Category: primary care

To fight physician burnout, empower nurses

Twenty-five years ago, when I entered medical school, clinical notes were written in paper charts that were filed numerically on shelves. We didn’t have the electronic medical record (EMR), and burnout wasn’t on the radar. In the past few years, this h…

Data has become a four-letter word in primary care

We primary care physicians hate data. Taken on their own, numbers are benign, but when we hear the word “data,” physicians are reminded of a litany of related issues that make our lives far more difficult: checkboxes. Regulatory compliance….

Moral injury from a primary care perspective

The backbone of a great health care system is its primary care task force. From Singapore to France, elite health care systems rely on these cerebral doctors to provide preventive, urgent, and acute care along with chronic disease management. Primary c…

How internal medicine got its name

A guest column by the American College of Physicians, exclusive to KevinMD.com. Of all medical specialties, perhaps the most difficult to understand is internal medicine. While the name suggests that those who practice internal medicine focus primarily…

Why the flu shot cannot give you the flu (and why you should get one now)

Flu vaccination prevents millions of flu-related illnesses and deaths annually, but vaccination rates are low for many reasons. During the 2018-2019 flu season, the Centers for Disease Control and Prevention reported that about 45% of U.S. adults recei…

How to make the most out of your doctor’s visit

For most of us, going to the doctor is not at the top of our favorite things-to-do list, but it may be one of the most important. Whether the visit is for a scheduled check-up or to deal with a new problem, there are ways you can make the visit less st…

Primary care should be one of the highest-paid specialties

Working in both the inpatient and outpatient setting, I have to frequently recommend my patients follow-up as soon as possible with their primary care doctors. I work in a couple of different locations, urban and rural, and I must say I have noticed a …

Primary care should be one of the highest-paid specialties

Working in both the inpatient and outpatient setting, I have to frequently recommend my patients follow-up as soon as possible with their primary care doctors. I work in a couple of different locations, urban and rural, and I must say I have noticed a …

Can answers to after hours calls be automated?

At a certain point, we’ve all got to go home. Whether it’s the end of the shift when the factory whistle blows and the assembly line stops rolling for a brief period while new people take our place, or late in the day after the last patient…

Vaping likely has dangers that could take years for scientists to even know about

The rise in cases of otherwise healthy young adults who have been hospitalized or even died from vaping-associated lung injury is alarming. Many people don’t know what is contained in these vaping devices, what the reported health effects actually mean…