Category: primary care

Applying to residency as an osteopathic medical student: myths and realities

In the last year of medical school, all medical students are faced with important decisions about where they would like to complete their residency. For osteopathic students, one key element of this decision is to what extent do they want to be a minor…

Applying to residency as an osteopathic medical student: myths and realities

In the last year of medical school, all medical students are faced with important decisions about where they would like to complete their residency. For osteopathic students, one key element of this decision is to what extent do they want to be a minor…

Getting to a minimum viable product (MVP) health care app: Partner with physicians

Over the course of several years, IBM’s fledgling Watson for Oncology program has received a wide range of reviews. Among them is a harsh critique published by Gizmodo.  The article is filed under the keywords “AI,” “Watson,” “health,” “health care,” a…

Getting to a minimum viable product (MVP) health care app: Partner with physicians

Over the course of several years, IBM’s fledgling Watson for Oncology program has received a wide range of reviews. Among them is a harsh critique published by Gizmodo.  The article is filed under the keywords “AI,” “Watson,” “health,” “health care,” a…

We should not be in a hurry to label a sign or symptom pathognomonic

“Pathognomonia.” I do not believe this is a real word. That’s OK. I don’t care if it isn’t. I have wanted to write this little blurb several times over a period of a few years. My theme is related to what we physicians regard as pathognomon…

A physician was barred from attending any future IT meetings

In the mid-1990s, I was working as the medical director for a national computer processing company that had the medical policy and utilization review contract for many Medicaid programs in the United States. Within the first few weeks of being hired, I…

When consumerism and convenience goes wild for no good reason

I have received several phone calls in the last few weeks from young adults requesting information about their last vaccinations. They are traveling to areas of the world that suggest or require certain vaccines and do not remember if they had them or …

3 lessons this physician learned from her patients

I recently completed my internal medicine residency training.  Three years, thousands of hours, thousands of patients, thousands of decisions.  I certainly learned a lot from the past three years: everything from what “HFrEF” means and how to manage it…

Electronic health records: separating the signal from the noise

5,177. That’s the current number of “cc’ed charts” as of this morning in my electronic health record in-basket. While it might sound like a lot, this is not at all an unusual accumulation, partly due to the fact that I receive a…

The rewards of being a designated airman medical examiner

For the last 25 years, I have had the privilege of being a designated airman medical examiner by the Federal Aviation Administration. To earn that privilege, it required flying to FAA headquarters and taking a one-week training course followed by refre…