Episodes

How much time do physicians spend in the EHR?

"Greater demands in the U.S. for billing and regulation-related documentation contribute to the excess time burden of EHR systems compared with other countries. A high volume of clinical alerts and other distractions in the EHR, as well as various...

How to cope with pandemic fatigue

"The COVID-19 pandemic has been raging in the United States for over two years. Health care workers across the country have been chronically pushed to their limits as we navigate difficult situations on a daily basis. The advent of the COVID-19...

Tips for delivering difficult pediatric diagnoses

"I remember our first day in the cystic fibrosis clinic like it was yesterday. I cried in the parking garage and struggled to nurse my daughter in the waiting room. And then it happened. That moment is forever etched in my mind. The pediatric...

Debunking the myths around asynchronous care

"So how can health systems and clinicians provide patients with an improved, consumer-friendly experience while also making strides to decrease provider administrative burden and burnout? They need to embrace virtual care beyond just video visits and...

A psychiatrist's part-time journey

"She kept quiet, but she had planted the seed. Interestingly I did not talk much about work during the appointment, so her question stirred my thoughts. Why did she think it was work-related? I started to look at my daily routine. I was able to...

Pfizer and Moderna must share vaccine technology

"Pfizer has a particular onus to help intervene globally as one of the largest and most profitable pharmaceutical companies in the world. With its immense capital power, Pfizer should shift some of their spending from national ads promoting their...

Help patients recognize how important their opinions are

"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...

When a doctor leaves a practice, who tells the patients?

"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

"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...

Acknowledging and mitigating unconscious bias in health care

"Unconscious bias in health care describes associations or attitudes that reflexively alter our perceptions, thereby unintentionally affecting behavior, interactions, and decision-making. Health care organizations need to be actively discussing this...

Remove race from clinical guidelines

"We need to address the underlying preventable factors that cause more Black Americans to die of heart attacks and strokes and suffer from high blood pressure and diabetes complications than white Americans instead of focusing on non-existent...

Writing is an outlet for this physician

"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 simple...

How the pandemic affected teen mental health and substance abuse

"Two issues drive teen substance use: drug availability and perception of risk. Availability: Today’s teens know that obtaining substances is far too easy. For example, 70 percent of high school seniors say marijuana is either “fairly easy” or...

Incredible true stories of pioneer patients

"It was probably in early 1803, as Jenner’s fame swelled and more doctors were adopting vaccination, when Bell met a farmer with a curious story. The farmer’s name was Benjamin Jesty, from the Downshay farm in a nearby village. Seeing the growing...

Am I a doctor or a contingency plan?

"I suspect that some of the nearly 20 percent of physicians who have quit their jobs during this pandemic needed to feel this relief, too. They needed to feel the relief of having no plan. No 'if this, then that.' They needed to just exist in the now....

New strategies are needed for mental health treatment

"Reducing the occurrence of comorbid mental and physical disorders will require an integrated model combining medical and behavioral health care services. The window of opportunity is open for health insurers and employers to invest in employee...

Primary care should be the center of gravity in health care

"If we want a more effective health care system, it needs to be re-engineered to revolve around the true center of gravity – the patient. We must involve patients early and often in the design of health policy, health technology, and health care...

How a legal injustice changed this physician's career

"I do not hesitate to share what I endured. I recognize that there is a code of silence that must be broken when one is involved in legal action. It is imperative that we speak out to patients, legislators, and other physicians against these types of...

Nurses are in need of racial healing

"Now more than ever, our profession needs to move toward racial healing. There is an urgent need for nursing to acknowledge its history of racism, boldly confront racism wherever it shows up, and address the racism that nurses witness when delivering...

Physicians and the weight of expectations

"What exactly is my obligation to medicine? Am I supposed to practice medicine forever? Is it my duty? Do I have to continue serving my patients, the hospital, and society because of these expectations? The answer is simple: You get to decide. Most...

Can patients just say no to treatment?

"Deeming individuals 'non-decisional' for misinformed beliefs that are not representative of a psychiatric illness is inappropriate, unfairly medicalizes the narrative and incurs a risk of further public distrust of the health care system. It is not...

Asking for and receiving help is a sign of courageous leadership

"Far from signaling weakness, asking for and receiving help is not only a sign of strength, but a sign of courageous leadership. And so, I ask you to put on your own oxygen mask, and then to reach out and help your colleagues put on theirs, too. As...

To treat future COVID variants, we need more than vaccines

"With government and industry working hand in hand, we can develop and stockpile monoclonal antibody therapeutics in anticipation of variants to come. We need to be thinking several moves ahead to keep ahead of variants so that stockpiles of therapies...

I risked my career to save my life

"I have spent years in silence about my career decisions, nervous that my inability to take call and inability to thrive while sleep-deprived could be seen as weaknesses. Being afraid to admit I was advocating for my mental health and my life....