Category: primary care

To do population health right, think about individuals

How do we change the way we think about taking care of patients, particularly when it comes to not the individual patient sitting in front of us, but a whole population of patients just like them (or somewhat like them)? In our practice, we have been s…

When the buck stops with primary care

“Red” McDougall had terrible leg pains soon after going to bed. He did have a bad back, and some mild spinal stenosis, but I hadn’t heard much about that in the past few years. He was dealing with the ache in his legs when he was on his feet too long. …

Solving physician burnout requires so much more than self-care

So many people are suggesting that if only doctors practice self-care we could deflect burnout before it overtakes us. Yes, physicians are probably the worst professionals for taking care of ourselves. We work long hours,  answer calls at all hours of …

Health care professionals must always be on their A game

I was having dinner with somebody not so long ago, and the conversation turned to what life is like as a physician. I always find it interesting to have these conversations with people who are not in the medical field, especially those who have got the…

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…