A pervasive culture of time constraints in health care

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[Read the ultimate guide]( on extending the value of your organization’s EHR. --------------------------------------------------------------- KevinMD Plus: Aug 18, 2022 [A pervasive culture of time constraints in health care]( Picture this. A patient in a hospital or rehab facility has just finished exercising with therapy. He is thirsty, and he thinks he might as well ask for a snack now because he will be hungry in 30 minutes. His therapist sets him up in his wheelchair (brakes locked), tray table with all necessities positioned [...] [How doctors can regain control of their software]( I spent a year as a UCSF postdoc with the leaked tobacco documents. And this article is taken directly from the tobacco-control playbook. In the tobacco wars, we learned that: when a disease is caused by a for-profit industry, the only successful approach is regulation first, followed by treatment. Here is exactly how and why [...] [Preserving humanity in the ICU [PODCAST]]( “Five days before this story begins, where everything is upside down, and the end is the beginning. Me, standing in my PICU, slowly approaching that cradle, then removing the medication, one by one, turning off the syringe pumps. Saying out loud the number of [...] [I didn’t know her name until it was over]( I didn’t know her name until it was over, much too late. What I knew was she was thirteen and that on this winter day, someone in her family had been pulling her behind their car on a sled. No doubt laughing and looking in the rear-view mirror, the person driving had whipsawed around a [...] [Are you ready to hear the truths about perfectionism? [PODCAST]]( “Are you a perfectionist? Did you know that perfectionists are actually some of the biggest procrastinators? Yes, really. In theory, perfectionism sounds like a good thing. Who doesn’t want to do and be their best? It can even seem like a harmless way to [...] [Trauma and burnout among frontline health care workers]( Thinking back to 2020, concerning the emergence of COVID-19 and the first hard lockdowns all over the world. Individuals from all walks of life were frightened, locking themselves in their homes for fear of being infected. Yet, frontline providers and health care workers had to carry on with their daily jobs. Were they less scared [...] [Academic medicine on life support: a letter to a newly appointed CEO of a leading academic medical institution]( Congratulations on our leading academic medical institution (LAMI) yet again making it to the top ten list of the U.S. News & World Report! You have taken the reins in perilous times (globally and domestically), and what you do and what you stand for will determine if this great hospital will not just survive but [...] [How every doctor should address a patient’s pain]( From medical school to residency, I’ve worked with colleagues who don’t prescribe pain medications for their patients who truly need them. Or they are just very hesitant about doing so. Some simply don’t believe in them. Others fear the legal implications like being named to a med mal or wrongful death lawsuit. And several avoid [...] [A medical student’s advocacy journey [PODCAST]]( “As I looked across the boxes on my screen, I saw the gleaming faces of my peers. Just as it did then, and as it has for countless of my peers since, involvement in the Student Osteopathic Medical Association (SOMA) Advocacy Day showed me [...] [A health economist acknowledges how financing experiments failed our health system]( I read a superb commentary in STAT, “Value-based payment has produced little value. It needs a time-out,” that reviews the failures of “value-based care” and the failure of its promoters to acknowledge those failures. Ideas conceived, tested and found lacking, and used as the basis for more of the same. Distracting from real health system [...] [Financial survival for physicians in private medical practice]( There are two valuable reasons why all physicians, especially medical students, should obtain or demand from their medical school academic business education. About 98 percent of physicians and medical students have never had an academic business education. About 30 to 50 percent of graduating medical students prefer private medical practice—which requires business and marketing knowledge [...] [How privileged a physician’s knowledge is]( I was warned about it before we walked into the room. So when I did walk in, I made sure my eyes stayed focused on his eyes, my gaze high and attentive. I smiled, possibly more than normal, to make sure he felt comfortable. Like a puppeteer holding up his doll, I knew it wasn’t [...] [Misaligned expectations lead to conflict, burnout, and disillusioned physician leaders [PODCAST]]( “Would you expect the chef at a restaurant to be told that they are not only required to prepare the food in the kitchen but also deliver it to each of the tables and manage the billing? What about sorting out the restaurant’s finances [...] --------------------------------------------------------------- [Thousands of physicians are browsing this job board](. 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