Despite the talk about team-based care, physicians today are isolated

--------------------------------------------------------------- Here are the stories you missed on KevinMD. Thank you for your continuing readership. --------------------------------------------------------------- Sponsors [Clinician burnout in health care]( Over 470 clinical staff participated in our 2019 clinician burnout survey. Read about their perceptions of clinician burnout and how their organizations are working to tackle it. [See the results](. It is an acceptable practice for doctors to [end a patient relationship]( under most conditions, but some situations may [require additional steps]( or delay of the termination. The pressure is on to [enhance office efficiency and improve patient care]( -- all while increasing practice revenue. But your plate is full and your staff is stretched. [What can you do?]( [Quickly notifying hospital staff]( of emergency situations can be a big challenge. See how Yale New Haven Health issued an emergency notification to all 20,000+ employees within eight minutes! [Read the case study now](. [Navigate your way to better communication across the health system](. Is your team on the best path to expert clinical communication? Streamline workflows, improve care collaboration, and reduce readmissions with one easy-to-use platform. [Keep reading](. --------------------------------------------------------------- KevinMD Plus: Jul 11, 2019 [Despite the talk about team-based care, physicians today are isolated]( My first job after residency was in a small mill town in central Maine. I joined two fifty something family doctors, one of whom was the son of the former town doctor. I felt like I was Dr. Kiley on Marcus Welby, MD. I didn’t have a motorcycle, but I did have a snazzy SAAB 900. […] [The physician part-time blues]( The solution to most of my work related problems was half retirement. By leaving clinical practice and taking a less arduous administrative role, I was able to divorce myself from the worst part of doctoring. Being financially independent helped, but wouldn’t have been the complete solution. I am not ready to retire. I would be remiss, […] [When “do no harm” is no longer textbook]( A call came about noon a few years ago that a patient I’ll call Stella was being admitted once again. She had come into the ER from her nursing home to receive transfusions. These were now needed every two weeks to keep her alive. The problem was that every time Stella was moved she decompensated. Her […] [The truth behind the care at a skilled nursing facility]( Reuters recently published an article on skilled nursing facilities and post-hospital stays. They discussed the often-lengthy time between hospital discharge and the patient being seen by a physician or “an advanced care practitioner.” Older, more infirm and cognitively impaired patients tend to be seen later than other patients. The later you are seen, the more […] [5 mistakes new physicians make when investing in real estate]( We seem to get a ton of questions on the Passive Income Docs Facebook group about how to start investing in real estate. It can initially be a very intimidating venture. I remember when I started with a $5,000 investment in a crowdfunded deal. It was downright scary. I’ll be honest, I didn’t have a great grasp of what […] --------------------------------------------------------------- [Thousands of physicians are browsing this job board](. They love its selection of over 12,000 openings across the U.S.. [Physicians are finding opportunities they almost missed](. --------------------------------------------------------------- [A medical student before exams: the danger of neglecting the people she loves]( A couple weeks ago, I called up my family and non-med-school friends: “For the next couple months, pretend like I’m backpacking in the Himalayas,” I said. Pretend, I stressed, because, in reality, I don’t even intend to leave Palo Alto much in the coming months. I’ve now entered one of the most-dreaded phases of med school: […] [How our relationship with money can help or hinder physician burnout]( In one of the recent physician burnout and depression surveys, doctors were asked to name the causes of their burnout. The typical culprits were listed: lack of autonomy, EMRs, lack of support from administrators, insurance companies, lack of time with patients, and so on. However, when they were asked what would improve their burnout, getting paid […] [After cancer treatment: It’s time to reconsider the ringing of the bell]( It’s become a common practice in oncology institutions across North America: A patient completes their prescribed course of treatment and they ring a bell. Usually, it’s a large bell, like one that used to be rung in schools signaling the end of recess. Or it’s a ship’s bell, attached to a wall outside the radiation […] [The basics of the MMR vaccine from a pediatrician]( As the U.S. endures its largest measles outbreak in 25 years — one that’s almost certainly going to get worse before it gets better — we’re getting a lot of calls and questions at my office. What’s measles, what’s the best way to prevent it, when should the vaccine be given to adults and children? […] [Being a doctor matters less to this physician]( Something funny has happened over the last year. I used to self identify as a physician. It was a large part of who I supposed myself to be. Of course, I was more than just that. I was a spouse and father, a brother and a son, and all the various other ways in which […] [A physician family’s enraging experiences with the U.S. health care system]( Dr. Hasan Shanawani was overcome by frustration. So, last week he picked up his cellphone and began sharing on Twitter his family’s enraging experiences with the U.S. health care system. It was an act of defiance — and desperation. Like millions of people who are sick or old and the families who care for them, […] [How physician speakers are highlighting conferences in 2019 and beyond]( Physician Speaking by KevinMD is the only physician-run, all-physician speaker bureau. We are practicing physicians and experienced keynote speakers, highlighting both large-scale events and intimate day-long workshops. We cover today’s topics that matter, with physician speakers focusing on burnout, leadership, social media, online reputation, the opioid crisis, mobile health, and end-of-life care. You will be […] [The tension between learning and the illness of others]( Every doctor and doctor-in-training has a particular thing that drew them toward a career in medicine. Whether it is an interest in science, a passion for service and helping others, a family role model, or a combination of the above, there are many ways to spark interest in the field. From my own experiences and […] [Not all ambulance rides are emergent]( When the paramedic calls in and says “transporting non-emergent …” I think of this wonderful story. I was once “deposed” by the state medical board to speak on behalf of a friend who had been charged with “unprofessional behavior,” because he missed an abnormal lab that resulted in a patient having unforeseen (but non-lethal) complications. 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