Category: primary care

Physicians: Are we still the good guys?

In the very realistic fictional world of The White Coat Diaries by Dr. Madi Sinha, a first-year internal medicine resident goes through a harsh initiation into the realities of medical training. Protagonist Norah Kapadia encounters a complication of a …

The demise of primary care in America

An excerpt from Patients in Peril: The Demise of Primary Care in America. The last 100 years have seen an astonishing drop in the percentage of American physicians who practiced primary care. In the early 1930s, 87% of private practice physicians were …

When doctors develop [patient] portal hypertension [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! “Physicians today are confronting yet another epidemic, one that affects doctors directly and is not caused by a virus. It is the result of the ‘patient portal’ through wh…

An expert’s advice about staying in private medical practice

Most physicians are aware of our nation’s disintegration of private medical practices. Bailing out of private medical practice for financial or other reasons predicts the takeover of government-controlled employed medical practice as well as the …

Primary Care 2.0: new thinking and practice redesign [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! “When my colleagues and I visited high-performing primary care clinics across the country, we sought insights to inform a new model for providing the most efficient and high-quality c…

Reflecting on health and wellness: Celebrating the wins and learning from the losses

The game came down to the last seconds. Down by three, we scored on a layup. Now a one-point game. And then, it was over. A narrow 1-point loss in the championship game for our middle school boys team. One started crying, then another. It caught on lik…

A blessing for health care workers

As winter approaches and life slows down, it’s a time to pause and reflect on all everyone has had to endure these past few years. To those involved in health care, it has been an especially difficult time… a test of both resolution and inn…

Ethical consumerism: How to shop responsibly for the holidays 

After record-setting sales of $889.3 billion last holiday season, the National Retail Federation predicts that Americans will spend between $942-960 billion this year. Deloitte forecasts that each American will make $1,455 worth of holiday-related purc…

The solution to a crumbling primary care foundation is direct primary care

In a report published by the Commonwealth Fund and released in August 2021, the performance of the U.S. health care system was compared to that of other high-income countries. The results were stunning: despite investing far more of its gross domestic …

What my 10 year old is teaching me about boundaries [PODCAST]

Subscribe to The Podcast by KevinMD. Catch up on old episodes! “As I’ve been coaching physicians, I’ve realized that many of us have a tendency to just ‘grin and bear it’ when it comes to the challenges and stresses of the…