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: Aug 29, 2022 [The internet broke parenting. This pediatrician can fix it.]( An excerpt from Parent Like a Pediatrician: All of the Facts, None of the Fear. The internet broke parenting. In the âgood old days,â parents followed a few basic pediatrician-approved rulesâsend your kid to school, give them healthy food, say âI love youââand felt confident that they were raising their children right. But today, even [...] [Advancing health equity conversations through cultural humility]( In 1998, Drs. Tervalon and Murray-Garcia created the concept of âcultural humilityâ as a way to transcend the prevailing but limiting concept of cultural competence in teaching medical students and trainees how to respectfully deliver health care to the increasingly diverse populations of the U.S. The cultural competence paradigm leads health care professionals to assign [...] [Contract advice for physicians leaving the military [PODCAST]]( âMilitary physicians should also realize that not all employers are equal or treat their physicians equally. Military physicians entering the civilian job market are in a âsellerâs market.â They should get a reasonable employment agreement. It is important to remember that while you were [...] [When should you consider surgery for scoliosis?]( Most people with scoliosis will never require surgery. But who does need surgery, and how do you know? Often diagnosed in childhood, scoliosis is characterized by an abnormal curve in the spine that can range from as small as 10 degrees to more than 100 degrees. In pediatric patients, this can result in pulmonary problems [...] [Withdrawing life-sustaining treatment over family objections]( âWe can keep your loved one alive. but we wonât. Even though you think their life is worth living, we do not.â The first time I helped a hospital convey this type of offensive message to a patientâs family, it deeply humbled me. My service on a hospital medical appropriateness review committee forged charitable respect [...] [Releasing survivorâs guilt]( Wednesday, August 10, 2016. You called to check-in. You knew I was struggling. Months before, I shared with you that I developed suicidal ideation and was not sure I should continue residency. The forced sleeplessness and self-doubt were getting to me. Did I deserve to be a surgical resident? I felt worthless. I was so [...] [Putting on the mask of professionalism causes burnout]( In medical school, we are not just taught the scientific information that doctors should know, we are also taught how doctors should look and behave. I remember being shown a video on âprofessionalismâ during our first day of orientation. It was meant to be humorous, demonstrating more extreme examples of dress code and behavioral violations. [...] [Why you need to care about oral health [PODCAST]]( âGuess what? The mouth is attached to the rest of the body. And though dentistry and medicine are typically separated from the very beginning of professional training, they are irrevocably linked for patients and have an impact on each other. Hereâs some foundational knowledge [...] [Who gets to go to medical school?]( I knew I wanted to be a doctor when I was seven years old. I excelled in school, attended a good college, scored well on the MCAT, and was accepted into medical school just as I always knew I would be. It was only as I progressed in my career as a physician that I [...] [Improving communication requires tough soft skill development]( If we are going to take on the challenge of improving communication and related behavior, a.k.a. âsoftâ skills among health care professionals, we should be realistic. As nurses, doctors, and other health care professionals, we are keenly aware of how difficult changing behavior can be. We see it daily in our patientsâ efforts regarding healthy [...] [When medicine surrenders to the body]( I still get chills thinking about the moment I decided to go to medical school. I was bored in my college physiology class, watching the minute hand on the round lecture hall clock. There were just a few minutes remaining in the class, and students were starting to pack up. The professor, Dr. Adams, said, [...] [As we get older and the world changes, itâs not always an easy task to say âwhereâ]( âWhere does it hurt?â As a child, I can remember this ubiquitous question being frequently asked of me. Having grown up on a farm, there was always some trouble for me to get into. A common hazard was my older sisterâs 26-inch bicycle, which had no training wheels. At age 5, if I was to [...] [A doctor for LGBTQ+ health needs [PODCAST]]( âIt is uncomfortable to be publically vulnerable with my story. I wish the statistics and research were enough to change the field of medicine for patients and physicians. I want people to care about the experience of their patients and colleagues enough to examine [...] [Why I did not want to become a leader, and why accidentally becoming one was the best thing that happened to me]( A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. There are some moments in life that, when you look back years later, you see a pivot. The fork in the road you didnât recognize at the time, that looking back, changed the trajectory of your life. One of those moments in my life happened [...] [Urging patience with patient self-advocacy]( One conundrum patients face is the dichotomy of trusting our doctors whilst deep diving in web searches and seeking additional opinions. Another is when our findings and experiences do not align with our doctors or established practices and guidelines. How would you react in the first consultation with a new patient who presented as I [...] [American health care: the best of times and the worst of times]( An excerpt from Healthcare Upside Down: A Critical Examination of Policy and Practice. âIt was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, it was the season of light, [...] [Getting an appointment with primary care is the Achillesâ heel of medicine [PODCAST]]( ââDoctor, itâs taken so long to get this appointment with you!â This is the opening line of so many medical visits, and I find myself constantly apologizing to my patients on behalf of our system. After the pandemic-induced lull in routine medical care, weâre [...] [Hope, with a ribbon of uncertainty curling gently around it]( A tall, thin, down-glancing man slumped in a chair in the corner of the exam room. His gray-haired wife sat primly next to him. They were here with their adult wheelchair-bound daughter. For the past two decades, the daughter had been under their constant care at home. A chronic progressive illness had wreaked havoc on [...] [Just as medicine is rooted in relationships, so too is good advising]( âWell, you may think you want to be a surgeon, now that youâre young and think you can do it all, but that will change â once children are in the picture. Youâll see how hard it is to leave them and wish you could be with them all the time.â As a young female [...] [9 ways international medical graduates can boost their residency match outcomes]( International medical school graduates (IMGs) play an integral role in the health care system of the United States and constitute approximately one-quarter of the physician workforce. In 2022, fewer IMGs registered for Match than in 2021, with a match rate of 58.1 percent. The transition to USMLE Step 1 pass/fail, elimination of Step 2 Clinical [...] [The appendix: an ancient organ for the modern age]( An excerpt from Tornado of Life: A Doctorâs Journey Through Constraints and Creativity in the ER. Reprinted with permission from The MIT Press. Copyright 2022. The appendix is a body part with an image problem. Derived from the Latin word for âhanging on,â the term can mean a bodily outgrowth or a supplementary material attached [...] --------------------------------------------------------------- [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
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