"The federal 988 hotline represents a promising new approach to alleviating the nation's growing mental health crisis, but several key challenges loom that could derail this well-intentioned initiative. One significant information technology challenge...
"We are busy people who have had much success; looking at our painful thoughts is not something we have had the need or opportunity to do. We may be a little anxious, neurotic, even, but we are respected, helpful, and successful. We tell ourselves...
"The national physician shortage is an urgent issue that requires immediate attention. Otherwise, the next time you seek medical care, you might be treated by a non-physician for a condition that requires physician attention. This could be expensive...
"I know how different my experience is. I am not facing potentially debilitating treatment(s) or the fear of death. Still, I am experiencing a physical transformation, a redefining of my feminine self, yet I do not feel as if I have the 'right' to be...
"Unlike my dad, I grew up with very different feelings about my own longevity. I have always believed that I would live to a ripe old age. This belief has colored my approach to career and finances. In many ways, I was able to delay my passions in...
"To a reasonable degree of medical probability, it was my opinion that the long hours the client spent typing, in addition to the poor ergonomics of his workstation, contributed to him being pre-disposed to a cervical injury sustained after lifting...
"Allow yourself a moment to focus on yourself, not the next patient. Take a drink of cold water, go to the bathroom, and maybe take a lap around the room. Physically relax those tensed muscles. This will allow you to start the journey of healing....
"Policymakers and educators can introduce incentives and new educational programs to recruit more physicians to fill the care gaps for elderly patients. Perhaps one solution is raising Medicare reimbursements to doctors at the same rate that private...
"It makes sense that the body’s reaction to the onslaught of perceived threats would have a detrimental effect on physical and mental well-being. Perceived threats trigger the exact same physiological response as actual threats, activating a fight,...
"Certificate of need (CON) laws purport to lower health care costs, increase patient access and ensure quality by managing the distribution of private resources, but none of these gains has materialized. A joint report from two federal agencies—the...
"My take on the Task Force statement is that clinical judgment should rule as to whether or not screening is indicated for glaucoma. Family history, race, diabetes, and other risk factors should be considered for such screening, especially in the face...
“In my medical training, we were taught five ways to treat pain: lifestyle modifications, physical therapy, medications, injections, and surgery. Lifestyle modifications are positive changes in diet, exercise, sleep, and stress levels. This is the...
“Very few are talking about workplace bullying, yet many are benefitting from it. It acts contrary to the principles of care at the heart of medicine — and we need to do something about it. How many physicians have wanted to leave medicine because...
“Change is overdue. Physicians who need help for mental health issues or substance use disorders need to get it in a manner that is free of financial and other conflicts of interest. They need to be able to go to academic centers and/or the best...
“We are in an epidemic of gaslighting in medicine. The best definition I heard of gaslighting is transferring your authority on yourself from you to someone else. We give up our authority on ourselves to everyone else but ourselves. We leave our...
“I never thought social media hacking would offer such important reminders and lessons, but here we are. By the way, I am the first to admit that it’s easy to gloss over phrases and lessons because you’ve heard them a million times before, and...
“My wife is a urogynecologist lucky enough to get through her seven years of residency plus fellowship with “only” $124,000 of student debt. When we discussed how we were going to get rid of this debt, she had always assumed that it was going to...
“For many health care professionals, the stresses of their roles routinely take a heavy toll on their mental and physical well-being. It did for me. The pandemic and the unprecedented loss of life were more overwhelming than any of us could have...
“Teaching medical students entrepreneurial and business skills is invaluable as the need for leadership in medicine grows in every single sector. Many physicians already engage in managerial and entrepreneurial-like practices without labeling these...
"Stigma surrounding mental illness often prevents patients from seeking the mental health care they need, delaying care and prolonging suffering. Fear, embarrassment, and impaired quality of life are a reality for many patients suffering from skin...
"We owe it to our patients to do better. Every time I picture the couple leaving the pharmacy unvaccinated, I am reminded that true health care requires accountability and a willingness to challenge the status quo. That means challenging a 'no' or...
“Diabetes uniquely requires patients be experts in their own care and demands 24/7/365 vigilance. Close communication with a health care team eases the burden and improves outcomes. Glucose management revolves around numbers. Unfortunately, numbers...
“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...
“The bottom line is that while you can’t predict exactly which MMI prompt you’ll be given, you can absolutely start preparing for the MMI. Become familiar with the format, practice your delivery, start reading about issues in health care, and...