Category: primary care

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…

3 ways to win back the public’s trust in medicine

The United States is currently facing the largest measles outbreak in three decades, with more than 1,200 cases reported to the Centers for Disease Control. The spread of that disease is a mere symptom of one of the most dangerous pandemics of our time…

Physician office notes should have an executive summary

I have advocated before for putting a visit synopsis at the beginning of each visit note. I have called that the aSOAP note. I think that works immensely better than APSO notes that only rearrange the order of the elements. The reason I say that is tha…

Burnout in fashion and medicine: A fashion designer turned physician compares notes

“Fashion Is Moving Too Fast, and It’s Killing Creativity,” by Veronique Hyland, talks about burnout in the fashion industry. As a former Fashion Designer turn physician, my curiosity was peaked. If you substituted the word “medicine” …

Uber and Lyft are playing larger roles for Medicaid

Arizona Medicaid Director Jami Snyder heard many complaints about enrollees missing medical appointments because the transportation provided by the state didn’t show or came too late. So this summer she hatched a solution familiar to millions of Americ…

20 minutes isn’t long enough for an office visit

As many of you know, if you’ve read my columns regularly, once a year the whole family escapes from the city, and we travel up to New Hampshire to stay at the lake house that’s been in my wife’s family for over 100 years. A modest woo…

Religion and spirituality are in the exam room

Religion and spirituality play a role in both patient’s and provider’s lives. Despite this, medical school is usually an atheistic experience. I went to a state-run medical school. No consideration of religion happened throughout my entire medical scho…

Is automation the anti-workaround?

Anyone who has spent any time on the internet knows better than to spend much time on the comments from an opinion piece. The comments section, even one on a site as reputable and respected as the New York Times, is often a minefield of trolls, contrar…