Everything is being rated these days. But who is rating the ratings? As a public service, I have been blogging about the shortcomings of various rating systems since 2010. Two recent papers on this topic are worthy of review. In a randomized controlled…
We’ve all heard about the importance of greater stakeholder collaboration in health care. It’s the premise of current movements aimed at improving the outlook on some of the most costly, chronic conditions. Like most physicians today, I maintain a tigh…
It’s a common scenario: a patient shows up to my office lugging a bagful of over-the-counter supplements, defiantly informing me that they “don’t believe in prescription drugs.” In the very next breath, they present a lab slip with a list of bloodwork …
Many people think medical school is all about memorization and books. But some of the most valuable lessons I learned in my first year as a medical student came from a much different experience. No matter what stage you are at in your journey, there ar…
During my flight from Denver to Japan, I watched a movie called Un Traductor. It is a true story directed by the children of the couple who are the main characters in the movie. The reason why I chose this movie was that there was a Brazilian actor in …
I learned a new word recently: transdiagnostic, which refers to something that is applicable across a spectrum of conditions. It seems that this is becoming an increasingly popular concept in treating anxiety disorders. No wonder. As I researched this …
Dear patients: A few things come up daily in my office that need to be addressed. I’m just going to put these out there in the blogosphere in the hopes that someday they’ll be shared widely and save myself and other doctors a whole lot of hair-pulling …
“There will always be suffering. It flows through life like water …” Those famous lyrics sung by Nick Cave in his Lime-Tree Arbour ring true for many of us. They take on an entirely different layer of meaning for physicians. Even the very journey…
Gender politics aside, let’s talk about why the way doctors get paid matters to you as a patient. Female physicians don’t just get paid less because they prioritize their families, they get paid less because they prioritize patients. In the fee-for-service model, doctors are paid per patient visit, so the more patients they see, the […]
The Kaiser Health News article, “Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model,” caught my eye. Millennial patients want “convenience, fast service, connectivity, and price transparency” while doctors and health experts worry about “fragmented or unnecessary care, including the misuse of antibiotics” and loss of “care that is coordinated and longitudinal.” It’s as […]
