Is burnout inevitable during medical training? / Your EpiPen is too expensive. These are your 4 options.

--------------------------------------------------------------- Here are the stories you missed on KevinMD. Thank you for your continuing readership. --------------------------------------------------------------- Sponsors [Secure communications in health care: Do you know all your options?] Good security is important when it comes to personal health information, along with the imperative for easy, constant, and mobile communication among health care professionals and organizations. [Read the eBrief now]. [Is your hospital communication system trapped in the dark ages?] Just like a medieval page boy, pagers are annoying and inefficient. This leads to delayed patient care, frustrated providers, and potential HIPAA breaches. Learn why you need to ditch your [Page Boy] today. "The most important patient safety program in 15 years": How the [CANDOR Toolkit helps doctors and hospitals do the right thing in the right way] -- and why disclosure after adverse events can [reduce physician liability]. [Video]: See how your staff can protect sensitive information with a variety of devices that offer flexibility, convenience and security, including smartphones, tablets, and pagers. [Watch the video]. --------------------------------------------------------------- KevinMD Today: Sep. 8, 2016 [Is burnout inevitable during medical training?] Medical training in the United States is a long and tedious process. It begins in college, when one must complete the mandatory prerequisite curriculum and take a medical entrance exam; your score on which is directly compared to other applicants, immediately labeling you as a competitive candidate or not. The process of applying requires the […] [I do not care what you say. I have to try.] Smoking and drinking caused the cancer, which Ed ignored for a long time. By the time a doctor looked at the hole in his neck, the mass had congealed the base of the tongue to the right side of the jaw and burst through the skin. A steady drip of pink tinged, foul saliva ran […] [The subtle arrogance of good health] Until my physical ailments began worsening rapidly in my late 40s, I was a high achiever, proud of my “kick ass” attitude, thinking I was so competent I could surmount any challenge life threw at me. Life appeared to be straightforward, and I didn’t understand why this didn’t seem to be the case for so […] [NEJM vs. the NYT: Which should medical professionals read?] Ever since I started medical school, my friends and family will often ask my opinion on a new medical recommendation they recently read online or heard on the radio. The trouble is, many times their query falls upon my clueless ears, as it is the first I am hearing about that medical study. In this […] [The art of medicine cannot be measured by selecting letters on an exam] You are currently on inpatient wards and notice your chief medical resident has been demonstrating erratic behavior, frequently muttering about MEN syndromes and antibodies associated with rheumatologic diseases and has been reciting gene translocations. What is the most likely cause of her symptoms? A. Hospital-associated delirium B. Conversion disorder C. Symptoms related to completing an excess number of multiple […] [The psychiatrist as a double agent] I was treating John W., a psychiatric patient who was an insurance executive. He was angry about his work situation. He complained bitterly about his supervisor whom he felt singled him out for unfair criticism. Over the course of months, John’s complaints escalated to the point where he said, “I swear … if there was […] [Bedpans to outcomes: Why can’t we quantify nursing care?] “So, will you go get me a bedpan?” The bar was fancy, so I let it slide. This was not the first time my response to an occupational query was followed with a statement about bedside toileting; people just don’t know what to do when an educated, confident woman says she’s a nurse. I smiled […] [Your EpiPen is too expensive. These are your 4 options.] EpiPens have gotten crazy expensive, yes: $600 for a two-pack. Here are some alternatives that might help you save a few bucks. 1. Wait a few weeks, and see what Mylan does. Mylan, the company that makes the “EpiPen” brand of epinephrine auto-injector, has been under a lot of pressure lately to back off their unseemly […] [Accountable care organizations: Who are the winners and losers?] Recently, CMS sent out press releases touting over $1 billion in savings from Accountable Care Organizations. […] [What is the true utility of the DSM?] Prior to the release of DSM-5 in 2013, I referred at times to the pocket copy of DSM-IV parked in my office bookcase. The main reason was to enter the right diagnostic codes on insurance forms. I also sometimes quoted DSM criteria to show a patient that ADHD can’t arise in adulthood, that daily mood swings are not characteristic of bipolar disorder, […] [How the integration of behavioral and primary care treats pain] We are witnessing a strange migration of restless tribes, moving between doctors and clinics, traveling great distances in search of what no one wants to give them any more. This eerie movement is steadily gaining momentum in our community, in our state, and across the country. We can hear it in telephone calls, we can […] [Consider screening for BRCA more regularly] When I talk to my patients, one of the greatest concerns I hear is regarding the fear that they might get a cancer at some point in their life. It is a very reasonable fear, as cancers of the female reproductive tract and breasts are not as rare as we might like. Perhaps educated by […] --------------------------------------------------------------- [Follow on Facebook] | [Twitter] --------------------------------------------------------------- You are receiving this email because you subscribed to the KevinMD e-newsletter. If a friend sent you this email and you want to subscribe, go to [KevinMD]. --------------------------------------------------------------- 173 Daniel Webster Highway Nashua, New Hampshire 03062 [Unsubscribe] | [Change Subscriber Options]