Category: primary care

Give millennials what they need in health care

Another study reiterates what we already know: In droves, millennials are venturing away from the traditional model of securing a primary care provider and opting not to access health care “as usual.” Still, too many physicians do little more than shak…

Why your practice needs a makeover

The spaces where we live and work can exert both strong and subtle influences on the way our brains function. They can make us anxious, distracted, inefficient or tired, affecting not only our cognitive ability but also our emotional state, mental stab…

The power of the tincture of time

A guest column by the American College of Physicians, exclusive to KevinMD.com. I distinctly recall during residency a much older and well-respected clinical teacher periodically opining that what was needed in a particular patient case was “a dose of …

When physicians don’t enjoy the holidays, it’s a wakeup call

As the holidays approach, this time of year can be filled with mixed emotions for high achieving medical professionals who find themselves in the hospital, clinics, and practices caring for patients instead of spending time with loved ones.  It can be …

What medicine can learn from Disney

When I was a young child, like most children, I loved Disney. However, my fascination with Disney did not involve the exhilarating theme parks, characters or delicious foods. As a young boy, I was captivated by the Disney culture, the multifaceted busi…

Patients are not passengers

Health care safety efforts have long focused on improving the behavior of providers and improving the systems of care. A proven model of safety is in the airline industry. There are undoubtedly many parallels between airline safety and health care work…

It’s the little things that can make or break the doctor-patient relationship

“The dermatology profession exists for the primary purpose of caring for the patient. The physician-patient relationship is the central focus of all ethical concerns.” – American Academy of Dermatology, Code of Medical Ethics. The doctor-patient …

Asking primary care clinicians to work harder isn’t a solution

“Sorry Dr. Pelzman, just one exam room today.” This is how our medical technician greeted me as I arrived for my Wednesday morning practice session earlier this week, with a full panel of patients on the schedule set to see me over the next…

The pitfalls and opportunities of rural health care

My medical school is located in Harrogate, Tennessee, a town of 4,000. That’s considered rural. My residency is located in Casper, Wyoming, a city of 60,000. There were some community attendings there that considered that rural. I live and practi…

Computers are the modern stethoscope

I wrote this a decade ago: It is a brave new world. I have used an electronic health record in my office for ten years. With a click of a mouse, I can show you how your blood pressure has varied over the last ten years. I can graph your hemoglobin, tra…