Episodes

April 18, 2021

PCPs could counter virtual plans by increasing telehealth visits

"If PCPs want to meet the new competition from virtual primary care plans, I suggest that they gradually increase the percentage of their visits that they do through telehealth. Now that payers are reimbursing those visits at the same level as...
April 17, 2021

My first end-of-life conversation

"Looking back on these words at the end of my rotation, I understand what I had felt, and I feel confident naming it: the futility of medicine. We can comfort and treat patients, but there’s nothing more we can do after a certain point. As a...
April 16, 2021

Advice to pregnant surgical residents

"Motherhood has been the biggest gamble of my adult life thus far. How was I going to operate for 12-plus hours while 39-weeks pregnant? Where would I be when I went into labor? How would was I going to return after three weeks? How would I pump...
April 15, 2021

President Biden’s quest for a public option

"COVID-19 disproportionately impacts those with pre-existing conditions, and our health care system leaves one in five Americans with a pre-existing condition uninsured. Further, with multiple COVID-19 vaccines already in early but slow distribution,...
April 14, 2021

Patients don’t need quick diagnoses. They need accurate ones.

"The patient knocking on your door is not your enemy. They’re sick. They’re scared. They’re in pain. They don’t know why, and they’re hoping for an answer. If you can’t find the source of a problem quickly, it doesn’t mean it’s not...
April 13, 2021

Meet the orthopedic surgeon who stopped taking insurance and does house calls

"I can tell you what I don’t want to do. I don’t want to mill through 50 patients a day, mindlessly clicking through EMR checkboxes so an insurance auditor five states away will deem that I’ve done my job and deserve reimbursement. That’s a...
April 12, 2021

Harness the power of the humanities to counteract burnout

"Humanities can be seen as part of the fabric, society, and culture of human experience. In many ways, they might be seen as the disciplines that make us human and make life meaningful. They broadly encompass ancient and modern languages, literature,...
April 11, 2021

In gratitude to our nation’s residents

"Most residents are young, often in their mid to late 20s, having spent years ensconced in libraries, research labs, and classrooms learning pathophysiology and pharmacology. Upon graduation from medical school, they are now drafted to the front lines...
April 10, 2021

How to find sparks of joy

"Keep it Simple is a bumper sticker slogan. Life during a pandemic has been anything but simple, and the holiday season presents (not the gift kind) its own special challenges. So does living alone and trying to stay humanized. In his book Together:...
April 9, 2021

What physicians should know before they’re interviewed by the media

"Lights, camera, action! You get a call from your hospital’s public relations office asking you to speak to the local news. Even though this isn’t your first time, your heart is pounding, with a mix of nerves and excitement. You start doubting...
April 8, 2021

Why medical students should be taught the business side of medicine

"Ultimately, patient care is at the center of medicine and is the main reason many physicians chose to go into the field. A good understanding of the business side of medicine and personal finance can help future physicians focus on just that. There...
April 7, 2021

End medical school grades

"There should be no grades in medical school. Forty-something percent of applicants get accepted to one or more medical schools. To even apply to medical school, one needs to have not only graduated or be on track to graduate college, but also needs...
April 6, 2021

Film and television continue to depict psychiatrists as heartless swindlers

"Have you ever watched a movie, television show, or read a book where the villain is a medical doctor? If you are a psychiatrist, you will be alarmed by how many times the villain in these stories turns out to be a psychiatrist. In all fairness,...
April 5, 2021

A letter to Black America for those who do not want the COVID-19 vaccine

"As a Black physician, I urge you to consider taking the COVID-19 vaccine when it becomes available to you. Vaccines save lives. Preventing poor outcomes, as in death, is an exciting effect of this vaccine.  I will be first in line when it is...
April 4, 2021

We must address glaring disparities in treatment

"It is not enough to say we are anti-racist; we have to modify our systems to recognize that we have placed individuals of color at risk of poorer outcomes.  Lack of insurance, lack of finances, or even the presence of certain diagnoses may...
April 3, 2021

An unexpected COVID-19 vaccine side effect

"Just a few seconds after the needle penetrated my arm, I felt a mild soreness, kind of like a flu shot. But as I sat for the required 15 minutes of observation time, a wave of something engulfed my body. It was such a strange, unfamiliar sensation...
April 2, 2021

We need to broaden the definition of what "counts" in careers

"Many colleagues in medicine already talk about medicine never going back to its state pre-COVID-19 – be it telehealth for patients, new flexibility to work/life scheduling, or a new acceptance of telecommuting outside of direct patient care. There...
April 1, 2021

Keep insulting doctors, and good luck finding a physician

"The tragedy that’s happening in medicine today is that the loss of respect and the constant threats to fair payment are making physicians regret that they ever chose medicine. They were fascinated with science and wanted to help people, and their...
March 31, 2021

Self-care is the Rx we were never taught to write

"This is our call to action. I have the experience, knowledge, expertise, and deep passion for teaching every medical student these skills. I cannot do it alone. I need you. We need to do this together. I am seeking those of you who are caring,...
March 30, 2021

Why socialized health care is not right for America

"We need full transparency and empowerment of patients and doctors to make wise decisions. We must renew and restore the sanctity of the patient-doctor relationship. We need to stop pretending that health care can be 'free,' stop calling premium price...
March 29, 2021

How to protect your resilience

"Health care delivery will always be inherently unpredictable and challenging. Those drawn to medicine are among our most resilient, but the current landscape reveals acutely a rise in burnout that exceeded acceptable levels even before the COVID-19...
March 28, 2021

You don’t have to drown in the paperwork

"This is not what I signed up for. Have you ever said this when you are rushing home 1.5 hours after the last patient left and you still haven’t finished all your charting? You grab a handful of forms to take home with you with the hopeful...
March 27, 2021

How divorce helped this physician

"I now say getting divorced was one of the best things that ever happened to me. Through that painful circumstance, I rediscovered me. I learned more about myself and my ability to do hard things than at any point in my life since medical training....
March 26, 2021

Put nutrition counseling in primary care

"One of the best solutions to rising obesity and non-communicable disease rates lie in primary care. Medical professionals can influence the U.S. food system indirectly through demand and collective purchasing power by educating their patients to...