ago that Amazon — a budding e-commerce startup — would come to disrupt the multi-billion dollar retail industry. I seriously doubt that anyone could have given it a serious thought. At least not in the magnitude that…

Nurses are sick of being treated like hotel workers

“Compassion fatigue” is a phrase thrown around easily when talking about the health care professions. It is often spoken in the same breath as “burnout” and “turnover” while discussing the crisis of a diminishing wor…

Could this patient have been saved?

Wiley Boynton is dead. I first heard the news when Katie, a colleague, called me on my cell phone. Wiley had been taken to the hospital with a knife wound. I asked her right away: “Self-inflicted?” “I think so,” she said. A self…