Category: primary care

10 ways medicine is like the airline industry

I am standing before a team of fellows, residents, medical students, and pharmacists on Monday morning about to start rounds on the oncology service. And as the intern is about to dive into the first patient presentation, I take a moment to ask a quest…

What do we do with our sadness and anger?

When my boys were little, they responded to frustration differently. One would get angry, throw toys, yell, bite, refuse to cooperate. The other would become pitifully sad, appearing abandoned or lonely. The sad one received more attention because when…

Help patients recognize how important their opinions are [PODCAST]

“Too often in medicine, health care providers assume what patients want or need. Like the crocodile, we may assume all patients would want a tire removed in order to help extend their life – even if the cure meant losing the only thing that made …

How to prepare to be an effective caregiver

At some point, most of us will take on the role of caregiver. You may be caring for your parent or older family member, a spouse or partner, or a close friend. As the population ages, the number of people in the U.S. who are caregivers is growing signi…

When a doctor leaves a practice, who tells the patients? [PODCAST]

“I am ashamed of the callous, avoidant goodbyes that have been made in my name, and I regret the distress caused by this widely accepted standard. The determined patients will figure it out anyway, and the less-resourceful ones are left confused,…

Hidden wonders of human anatomy [PODCAST]

“It turns out that living beings are less like bags of sloshing water, as I imagined in grade school, and more like a stew. While water makes up most of it, water alone is thin and empty of the organic molecules from which organisms are built—the…

A surprising way to create safer, more efficient patient care

For practicing physicians, inclusivity proves critical. Not because of HR mandates. Not because it’s a good thing to do. Inclusivity improves your patients’ care. It enables you to be a better doctor. Rising complexity, rapid change, and tr…

Writing is an outlet for this physician [PODCAST]

“There is something about physically putting pen to paper, that connection between your mind and your body that is just very health-inducing. And it takes time. And often we do not dedicate the time to taking care of ourselves and something as si…

Seen but not heard: How does the medical system value its scribes?

As an off-cycle medical student with an extended break between the completion of my M4 rotations and the conferment of my MD, I took a job as a medical scribe to keep myself active in the clinical setting (and, it must be said, provide myself with much…

How much time do physicians spend in the EHR?

Doctors often find the electronic health record (EHR) time-consuming and annoying. However, quantitative estimates of physicians’ time on EHR tasks are sparse and not collated. We assembled evidence on hours dedicated to the EHR each day by physi…