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 on clinical inertia, but when it comes to…
"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 way. Eating disorders occur in…
"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 environments free of harassment and discrimination. There’s yet…
"COVID-19 melted down the world at a very inopportune time in history. Just as medicine was getting a handle on previously intractable conditions, from sophisticated diabetes management to less invasive surgical procedures, a new threat that devastates our population with few good treatments overwhelms health care. Medical workers come to…
"It’s apparent to most that the dark clouds and stormy waters in the business of health care continue. There is much that needs attention from both health care workers and consumers. We have learned that when we work together, strength, creativity, and energy multiply exponentially. We need to move forward…
"Many families still prefer their providers to wear a mask. I have no way to know who carries what political or health views around their mask-wearing. Their masks were off, and mine was on. When I asked them for their preference of whether they feel comfortable with me wearing a…
"My IVF baby turns 12 this week — and having attempted frozen and fresh IVF cycles six years ago, which did not result in pregnancies — I can also hold tenderly the space for those who have heard those words, 'Only one child?' Yes. Only one. Only one, magical, amazing,…
"Over the years, trainees poured their hearts out. I began developing wellness electives and curriculum. I ultimately became a founding co-chair of faculty wellness at one institution and the director of wellness at another. This “’final” evasive strategy, working on physician wellness and resilience. Over the years, I have increased…
"Whether led by the patient or by a primary care physician or nurse practitioner, a proper leadership-based problem-solving methodology is a critical tool. The approach itself is not nearly as important as the discipline to use a formal approach. One approach, for example, is a simple, proven framework that, on…
"There are numerous ways your contract (and your life) can be made better. If you do not want to do it for yourself, do it for your patients. A burned-out physician will not give those patients the same quality of care as a reasonably rested physician would give. For the…
"How does it work? We teach people to speak to one another’s values. Have you heard of listening to answer vs. listening to understand? Well, we take that one step further. We teach first to use personality science to find the values of everyone around you, then listen to, and…
"To reduce eating disorder risks and to support those who may be suffering in silence, we need to keep talking and promote awareness of the issues while clarifying long-held misconceptions about eating disorders. We can’t help those who do not feel able to speak up. We can’t help people that…
"These changes on the horizon for our country are unlike anything we have ever experienced. We have only experienced an expansion of rights for those who have been denied fair treatment. Going backwards only infringes our ability to pursue life, liberty, and the pursuit of happiness. Future laws that could…
"The visit with my patient helped to change my perspective. I should not have made assumptions about her based on my implicit bias. I highly recommend the Harvard Implicit Bias tests as an exercise in introspection. We also need to share and reflect on our experiences — especially when we…
"We must believe that inside, where our spirits live, there is an understanding, a belief, in those people we have loved and who have loved us, that they will live in us even if they are far away. And perhaps more important these days is that our physical presence is…
"We can talk about the system-based approaches we have instituted to avoid burnout and the negative emotional consequences that arise from medical errors, miscommunication, or negative outcomes that occur outside our sphere of control: Just culture. Peer review. Physician health and wellness committees. Social events. CMEs about burnout. Burnout surveys.…
"Maintaining a relationship during nursing school takes some effort. Your time is taken up by studying, classes, clinicals and labs. Oh, did I mention studying? At the end of the day, there is just not much time left for significant others. Now, I am referring to romantic relationships here, but…
"More studies are needed to fully understand the impact of in-home hospital care programs on quality and cost. Extending the waivers will give physicians, health systems, health services researchers, and policymakers the opportunity to further analyze these programs’ results to determine the future for this person-centered care model. The movement…
"No one anticipated how the pandemic would impact their Deaf colleagues’ work environment and career opportunities. Yet, 15% of adults report some form of hearing difficulty. This number increases dramatically with advancing age, with 50% of those aged 75 years or older experiencing hearing difficulty. The exact number of Deaf/Hard…
"As physicians, we are masterful at suppressing so many of our emotions, and the thoughts and memories associated with them. However, trauma has a way of impacting us in great big obvious ways (as we saw with Will Smith), and not such obvious ways (perfectionism, workaholism, lack of boundaries). I’m…
"I almost quit my job in 2014. I didn’t like my life, and I didn’t like myself. I had a lot of problems personally and professionally, and I wondered if I was good enough to solve them. I often felt weak and powerless. People were coming to me for answers,…
"Physicians have a deep well of experiences to draw from in their writing. They witness dramatic episodes of heroism, cures, disappointments, and failures. They see unforgettable scenes, hear devastating words, make difficult decisions, and observe people at crucial moments in their lives. Most importantly, they witness the power of cause…
"I had no recollection of this, but as I processed what Yael said, my response was the opposite of what one might expect—I felt tremendous relief! I was happy. My pain had a name and hopefully that meant that I could get well. I was a doctor, and I knew…
"I know many physicians are already maxed out. Technology can make that worse. As soon as you introduce what will be perceived as new obstacles to moving from A to Z, all they’re going to think is, “I can’t do what I need to do. I’m exhausted and I’m behind.…