Does any living, breathing human believe that there is not enough paperwork in our lives? While we are all burdened, I believe that the medical profession is uniquely deluged with an absurd volume of documentation requirements, most of which should be …
86 minutes. That’s what I found when I added up how late patients were through a single practice session earlier in the week. Some patients arrived on time, and some a few minutes early, but the average was about 8 minutes late, ranging up to one…
I am beginning to think that we should not see chronic care patients between Thanksgiving and New Year’s Day. It just makes us look bad. Our quality metrics make the last blood pressure and the previous diabetic lab test of the year for each of our pat…
The purpose of clinical documentation is to efficiently communicate critical data to peers in a readable fashion while meeting compliance and billing requirements. This documentation should not represent a data dump. Physicians continually increase our…
A commentary in the New England Journal of Medicine titled “Beyond Evidence-Based Medicine” received much well-deserved criticism for not only mischaracterizing EBM, but advocating for a novel approach, “interpersonal medicine,”…
A guest column by the American College of Physicians, exclusive to KevinMD.com. When reading (or writing) blog posts, it’s easy to be left with a mostly negative and often depressing view of the current state of medicine. This is completely understand…
Net promoter scoring (NPS) measures customer experience and predicts business growth. Recently it is becoming more common for health networks to adopt NPS. The word “customer” should be a red flag. In medicine, we do not have customers; we …
This article is sponsored by Careers by KevinMD.com. Wide open spaces. Fresh, clean air. No people for miles around. The advantages of rural living are plentiful, but there are disadvantages, too, especially when it comes to health care; being way out …
It is a known fact, but every generation feels that they had it worst and that other generations have it made. “When I went to school we had to walk uphill in the snow both ways!” says every grandparent I identify myself with the Generation…
I’ve been mean to my body lately. And since I know better, I talk negatively to myself about why I continue to be mean to my body. Lately, I’ve been considering why I do this — why we do this — and how to think about ourselves differently. …
