Category: primary care

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…

How to get the doctor to really see you

Doctors are regularly deluged with advice on how to engage patients. But how can you, as a patient, get your doctor to engage with you as a person truly? Your health — and even your life — could depend upon it. A perceived absence of empathy can signif…

3 ways pharmacists can change your prescribing habits

As the health care landscape evolves, health care provider roles continue to shift. Industries recognize the power of collaboration and the strength of communication between different providers; among those, the pharmacist and the physician. Unfortunat…