Category: primary care

Are you guilty of anchoring bias?

As doctors, we have all been guilty of anchoring bias, which means we put too much weight on the first complaint. When a patient presents to the clinic with a complaint that sounds vaguely like a headache due to a sinus infection, we whip out the scrip…

Healthy patients and healthy physicians: Is it possible? [PODCAST]

“Lifestyle medicine is part of regular medicine but stands apart in that it is health care that directly benefits patients through the restoration of vitality and health, primarily by lifestyle interventions. And its healing capacity does not stop ther…

Cognitive dissonance in the medical profession

Since writing a cathartic post about being burned out, I’ve received supportive messages as well as concerned calls from friends and former colleagues. Some were worried about my well-being. Others agreed with the sentiments. One note in particul…

Primary care’s inevitable reboot [PODCAST]

“The tech giants of Silicon Valley – love them or hate them – have put incredible personal technology tools into homes and pockets of our patients and their caregivers. Now, we must activate those instruments for our own sustainability, and for o…

5 reasons physicians are afraid to leave medicine

At age 33, I got my first job as an outpatient pediatric attending. With great pay, nice coworkers, and exceedingly better hours than in training, to everyone around me, I had finally “landed.” Soon after I began working, however, I woke up…

It’s time to flip the script on peer evaluations [PODCAST]

“It’s time to flip the script on evaluations. How can we shine a light upon the strengths of the wonderful peers we are blessed to work with? How can we amplify their greatness, help them work in their own zone of genius? How can we recognize tha…

When is the best time for physicians to write their EMR notes?

Do you feel EMR charting is a burden? Do you struggle to complete your notes on time? If you answered yes to one of those, you’re not alone! Doctors spend, on average, 16 minutes in their EMR for each outpatient encounter. This represents several…

The health care system will cause its own physician shortage

A quarter of a million dollars — that’s the amount of debt the average medical student in the United States owes after completing medical school. After all the late nights studying, the endless exams and selfless sacrifice, it’s human natur…

Flip the axis: Primary care rotations

Primary care is foundational to the U.S. health system, but not enough students are entering the field. Whether students are interested in medicine, nursing, social work or pharmacy — it is critical that we share the exciting aspects of primary care an…

3 decades in medicine: new name(s), same me

Many women change their last names after marriage, after a divorce, or just because. During my 30-year career in medicine, I have had three last names. Yes, not a typo, three! I got married for the first time during my internal medicine residency. I di…