Here are the stories you missed on KevinMD. Thank you for your continuing readership.
--------------------------------------------------------------- Here are the stories you missed on [KevinMD](. Thank you for your continuing readership.
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--------------------------------------------------------------- KevinMD Plus: Jun 20, 2022 [When is the best time for physicians to write their EMR notes?]( Do you feel EMR charting is a burden? Do you struggle to complete your notes on time? If you answered yes to one of those, youâre not alone! Doctors spend, on average, 16 minutes in their EMR for each outpatient encounter. This represents several hours of your time each week! Writing comprehensive notes is a [...] [How long will it take to address clinical inertia in T2DM? [PODCAST]]( This article is sponsored by the Academy for Continued Healthcare Learning. Visit the CME activity and Clinical Inertia Assessment Tool. Itâs been over twenty years since clinical inertia was coined a term, and since that time, experts have debated on how to define it, and where and when it exists across the treatment paradigm. Every [...] [The gravity of difficult questions]( âI donât want to be alive anymore.â My friend Margot was despondent. Her lips quivered. Her eyes, normally the shape of almonds, folded themselves into little triangles when she cried. This kind and gentle woman of 62 years â my neighbor â was undeniably at her lowest point. I was sharing a couch with her [...] [Fresh prescriptions: Looking for the twinkling lights]( I always got my contacts from Costco, and it constantly felt like a chore. Like any child made to go on errands with their parents, Costco was my eye-rolling-moan-inducing trip. I realized my eyes were inadequate in third grade while reciting the Hail Mary. I was a little distracted as my blue and green plaid [...] [Professionalism or depersonalization in medical school?]( âAnd when we speak, we are afraid our words will not be heard nor welcomed, but when we are silent, we are still afraid, so it is better to speak remembering we were never meant to survive.â â Audre Lorde Like Audre Lorde, I would rather be afraid and speak my truth than choke on [...] [Virtual care is convenient, but is it better for everyone? [PODCAST]]( â2022 is well underway, and we are still unclear about exactly where this virus is headed and what the lasting impact it will have had on all of us. We have self-driving cars, drones delivering food, and most of us spend our entire day on video calls, and the rest on social media. Who knows [...] [Allow patients to continue their opioid of choice while starting microdoses of buprenorphine]( Twenty-six hours into the shakes, sweats, crawling anxiety, and gripping nausea of opioid withdrawal, Faye caves in and takes a couple of fentanyl tabs. She knows that she must tough out a couple of days without fentanyl to start Suboxone (buprenorphine/naloxone) through a medication-assisted treatment program, but the sickness gets the better of her. Those [...] [Is there more to patient safety than preventing medical error?]( I cry often enough that my kids almost gleefully expect it, checking me for tears during movies or shows, shaking their heads in mock dismay when they see that their prediction is correct. Iâve cried many times at home, watching screens, reading books, talking on the phone, and at work, where I am a doctor [...] [How to help rewrite the COVID-19 information playbook]( Facts combat fear Itâs hard to believe the first COVID-19 vaccine was administered in the U.S. only a year and a half ago. Like many others, I welcomed the COVID-19 vaccine as a triumph of global cooperation that leveraged decades of research and a beacon of hope that life could eventually return to normal. Yet [...] [Burnout is a spiritual crisis [PODCAST]]( âIt is a time to ponder on those essential questions: What is your purpose in life, and how can you follow it? What talents can you share with the world, and what are you grateful for? When we deviate from this true calling, when we deviate from love, from creativity, our spiritual crisis occurs. Our [...] [10 steps to create your direct specialty care clinic]( Three years ago, I was a physician in the âtraditionalâ medical system seeing 25 to 28 patients every day. I spent hours writing notes to provide proper documentation for the correct billing code. Often, my time was spent calling insurance companies to justify the appropriateness of my medical care. More and more hours were spent [...] [The epidemic of work dread]( Work dread. Even if you didnât know it had a name, you know the feeling. It is that sensation in the pit of your stomach when you realize that the start of your workday or workweek is fast approaching, and you donât want it to come. Sometimes it begins on Sunday afternoon when you want [...] [Bringing brain health awareness into the operating room]( A guest column by the American Society of Anesthesiologists, exclusive to KevinMD. âI am so ashamed. I am truly sorry to anyone I hurt or offended.â These were the first words Beverly said when I met her in the preoperative holding area before surgery. She was referring to her recent behavior during an episode of postoperative [...] [Itâs time to flip the script on peer evaluations [PODCAST]]( âItâs time to flip the script on evaluations. How can we shine a light upon the strengths of the wonderful peers we are blessed to work with? How can we amplify their greatness, help them work in their own zone of genius? How can we recognize that we all have different, complementary strengths that overlap [...] [Delivering unpalatable truths in medicine]( Many providers enter medicine to comfort patients and their loved ones. However, much of what I do doesnât live up to that intention. In the past few months and particularly the past few weeks, Iâve spent most of my afternoons making little difference in the course of my patientsâ hospital stays, and instead of having [...] [Chronicles of my COVID isolation]( Day 1. I spent Thursday, my day off, golfing. Friday, I was scheduled to see patients and do surgery on the non-English-speaking mother of a patient I delivered a long time ago (who I didnât really remember). She remembered me, though, and brought her mother from an hour away to see me. But as I [...] [Dying is a selfish business]( An excerpt from A Caregiverâs Love Story. Dying and introspection happening at the same time were a dual reality that I found impossible to ignore when Bill was not doing well. As Billâs poor prognosis and impending death began to reflect on our life, it was getting harder to respond to the living as we [...]
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