Category: primary care

MKSAP: 82-year-old woman with a 1-week history of urinary incontinence

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. An 82-year-old woman is evaluated for a 1-week history of urinary incontinence with lower abdominal discomfort. She reports no dysuria, fever…

A smarter EMR will make visits more patient-focused

What do our patients really want from us? When a patient calls up to schedule an appointment, or sends us a message through the patient portal, or calls our front desk staff to leave a message, what is it that they’re looking for? I think, more t…

3 reasons why we should care about the health care experience

The health care experience is so much more than a buzzword to be talked about in administrative circles. Some physicians I encounter (a minority, but still enough) really scoff when they hear this term. Responses I’ve heard from doctors include: “Hospi…

Suboxone for pain makes sense. Why don’t more doctors prescribe it?

Many patients who end up in Suboxone treatment have chronic pain. They were originally prescribed other opiates and ended up addicted to them. Skeptics argue that is just substituting one opiate for another. But that isn’t quite accurate. More on that …

The joy of a successful blood draw

An excerpt from Are You the F**king Doctor?: Tales from the bleeding edge of medicine. The vein stands up proudly. It’s good to look at; it’s inviting. The tourniquet is satisfyingly tight, the syringe waits like a shark on the bedside table, the new o…

The joy of a successful blood draw

An excerpt from Are You the F**king Doctor?: Tales from the bleeding edge of medicine. The vein stands up proudly. It’s good to look at; it’s inviting. The tourniquet is satisfyingly tight, the syringe waits like a shark on the bedside table, the new o…

Make sure your decision to leave medicine is not based on an emotional response

We know the statistics. More than 50 percent of physicians are experiencing burnout at the hands of EMRs, a nonexistent work-life balance and regulatory constraints to name a few. This is causing physicians to leave clinical medicine and find other wor…

Will robots replace doctors?

Among the many recurring topics, this year has been the impact of machine learning in our lives, especially the implications for our future work life. Prophecies range from ubiquitous utopian machine servants to a dystopian ravaging, hollowing out the …

A physician who is afraid of shots

This is not a story about anti-vaxxers. This is a story about primary care. Running a smaller practice, as I do, has inherent rewards and challenges. There is literature on both sides of the Atlantic that patients prefer small practices. Lately, consol…

The stories of rural physicians

This article is sponsored by Careers by KevinMD.com. When George W. “Billy” Campbell, MD, walks down the street, he never knows who — or what — he’s going to encounter. Anything can happen when you’re the doctor at Foothills Fam…