Friday, September 27, 2019

Vol VII No. 772 - Part 4

To extinguish burnout, bring back physician autonomy

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Here are the stories you missed on KevinMD.  Thank you for your continuing readership.
 

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KevinMD Plus: Sep 26, 2019

To extinguish burnout, bring back physician autonomy

In his article, “Medical education needs to stop burning out students — now,” Augustine Choi suggests the culture of medical education is responsible for increasing numbers of depression and burnout among medical students, and suggests that more programs are needed to address self-care and wellness in order to build resilience. While I agree that mental […]

It’s OK if doctors can’t memorize everything

The storage capacity of the human mind is amazing. One estimate of the size of the brain’s “RAM” is as high as  2.5 petabytes (a million gigabytes). The number is based on the total number of neurons in the brain and the total number of possible connections per neuron. I suspect it is an overestimate, given the […]
 
We are healers and advocates. The two roles are inseparable.

In my urban primary care clinic, creativity and advocacy are some of our most basic tools. Recently, one of our residents brought up a homeless patient’s social barriers to colorectal cancer screening: no companion to escort her home from a colonoscopy, no address to send a mail-in test, no reliable commode location to collect a […]

Gender bias in medicine: What can women physicians do to overcome it?

The United States has been a slow brewing cauldron of gender bias for years. With increasing tensions and an unspoken, formidable energy in most workplaces and educational institutions, women have grown restless. The culmination has and is resulting into an empowering movement for gender equality (#womensrights). And the medical profession is not immune. I wasn’t […]

Hair is undoubtedly the politician’s crowning glory

It all started with John F. Kennedy’s campaign for the presidency.  After eight years with President Eisenhower’s baldness and Vice President Nixon’s receding hairline, the American public was ready for a change.  Kennedy had great hair, which he flaunted by appearing bareheaded at his inauguration.  A new political maxim was established that day; to win […]

Wonder about each patient outside the exam room

I pass by one of our local parochial schools on the way to clinic two mornings a week. With the school year in full swing, each Friday I see the children lining up outside to go to weekly Mass. With the girls in their grey tartan skirts and blue vests and the boys in their […]

Modern health care and the Burger King mentality: Sometimes you can’t “have it your way”

It’s difficult to put into words the honor I feel as an emergency physician.  Strangers invite you into their lives, trusting in your training, knowledge, and compassion as they battle crisis.  We are involved in intimate details of triumphs and loss on a daily basis, sharing in tears of joy and sorrow as we fight […]

Fact-checking faces steep challenges in health care

Fact-checking has become one of the buzziest buzzwords in journalism. There are more than 100 fact-checking projects around the world. It’s been trotted out to counter alleged “fake” news.  And to monitor the accuracy of political leaders who stretch the boundaries of believability. April 2 has been proclaimed International Fact-Checking Day. Indeed, genuine fact-checking may play an important role in political news coverage. FactCheck.org has been […]

Seniority is the worst metric for health care leadership

Health care delivery in the United States is being led by practitioners who have ascended to leadership roles primarily through years of loyalty to their organizations. But as burnout worsens and affects the youngest clinicians to the detriment of the system, is this the appropriate cadre to shepherd us towards necessary system transformation? We share […]

The unexpected people who’s listening to your conference speech

Do you ever wonder what the staff in hotel conference rooms think about what we talk about in presentations and lectures? I talk about sensitive stuff — sexuality, fertility, etc. — and I use words that many people have not said out loud in front of hundreds or thousands of people. I’m used to the […]

Made mistakes? How to spin them for your medical school applications

Despite more than a dozen years in medical school admissions consulting, I still clearly recall a bright advisee who had improved her grades considerably throughout her college career. But I, unfortunately, had a less than stellar freshman transcript. After calculating her AMCAS GPA with me, she lamented, “I feel like my grades are a criminal […]

It’s time for AI-enabled solutions in health care to live up to their buzz

Artificial intelligence is incredibly buzzy in health care right now, and for a good reason. Other industries are already experiencing AI-enabled radical transformations, like real-time fraud monitoring and detection in banking and finance and instantaneous image recognition across the web and social media. Health care now stands similarly positioned to capitalize on the transformative power […]

Let’s end surprise billing without a Trojan Horse

With August recess at a close, Congress has yet to find a solution to end balance (or “surprise”) billing, where patients are charged the remainder of their medical bill for out-of-network (OON) expenses not reimbursed by their health plan. About the only compromise for-profit health insurers, hospitals, and physician groups can agree on is that […]

How pneumatic tubes symbolizes our health system

About once or twice a day, everyone on our hospital’s computer network gets an emergency message that scrolls across the bottom of our screens, highlighted in the colors of danger and warning. They include things like a notification that a particular data system is down and that a backup on paper will have to be […]

When patients die, physicians mourn as well

I was driving to work one morning, and as part of my new routine, I listen to The Moth podcast. If you do not know it, it’s a wonderful community of storytellers — compelling stories, told by people from every walk of life. I often find myself drawn into the program (like a moth to a flame, […]
 


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