Category: primary care

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…

Burnout is a sign of something more sinister

Burnout is a sign of something even more sinister. It’s a sign that our society is out of balance. We’ve become a society that values productivity above all else. We’re always working, hustling, and trying to get ahead. And, as a resu…

Nurture yourself, get rest, and allow yourself the space you need to heal. #MeFirst

An individual crisis unfolds daily. Each starts small. When I learned about epidemics in medical school, I thought they were uncommon. I was wrong. COVID has taught us what happens if we do not address a crisis with the urgency it deserves. The COVID c…

The past, present, and future of fitness

Before the contemporary context of spandex and exercise trends, physical activity and exercise were integral to daily life for most human beings across historical contexts. In this piece, we explore the historical roots of physical fitness born out of …

Burnout follows from physician to wellness director [PODCAST]

“Over the years, trainees poured their hearts out. I began developing wellness electives and curriculum. I ultimately became a founding co-chair of faculty wellness at one institution and the director of wellness at another. This “’final” evasive…

“My doctor made me cry”: Headlines that are examples of victim-blaming

This health policy consultant may have never cried in a doctor’s office before (“My doctor made me cry. It summed up everything that’s wrong with health care“), but I can practically guarantee that her doctor has. I know this be…

A call to stop overworking

After being a coach for a couple of years now, there is an immediate danger I see right now. Many of you are doing too much. Unsustainable, dangerous amounts of work. Dangerous to yourself and dangerous to others, which makes it dangerous for you, too….

Fitting in is not belonging

An excerpt from No More Neckties: A Memoir in Essays. The sign that welcomed visitors to Wakefield, Nebraska, said: “Pop. 1030.” The town’s size didn’t vary in all the years I lived there. It was a close-knit community linked by…