Episodes

Be skeptical of certificate of need laws

"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...

Open-angle glaucoma: To screen or not to screen?

"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...

Treating pain without medication

“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...

Let’s talk about bullying in medicine

“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...

What doctors need to know about physician health programs

“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...

A call to stop overworking

“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...

What I learned after being hacked on social media

“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...

Medical school loan repayment tips

“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...

New legislation addresses health care professionals' mental health needs

“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...

Physicians need to be trained as entrepreneurs and encouraged to innovate

“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...

Want your skin to look better? Then consider your mental health.

"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...

My experience as a teenage health care worker during the COVID-19 pandemic

"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...

Combining personalized education and digital technology to improve glucose monitors

“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...

Healthy patients and healthy physicians: Is it possible?

“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...

Strategies to help you prepare for multiple mini interviews (MMIs)

“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...

Primary care's inevitable reboot

"The tech giants of Silicon Valley – love them or hate them – have put incredible personal technology tools into homes and pockets of our patients and their caregivers. Now, we must activate those instruments for our own sustainability, and for...

Art as a tool to manage pain

"I had also used arts and crafts previously in my own experience to help with healing. Including the previous year when I had a breast cancer recurrence did many crochet projects and took classes in mosaics making as I navigated from victim to...

A bad death: the importance of truth-telling at end-of-life

"In their hearts, her daughters just wanted their mother to make the most of the time she had left. She never made it to the beach or hugged her grandchildren. From diagnosis to death, it was two short months. During those weeks, she waited for test...

It’s time to flip the script on peer evaluations

"It’s time to flip the script on evaluations. How can we shine a light upon the strengths of the wonderful peers we are blessed to work with? How can we amplify their greatness, help them work in their own zone of genius? How can we recognize that...

Burnout is a spiritual crisis

"It is a time to ponder on those essential questions: What is your purpose in life, and how can you follow it? What talents can you share with the world, and what are you grateful for? When we deviate from this true calling, when we deviate from love,...

Virtual care is convenient, but is it better for everyone?

"2022 is well underway, and we are still unclear about exactly where this virus is headed and what the lasting impact it will have had on all of us. We have self-driving cars, drones delivering food, and most of us spend our entire day on video calls,...

How long will it take to address clinical inertia in T2DM?

"It’s been over twenty years since clinical inertia was coined a term, and since that time, experts have debated on how to define it, and where and when it exists across the treatment paradigm. Every year, scores of information cross HCP’s desks...

Eating disorder myths debunked

"When people think of eating disorders, the image is often of an emaciated, white teenage girl in the hospital hooked up to feeding tubes. In fact, eating disorders are varied in how they present in a person, and they certainly do not 'look' a certain...

Gender inequality is making burnout worse

"If we want to alleviate the fatigue and frustration women physicians are experiencing, we can always start by solving two old problems: (1) All doctors need fewer bureaucratic tasks forced upon them, and (2) women physicians must be able to work in...