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KevinMD.com 02/17/2020 07:00
Recently I made a self-deprecating joke among friends, when one of them said, “that’s so Jewish,” to which another quipped, “What do you expect? It’s in the genes.” The idea of a Jewish gene is not necessarily new, but it has become more popular and more concerning in recent years. For example, today, direct-to-consumer genetic […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/16/2020 19:00
I am in the operating room working with an attending anesthesiologist I have known for years. “Tell me,” I ask, “Do you and your colleagues talk about the difference between Des and Sevo?” He looks at me without responding. “You see,” I continue, “There was a story on the radio about a hospital that has gotten rid […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/16/2020 11:00
Our local newspaper recently ran an article on the top of its front page, stating that our monopoly health system is now “expanding health care cost discounts.” The article was actually a press release – free advertising on the front page. As a primary care physician who refers patients to this health system, I wanted […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/16/2020 07:00
Recently, my mother waited for over an hour for what turned out to be a 5-minute visit with her primary care doctor. Her doctor seemed rushed and stressed, her questions perfunctory, the management plan hurried. And then she was gone. “It’s like she didn’t even know I was there,” my mom relayed to me. This […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/15/2020 19:00
Recently we had a patient admitted for a diagnosis that did not really fit his problem representation. The diagnosis was a convenient one, and easily treated. He initially responded to treatment, and we discharged him. The diagnosis assumption nagged at me, but I did not push forward with a test that my mind wanted. A […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/15/2020 15:00
Physicians are excellent at floccinaucinihilipilification, which is seeing something as unimportant or worthless. We engage in floccinaucinihilipilification every time we see a patient. We listen to their story and symptoms, and quickly filter, accept, or discard information until we arrive at our presumed diagnosis. The 18-second rule In 1984, Beckman and Frankel wrote in the Annals of […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/15/2020 11:00
I am a critical care RN, and I violated my patients’ rights. For decades, every day that I worked in the emergency department or the intensive care unit, I violated my patients’ federally protected rights to participate in their plan of care. I didn’t mean to, or want to, but my tasks to maintain their […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/14/2020 19:00
I once saw an older gentleman who was mentally impaired from birth. A hard enough blow, he had slowly, inexorably drifted into dementia. He cut his head in a fall, suffering the ravages of gravity as so many do every day, every night. He was Caucasian. His full-time care-giver was African-American. That young man was […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/14/2020 15:00
On my final day of work before beginning my self-imposed burnout sabbatical, a colleague asked, “Why don’t you just get on medication?” I remember thinking, “What am I medicating? I feel nothing.” I was in the vice grip of burnout, overwhelmed, and physically and emotionally exhausted. But mostly, I was numb. But in reality, I […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/13/2020 15:00
Life can be hectic. We all feel the effects of the “busyness” of our daily business, especially with the beginning of a New Year, when we tend to hyper-focus on our “to-do lists” and resolutions. We can often forget to take care of ourselves and the ones we love. For example, when was the last […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/13/2020 11:00
As clinicians, our medical training teaches us to categorize and diagnose. But caring for people can sometimes be gray – it’s not always black or white. In 2017, my colleague Dr. Kyle Christiason launched our health system’s first clinic dedicated to providing compassionate and affirming care to lesbian, gay, bisexual, transgender, queer, and questioning communities. […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/13/2020 07:59
On February 12, 2020, the National Board of Medical Examiners (NBME) announced that the USMLE Step 1 will transition to a pass/fail exam in January 2022 at the earliest. This move comes amidst increasing pressure on the NBME regarding its financial conflicts of interest, as well as the tangible sense among medical school deans that […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/13/2020 07:00
By the time I turned 40, I had gained and lost 40 pounds at least ten times. It started with the “freshman fifteen” plus another twenty-five in college. In medical school, I was introduced to sweetened coffee beverages, and I snacked on pretzels and candy to stay awake while studying. I got through overnight call […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/12/2020 19:00
Growing up in a Korean household meant that I had very little experience with the type of baking that most Americans are used to; My grandma made rice cakes, not birthday cakes. But during my third year of medical school, an intern recommended a show called The Great British Bake Off. After watching a few episodes […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .
KevinMD.com 02/12/2020 15:00
An excerpt from Dottoressa: An American Doctor in Rome. The great bidet mystery: What’s it for? Americans can live here for decades thinking Italians go to the trouble of installing bidets just so they can soak their feet. If they’ve read Henry Miller, they add so women can wash before and after sex. The truth is […]. . Search thousands of physician, PA, NP, and CRNA jobs now. .

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