"We can’t expect those with a business school mindset to solve physician burnout. What is needed is leadership throughout health care organizations by those with expertise in the core business, deep commitment to health care workers and patients, extensive tacit knowledge, and credibility. Physician CEOs have better outcomes in all…
"I can imagine the horror of watching a colleague being attacked. I worry about the coworker who Lynne protected that day, since being a survivor can be so bittersweet. I can feel the shock of how quickly the violence escalated, tasting the bitterness from the desperation of being so alone…
"Is your health care organization reeling from a bad EHR implementation? There have been rumblings from hospital leadership and congressional committees about the Veterans Administration (VA) Hospitals’ implementation of the Cerner Corporation electronic health record (EHR) replacing the VistA EHR. The $10 million EHR overhaul has been controversial since the…
"Scarcity has, in many ways, defined the COVID-19 experience in the U.S., from shortages in personal protective equipment to ICU ventilators and hospital capacity, to COVID test kits, to drugs like Remdesivir in hard-hit states. These shortages have added impetus and new dimensions to existing conversations around health care supply…
"Technology continues to evolve every day. In the near-term future, portable and easily deployable robots will allow surgeons all over the world to perform minimally invasive surgery in an increasing number of procedure types and become even more effective surgeons. To achieve our goal of having a future surgeon workforce…
"Dear resident physicians: Soon you’ll finish residency, and you may be wondering what’s next. Some of you will start fellowships, but most of you will practice your specialty. You may be looking for opportunities that are a good match with your needs and wants. Virtually all of you are looking…
"The problem with feeling like an imposter is thinking there’s something wrong with it. I know this is different from any way you have thought about it, but humor me. What happens when we are offered an opportunity but we feel like an imposter? We hide. We overwork to compensate.…
"Sufferers of diseases, particularly terrible ones like Alzheimer’s disease, and their loved ones need and deserve something better than science can deliver today. However, the scientific rigor of the clinical trials process where approval is only granted to drugs with a clear benefit in excess of risk needs to return.…
"'Hi, my name is Kristin Yates, and I am the OB/GYN doctor.' This is how I greet most patients for the first time. It has never really felt natural to introduce myself as 'Dr. Yates,' even now that I have been an attending physician for more than five years. To…
"Although people think of medicine as a science—the facts reveal the diagnosis, the diagnosis dictates the treatment—most physicians acknowledge that medicine is as much an art as a science. It’s not like a simple math equation with one undeniably right answer. Even when the diagnosis is clear, there may still…
"I was a bit nervous about how she would perceive my advice. She could find it inappropriate and report me for making personal remarks. But I believe she sensed the sincerity in my words and appeared invigorated, uplifted, and excited. She was smiling now and exclaimed, 'Doctor, you will see…
"Always remember your humanity. You are not super-human. Make connections to your heart, to your mind, to others. Look closely at the situation that lies before you, listen carefully to all that is around you, and calm the pounding heart. Dig deep within your psyche, ask the big questions, and…
"In fully-humanized health care, I envision patients as clients, with doctors as part of the health care team in a role more akin to expert consultants and skilled proceduralists. The consumer is empowered in the network to drive his or her own health — taking the central role rather than…
"While opposition to the vaccine may be hardening, pediatricians and family physicians enjoy an advantage the CDC and Dr. Fauci may not: namely, they are liked and trusted by patients. In general, parents look to personal physicians for guidance and usually follow their advice on health care for their children.…
"The idea was to try working in Rome for a year and see how it went. This sensible American plan collapsed under the weight of Italian bureaucracy. Luckily I didn’t investigate every angle before starting off; if I had known the true lay of the land I might not have…
"I have no doubt, given my extensive experience in health care and being a Black woman in America, that we as health care professionals have made the same mistakes as Chris Harrison with our patients. Instead of listening to and validating our patients’ concerns, we make excuses for ourselves or…
"We have a chance to take a meaningful step in fighting burnout and mental health issues in the health care profession. We have lost too many valued and vibrant health care professionals due to an illness that is treatable but stigmatized – including the devastating loss of Dr. Lorna Breen.…
"Five years into my practice as an academic allergist/immunologist, my perceptions continue to evolve. Though once primarily informed by my mentors’ wisdom, I continue incorporating my experiences as both physician and autoimmune patient to guide my practice. Though we all know medicine isn’t like it used to be, nostalgia is…
"It is no wonder that in 2020, a Doximity physician compensation report revealed there were no specialties in medicine in which women earned the same or more than men. We can all agree that many things could account for this, including structural barriers and lack of diversity or mentorship. It…
"The problem with health care isn’t 'fixing' the system. The problem is continuing to ensure that profits can be made and millions can be employed while better health care outcomes and experiences are achieved. We won’t find the solution to that problem by embracing the solutions offered by either the…
"Fifteen minutes for a checkup or urgent problem, thirty minutes for a physical. In the tiny gasps of time in between: Refilling scripts, checking labs, and signing medical supply orders and insurance authorization requests. Maybe lunch. Maybe a chance to get to the restroom if I am lucky. Clicking, always…
"When we hear skepticism, our first instinct may be to end the conversation. After all, why spend our time trying to convince someone who has made up their mind? Our second instinct may be to counter the person’s position without pausing to hear more about their perspective. Unfortunately, trying to…
"The pandemic has demonstrated the value of online platforms, especially in health care – but equitable access has not matched this growth. Sadly, many Americans cannot reap the benefits of connectivity. State and federal funding sources are required to enable digital health equity. Moreover, there should be a focus on…
"As we enter a year and a half into a worldwide pandemic, many of us working in health care are fatigued, over-worked, and burned out on compassion. Burnout has been so widespread that the CDC published guidelines on how to cope with the stresses of the job as COVID-19 cases…