Why boundaries should be part of your 2022 physician goals

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Earn 1.0 Category 1 CME for each episode! 15 minutes a day. 7 days a week. --------------------------------------------------------------- KevinMD Plus: Feb 7, 2022 [Why boundaries should be part of your 2022 physician goals]( As we enter another predictably unpredictable year in medicine, we all have some sort of goals for this year, or at least we should. Goals help us experience mastery, even if our goals include brushing our teeth daily, leaving medicine or traveling. Hopefully, more boundaries are on every physician’s goal list for 2022. The word [...] [“Me too” instead of “me last”: Have you filled your self-care bucket today?]( I began pondering this topic after I witnessed a health care professional post on Facebook her hospital system’s expectation that she return to work five days into COVID, still ill and actively symptomatic. She needed more recuperative time but struggled to give herself permission to take it. Unfortunately, this scenario is all too common in [...] [Who will heal the wounded healers?]( One of the most extensive studies to look at trauma in the U.S., the ACE study (Adverse Childhood Events), showed that more than 60 percent of adults surveyed had experienced one traumatic event during childhood, including enduring physical, emotional, or sexual abuse — 25 percent of women had experienced sexual abuse. This shows how prevalent [...] [The first page in a story that’s been years in the making]( The year is 2022. Like the thousands of freshly minted new medical students around the country, we sit in this liminal space between a life past and the journey to come. In a time when the word uncertainty does not begin to describe the climate of our health care systems around the world, we are [...] [A case for legalizing marijuana and ecstasy]( Substance abuse should be a medical problem, not a legal or moral problem. If it is considered a legal and moral problem, drug abusers may delay or refuse medical help. In my case, I was battling severe bipolar depression, and I was using cannabis and ecstasy to self-medicate my depression. Due to fear of legal [...] [Bringing the Hippocratic Oath into the venture capital world [PODCAST]]( “When I came into the business world, I saw a huge spectrum of ethics and am still shocked at how there aren’t any standards. Why must one be in a professional career only to have some guidelines and/or rules to follow? I don’t currently have patients in the entrepreneurial world, but I do have a [...] [The importance of treating early treatment diseases]( Today, the practice of medicine mainly involves treating medical conditions after symptoms of the medical condition become obvious (e.g., setting a fracture or treating pneumonia), or preventing disease for a population of patients using a preventative that has few side effects (e.g., vaccinations, mammograms). In the future, medicine will be more predictive and proactive. Medicine [...] [Sometimes an ounce of compassion feels like a waterfall]( My husband Jeremy and I stood just inside the entrance of the NICU, between the front desk where we used to get our bright orange stickers, permitting our entry as proud parents of Reed Robinson, Room 363, and the washing station, where we meticulously washed away any germs that could harm him. It had been [...] [Do prescription drug monitoring programs hurt more than they help?]( It was a warm summer in Maine but felt like a cold winter in the confines of the hospital building. I was seated next to a physician who was quietly working on a big screen monitor. It was a slow workday as I pondered tips and tricks to make the physician workflow efficient while training [...] [Noah Kaufman, MD on the cryptocurrency market and educating physicians about Bitcoin [PODCAST]]( Emergency physician and financial planner Noah Kaufman gives a general cryptocurrency market update. He discusses the state of Bitcoin and the impact of fiscal tightening by the Federal Reserve and also comments on Paul Krugman’s recent New York Times column comparing cryptocurrency to the subprime mortgage crisis. Finally, we talk about Crypto Pulse, a free [...] [A physician’s money goals for 2022]( It’s 2022, and many of us want this year to be better than last year. Instead of just hoping this happens, let’s make some realistic goals and put steps in place to achieve them. Here are some of my 2022 goals: 1. Continue to invest at least 10 percent of my salary in retirement accounts. [...] [Why telehealth will change the course of autism]( As a medical student working in East Harlem, I see inequities in access to care on a daily basis. These inequities are exemplified amongst children suffering from neurodevelopmental conditions such as autism. In 2000, about 1 in 150 children were identified as having autism spectrum disorder (ASD). That rate has skyrocketed to 1 in 44 [...] [Patients need palliative care to manage the pain of sickle cell disease]( Sickle cell disease (SCD) affects about 100,000 Americans as an inherited genetic disorder with intermittent exacerbations requiring hospitalization. SCD is also a painful and complicated disease with no single physician specialist that can provide pain relief. While SCD pain is similar in severity to cancer pain, patients struggle to find adequate pain relief because they [...] [Why do physicians stay in toxic work environments?]( For the most highly educated and specialized professional on the health care totem pole, physicians put up with a ridiculous amount of nonsense in the workplace. You are pressured to see high volumes of patients in a rapid-fire fashion (15 minutes per visit) even when it interferes with the quality of care. You are expected [...] [Is Descovy really the better option? [PODCAST]]( “As individual patients, we often don’t think about these costs. In my Instagram poll, nearly everyone taking Descovy reported receiving the drug effectively for free, largely due to Gilead’s copay coupons. However, as with anything in life, nothing really ever is free. More patients taking Descovy rather than generic Truvada means higher overall spending by [...] [Inside the race to conquer the COVID-19 pandemic]( An excerpt from The Vaccine: Inside the Race to Conquer the COVID-19 Pandemic. Copyright © 2022 by the author and reprinted by permission of St. Martin’s Publishing Group. For the first time in weeks, Uğur Şahin’s calendar was clear. It was a Friday morning and the two-bedroom apartment he shared with his wife, Özlem Türeci, [...] [Using positive psychology to cultivate attention to things that matter]( If we are honest with ourselves, many of us are often bored with our lives. It’s not our fault. We followed the blueprint that society laid out for us. We worked hard to get to this stage of our personal and professional lives. Most of us have achieved more than we could have dreamed of [...] [The silent burden of shame]( Shame. It’s what keeps physicians silent. It’s what keeps physicians from getting the help they need. I’ve been a successful doctor for many years, but I’ve lived with the shame of having an eating disorder. It was my secret that hardly anyone in my life knew about. No more. My shame is gone, and I’m [...] [What does it even mean to work through the unimaginable?]( When the Delta variant hit Mississippi, the Morbidity and Mortality Weekly Report (MMWR) published alarming statistics for maternal and perinatal deaths. Pregnant women were dying at three times the pre-COVID baseline rate. These young, healthy women would rapidly deteriorate in a matter of days, with three weeks as the average time to death. And those [...] [What shared journeys to the afterlife teach about dying well and living better [PODCAST]]( “The more I spoke with individuals who had experienced a shared crossing event, the more I also noticed repeating patterns. A woman in West Virginia and a woman in Australia with deeply similar experiences around the loss of a baby. A grown daughter in California and a grown daughter in Pennsylvania; a woman in Alabama [...] --------------------------------------------------------------- [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](. --------------------------------------------------------------- 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](