"Almost overnight, the COVID-19 pandemic has completely disrupted how we deliver primary care to patients. Before the pandemic, telehealth seemed to be a way to deliver urgent care for acute issues to a select group of tech-savvy patients. Now, at least in my practice, the majority of primary care (acute…
"There is no single culprit responsible for this shift in medical education. However, two, in particular, should be noted. The first is the culture of defensive medicine, or more bluntly, CYA (cover-your-ass) medicine. This culture has been insidiously infusing itself within the modern health care system for decades. The fear…
"Telehealth has come into focus during the COVID-19 pandemic as physicians face an immediate need to reduce exposure by providing care—or at least triage—remotely when appropriate. Under usual circumstances, telemedicine is comparatively low risk. That said, telemedicine does bring specific risks to patient safety and physician/practice liability. Minimizing those risks…
"As a physician working with human trafficking survivors, I have become accustomed to those with a history of surviving violence. But the patient in question is in my general primary care practice. This should highlight to care providers that there may be many more patients out there who have been…
"In the best of times (and these are certainly not), all patients need advocates all the time; now more than ever, vulnerable patients need them more but don’t have access to them. Vulnerable populations have more at stake when visitors are limited or prohibited. What’s more, vulnerability may be exacerbated…
"As a medical student, you find potential patients everywhere. Whether you’re on an airplane or on a romantic dinner date, we’ve all heard those famous words, 'Is there a doctor in the house?!' Here are some of my favorite 'patient' encounters. The best friend curbside. I was playing ball with…
"One of the calls you dread making as a doctor is telling a family member their loved one is dying. That was the call I received when my grandfather decompensated. We grow accustomed to making the call as clinicians, but we never expect to get it ourselves. I felt for…
"Living the surreal experience of the COVID-19 pandemic challenges us on multiple levels. As a physician, I feel the responsibility to understand the magnitude of the situation and implement the best measures to protect my patients, trainees, my family, and myself. I experience the fear of getting sick or losing…
Explore why this general surgeon wrote a novel, and how writing helps with the stresses that accompany a surgery career. What is his #1 tip for those interested in surgery? What are the challenges facing the profession today? How can surgeons find that elusive work-play balance? And why should aspiring…
"To the people who say that wearing a mask perpetuates the conspiracy: Tell that to the health care workers who have put their lives at risk to face firsthand an unknown disease. Tell that to the families of frontline workers who have contracted and succumbed to COVID-19 while their loved…
What is caregiver burnout? How can you recognize the symptoms? What are tips for new caregivers? What can caregivers teach clinicians? R. Lynn Barnett is the author of What Patients Want: Anecdotes and Advice and My Mother has Alzheimer’s and My Dog Has Tapeworms: A Caregiver’s Tale. She can be…
"Grandma Lilly is 87-years-old and in the ICU. She’s on a ventilator with her wrists restrained to the side of the bed. Grandma can barely see because her eyes are puffy: scleral edema. And her heart races: 140 beats per minute. Her blood pressure is low and Levophed and vasopressin…
"Lifestyle medicine equips practitioners with the tools to affect change. One of the biggest job satisfiers for physicians is positively impacting the trajectory of their patients’ lives. Having a parent tell you that their child is 'a different person' because of the time you spent with them is priceless. This…
"As an oncologist, perhaps the hardest part I play is as witness. I am there to give a diagnosis that, more often than not, will alter someone’s life forever. For some, I see resignation—a sense that they’ve known something was wrong and that it’s what they thought they had. For…
"Grocery shopping is not optional; it’s necessary. But if you go every day and to multiple stores, you are increasing the chance you will be exposed. From my informal survey, this practice is extremely common. Yet, experts advise to consolidate shopping. In fact, in my experience, there is always at…
"Advocacy by moms is not new, but advocacy by physicians has been less common. Moms have been fierce advocates on a variety of causes ranging from Mothers Against Drunk Driving to Moms Demand Action, the anti-gun violence mom activist group led by Shannon Watts that has now helped launch moms…
Why should we reform the health care system to a physician-led approach? How will that look like? Would a Medicare for all system cure what ails the system? What are some obstacles to implementation? Ken Terry is a journalist. He shares his story and discusses his book, Physician-Led Health Care…
"For the past six months, I’ve spent my free time becoming a certified life coach. I’m a hospitalist, but a little more than a year ago, I was introduced to life coaching. I love the changes it has produced in my life – particularly how it’s changed me as a…
"Both clinical and direct-to-consumer genetic testing have become significantly less costly and more common, providing people with access to a wealth of information about everything from their ethnicity and family lineage to their risk for certain diseases and how they will respond to medications such as blood thinners and antidepressants.…
"Locum tenens means 'to hold the place of, to substitute for' and locum tenens contracts are a common form of agreement for physicians who provide temporary medical services in place of full-time physicians. Now, during the COVID-19 pandemic, increased demand puts physicians in a better position to negotiate their locum…
"Misinformation about COVID-19, if propagated, can be deadly. The stakes are high. Physicians need to have a voice in this discussion and work towards impacting policy in a positive way. Physician-led groups such as IMPACT aim to advocate for evidence-based solutions for the protection of communities and serve an advisory…
"When doctors ignore the evidence showing that a support system doesn’t have to be traditional in order to be effective, that’s not a medical judgment. It’s a personal prejudice that puts singles at serious risk. Classifying patients as married or unmarried when studying the effects of social support undoubtedly makes…
"Single payer is the solution. And the time for it is now. A single-payer system would guarantee health care coverage immediately to every American. So whether a loved one gets sick from COVID, has a heart attack, or gets in a car accident, she will receive the care she needs…
"Doctors are people, and people are capable of prejudice and discrimination. But, in medicine, there is no place for prejudice and discrimination because a patient’s life is at stake. Stereotyping a customer and assuming that they cannot afford a certain product is emotionally hurtful, but it is far less dangerous…