OB/GYNs are getting old and tired. Who's going to be left to deliver your children?

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[Read this guide]( to learn the 5 ways technology helps improve your HCAHPS scores. [Residents save 40% on ClinicalKey]( Access a continuously updated library of knowledge with advanced search technology, because you want to confidently answer any question that you face. [Discover ClinicalKey](. --------------------------------------------------------------- KevinMD Plus: Jun 17, 2019 [OB/GYNs are getting old and tired. Who’s going to be left to deliver your children?]( I’m a 46-year-old OB/GYN. I’ve been on call at least as often as every fourth night for my entire career. Let that sink in for a minute. How many people get up and answer phone calls, remove ectopic pregnancies, deliver babies, and do C-sections every fourth night for an entire career? Probably not many. It’s […] [My caffeine-free residency]( A kind resident or attending asks me, “I’m going for a coffee run. Can I get you anything?” I politely decline. “You sure?” “Yeah, I’m actually doing a caffeine-free residency.” A mix of utter disbelief and disgust crosses their faces, probably yours too. With skepticism, people ask: “Why?” I actually hate the taste of coffee. […] [We are OB/GYNs: What you need to know]( We care for girls and women, pregnant or not. If you are two years old and put something in your girl parts and it disappears, we get it out. We care for two patients at once. We balance how pregnancy impacts you and how you impact your pregnancy. We watch over you and your baby […] [7 pearls of residency training]( Residency training is often considered to be one of the most daunting experiences in a physician’s career. Each day comes with its own package of highs and lows. Every year is a new challenge, and a young physician has to adapt significantly as the journey unfolds. Having gone through this process over the past three […] [Why so many doctors won’t break bad news to patients]( After nearly 40 years as an internist, Dr. Ron Naito knew what the sky-high results of his blood test meant. And it wasn’t good. But when he turned to his doctors last summer to confirm the dire diagnosis — stage 4 pancreatic cancer — he learned the news in a way no patient should. The […] --------------------------------------------------------------- [Join the fastest-growing physician Facebook group](. Physician voice by KevinMD. [For physicians by physicians](. --------------------------------------------------------------- [All doctors sign forms they haven’t read. Is there a better way?]( Recently, I was called to task — and probably rightly so — for signing something I know I didn’t read. This was several months ago, when one of my partners was out on family medical leave, and we divided up all of the coverage of her patients while she was away, making sure that forms […] [Are you a physician living paycheck to paycheck?]( Physicians leave training with expectations of earning a generous income and dreams of an extravagant lifestyle. They go from years as a struggling resident to a working individual with a stable income. Once they become attendings, their salaries skyrocket, in some cases from $55,000 annually to $550,000 annually. A $550,000 income requires extensive financial planning, […] [Getting my MBA 30 years after my MD]( After my term as a lieutenant colonel in the United States Air Force, I could join the Air Force Reserves, go back to school or work as a pediatrician. I chose school and work. I had no specific “why,” since I earned the VA educational funds, it was more like “why not?” My friends and […] [Why you shouldn’t be happy with $137 insulin]( Eli Lilly and Co. recently announced with some fanfare that it was manufacturing a generic version of its own best-selling insulin brand, Humalog, which it would sell for half off — $137.35 versus about $275. David Ricks, the chief executive of Lilly, said the company was making this seemingly beneficent gesture because “many patients are […] [How failing Step 1 helped me pass the boards. Twice.]( I remember the day well. The dean of my medical school called me directly. As soon as she announced herself on the other end of the line, I knew it was bad news. Deans don’t tend to make social calls, and I was right. She was calling to tell me that I had failed the […] [This physician takes the time to be humbled and amazed by the stories patients share]( What if I told you that, as your doctor, I’d rather listen to your memoir than to your lungs? Or that while I find the sound of a beating heart a marvel to behold, I’m more interested in hearing the jazz song that you wrote or talking about the words tattooed on your left wrist. […] [How pharmacy-based primary care takes the low-hanging fruit]( With the announcement of CVS Health HUBs, the synergy of data and business is rapidly coming to the health sector; health systems will become havens only for the severely acutely ill, the more complex, the expensive. In the same way that urgent care centers catered to low acuity, high financial margin problems that both financially […] [“I’ll put my cell phone away when you put your computer away.”]( “I’ll put my cell phone away when you put your computer away,” said the patient. These were the very words I heard upon opening the door and stepping into the exam room. As I stood waiting for him to look up, I was already looking at my computer for his name. Needless to say, I […] [What we can learn from Marcia Cross about HPV vaccination]( Recently, Desperate Housewives star Marcia Cross made headlines by discussing her diagnosis of anal cancer and her husband’s diagnosis of throat cancer, revealing that both had been related to the human papillomavirus, or HPV. The move was brave, as the actress broke free from the stigma related to anal cancer and sexually transmitted diseases. More […] [The ethics behind the world’s most expensive medication]( With the recent FDA approval, Zolgensma became the world’s most expensive medication. Priced at $2.125 million per patient, the one-dose gene therapy is a potential life-saver for children with spinal muscular atrophy (SMA). Now, the treatment is at the center of an intensifying debate over the rising price of medications. Industry watchdogs are outraged. They say Zolgensma […] [This physician has a mental illness. And one day, he might be your doctor.]( Did you feel that? That little jolt in your stomach as you clicked on the headline? Perhaps, your muscles tensed for just a moment? Maybe your heart skipped a beat. What was that? An insignificant flutter? A meaningless moment to shrug off in your busy day? Perhaps that fleeting feeling is explained by the stigma […] [Death threats won’t stop this doctor from advocating for vaccines]( In the U.S., we now have an outbreak of measles where the cases number more than it has in decades. Most of the people being infected are unvaccinated, and we’ve all seen the media reports of the growing tide of anti-vaxxers. While the CDC, WHO, and pretty much every medical and scientific authority across the […] [A trauma surgeon reflects on the Yale System, 20 years later]( The best lens for reflection is to be immersed in the places and people that spawned those memories. Why else would reunions matter? Twenty years after we graduated the Yale School of Medicine, I found myself on campus embracing my classmates again. But it didn’t take long before I felt something creeping up behind the […] [MKSAP: 63-year-old woman after right hemicolectomy for colon cancer]( Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 63-year-old woman is evaluated at a follow-up appointment after undergoing right hemicolectomy for colon cancer 1 year earlier. Her paternal grandfather had colon cancer diagnosed at age 75 years. She reports that she has been feeling well and takes no […] [What Pride means to this physician as an out doctor]( I’ve been a doctor for a year. I’ve been out as bisexual for much longer. (I used to joke that my sexual orientation was old enough to order at a bar, but now it’s on the slog towards being able to rent its own car.) With June comes Pride, and with Pride come so many […] [What doctors can learn from Jay-Z]( Recently, Forbes named Jay-Z the first rap music artist billionaire. There are a number of reasons that he is classified in this exclusive category. However, his humble beginnings from the Marcy housing projects in Brooklyn did not hold him back. He found ways along his journey, and received some good advice, that made him successful […] [How a patient saved this physician from losing her passion for medicine]( I left a full-time academic position five years ago because I was literally, “check-all-the-boxes,” burned out. In looking back during that time prior to my decision to leave, I recall months of feeling overwhelmed, emotionally exhausted, depressed, and in a sense grieved for the loss of what I envisioned my career path to be until […] --------------------------------------------------------------- If a friend sent you this email and you want to subscribe, go to [KevinMD](. --------------------------------------------------------------- 345 Hudson Street New York NY 10014 USA [Unsubscribe]( | [Change Subscriber Options](