Physicians: Are we still the good guys?

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Read the 2022 state of health care communications report to help you evaluate improvements to your [clinical communication strategy](. --------------------------------------------------------------- KevinMD Plus: Dec 22, 2022 [Physicians: Are we still the good guys?]( In the very realistic fictional world of The White Coat Diaries by Dr. Madi Sinha, a first-year internal medicine resident goes through a harsh initiation into the realities of medical training. Protagonist Norah Kapadia encounters a complication of a penile implant in an elderly patient with end-stage liver disease and dementia. Her senior resident talks [...] [What if we asked patients what they want?]( Historically, the Canadian health care system has decided what should be done for the care of the population. Who gets care, when and where, what is a priority, what delays are tolerable, and what degree of saturation is acceptable in a Quebec emergency room? This paternalistic approach is obsolete. A modern service company must be [...] [Balancing the roles of patient and healer]( “Holly, we’re really worried about you. You’ve been sleeping for days. Let us take you to the school clinic.” I looked up at a figure in the bedroom door surrounded by a light that hurt my eyes. It was my college roommate, a sweet girl from North Carolina who had put up with my [...] [Physicians with mental illness shouldn’t hide [PODCAST]]( “Doctors with mental illness don’t need more suicide awareness — we’re aware. And we don’t need confidential treatment opportunities. What we need is assurance from all invested parties — our employers, credentialing bodies, and licensing officials — that it will be OK if we [...] [A letter to residents after the subspecialty match]( Dear residents: I heard the amazing news that each of you matched today. Congratulations! That is huge. You will be outstanding subspecialists! The best part is that now you can take a deep breath and relax. The stress is over. Hopefully, you matched at your first choice, but please know that if you didn’t, it [...] [The promises and limits of a fentanyl vaccine]( “Fentanyl Vaccine a Potential ‘Game Changer’ for Opioid Crisis,” declares a Medscape headline. “Fentanyl Vaccine Delivers Promising Results in Trial,” reports an industry website. “A Vaccine Against Deadly Fentanyl Might Be Near,” promises US News & World Report. Only the fourth headline I encounter puts the news into proper perspective: “New Fentanyl Vaccine Eliminates The [...] [Reflecting on health and wellness: Celebrating the wins and learning from the losses]( The game came down to the last seconds. Down by three, we scored on a layup. Now a one-point game. And then, it was over. A narrow 1-point loss in the championship game for our middle school boys team. One started crying, then another. It caught on like something infectious, and suddenly parents were tearing [...] [The jobs you hold prior to medical school are important, but not for the reason you think]( Most experts recommend that premed students seek medically-related jobs to gain early proficiency and support their medical school application. There is nothing like valuable hands-on experience, they say, for students to demonstrate their passion and knowledge about the field of medicine. According to the article “25 Health Care Jobs To Get Before Medical School,” written [...] [Primary Care 2.0: new thinking and practice redesign [PODCAST]]( “When my colleagues and I visited high-performing primary care clinics across the country, we sought insights to inform a new model for providing the most efficient and high-quality care. Here’s how we’re practicing in Primary Care 2.0.” Megan Mahoney is a family physician and member, [...] [The stigma of cognitive decline: Silence has a price]( Have you ever experienced brain fog? It’s one thing to reach for an extra coffee or reflect on the vagaries of age, but growing research shows that subjective cognitive decline (SCD) is a powerfully predictive indicator that many patients either dismiss or fail to report. About one in four people who experience SCD will have [...] [A retired physician’s medical school memories]( An excerpt from Fifty Years a Doctor: The Journey of Sickness and Health, Four Plagues and the Pandemic. President Kennedy’s assassination One cold winter morning, all the medical students had to leave the warmth of the medical school to get to Kings County Hospital across the street for “rounding” with attendings. We didn’t have our [...] [An expert’s advice about staying in private medical practice]( Most physicians are aware of our nation’s disintegration of private medical practices. Bailing out of private medical practice for financial or other reasons predicts the takeover of government-controlled employed medical practice as well as the medical profession itself—including medical school education. One world-renowned marketing and business expert offers important advice for medical care professionals who [...] [When doctors develop [patient] portal hypertension [PODCAST]]( “Physicians today are confronting yet another epidemic, one that affects doctors directly and is not caused by a virus. It is the result of the ‘patient portal’ through which patients send typed messages directly to their physicians. Though the portal has benefits, anecdotal experience [...] [The demise of primary care in America]( An excerpt from Patients in Peril: The Demise of Primary Care in America. The last 100 years have seen an astonishing drop in the percentage of American physicians who practiced primary care. In the early 1930s, 87% of private practice physicians were in general care; by the early 1960s, this percentage had dropped to 50%. [...] [Physician contract horror stories [PODCAST]]( “As a physicians’ attorney who focuses his practice on physician contract review, I have seen some truly horrendous results after physicians have signed agreements they did not understand. Here are just a few of the ‘war stories’ I have experienced.” Dennis Hursh is a physician [...] --------------------------------------------------------------- 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](