Category: primary care

Scope of practice expansion: Patient safety is sacrificed for greater access

When a patient seeks the care of a professional, they expect that person to be well trained, experienced, and constantly continuing their education. As an ophthalmologist, I completed a 4-year undergraduate program at Virginia Commonwealth University, …

Why we must embrace medical uncertainty

A guest column by the American College of Physicians, exclusive to KevinMD.com. In the late 1800s, William Osler stated, “… if you want a profession in which everything is certain, you had better give up medicine.”  He made this observation at a time w…

Doctors, listen up! You’ll be a patient soon.

As I age, the probability of acquiring yet another health condition seems to, unfortunately, increase. There’s always one test or another that is on my to-do list, be it bloodwork, X-ray, MRI, or maybe a CT scan thrown in for good measure. I comp…

Why doctors should never practice self-primary care

I am a mid-40s female rheumatologist. Fortunately, I consider myself to be fairly healthy; my diet and weight are OK, I run 30 to 35 miles per week, and my only medication is a low-estrogen oral contraceptive that I have been self-prescribing for years…

Medicine is my passion. I love my job, but I am human.

I am a small-town family physician, and I am blessed enough to be living my dream. You see, I have always wanted to be a doctor. I cannot think of one other occupation choice that has ever entered my brain. I have wanted this since I was four-years-old…

Be Bowser, not Mario in your medical practice

Anyone familiar with Nintendo’s Mario franchise is probably very confused by the title of this blog but stay with me here. My kids have recently become obsessed with Mario. It’s brought back great memories from my childhood of playing Super…

How technology ruined, and can save, the doctor-patient relationship

Each year, Medical Economics surveys physician readers to find out what irks them most. Topping the latest list: insurance paperwork, followed closely by electronic health records (EHRs). The reason is the same for both. Insurers and EHRs get between d…

Patients: Take back your health information. Here’s how.

Have you ever wondered why your personal health information essentially belongs to your health care provider or institution? I mean: why do they keep your information under lock and key, and you have to sign a release to get it? After all, it’s your bl…

Our medical training has been outsourced

Reflexively, I often feel my breath catch, and my eyeballs roll ever-so-slightly when a patient leads with, “I saw on the internet …” The precious minutes available to connect, inspect, and direct the management of their Google search are suddenl…

Why medical writing is essential to medicine

I wasn’t as happy as I expected to be when I walked out of the hospital on my last day in medical school. But then again, there was little to celebrate — my last few patients had terminal cancer, a stroke, and end-stage liver disease from a…