Stop exploiting medical students and residents

--------------------------------------------------------------- Here are the stories you missed on KevinMD. Thank you for your continuing readership. --------------------------------------------------------------- Sponsors [3 ways to enhance physician workflows](. Learn how technology can connect the dots between both people and systems to enable doctors to send, receive, and act on information quickly and securely. [Get the eBrief now](. Online danger you may not be aware of: How a doctor posting before/after patient pictures online led to [a HIPAA violation -- betrayed by photo metadata](. [Is your hospital communication system trapped in the dark ages?]( Just like a medieval page boy, pagers are annoying and inefficient. This leads to delayed patient care, frustrated providers, and potential HIPAA breaches. Learn why you need to ditch your [Page Boy]( today. [Case study]( Parkland Health & Hospital System reduces time required to launch codes. [See how](. --------------------------------------------------------------- KevinMD Today: Sep. 18, 2017 [Stop exploiting medical students and residents]( Approximately 300-400 physicians commit suicide annually. Given that a typical doctor has about 2,300 patients under his or her care, that means more than a million Americans will lose a physician to suicide this year. In a study of six medical schools, almost seven percent of students said they had thought of ending their lives […] [What it’s like to be on call during a hurricane]( As an attending and educator, I give a lecture to the residents each year about stroke syndromes. In the lecture, I use mnemonics, pictures, and associations, so that the trainees can retain the information in non-traditional ways and have fun learning what could be otherwise dull material. When I talk about the internal carotid artery […] [A resident deals with being a wife, mother, and doctor]( As a second-year family medicine resident, wife of a nurse and mother of an almost-two-year-old, the feeling of just not being enough has a suffocating hold on me some days. Non satis. Sounds like a pretty good gig when I talk with others outside the medical profession and friends from home. Training to be a […] --------------------------------------------------------------- [An inspiring KevinMD keynote]( will make your event memorable. "Kevin's keynote presentation at our annual members meeting was perfect. Extremely rich in content, and a delivery that is world class." [Visit Kevin's speaking page]( to find out more. --------------------------------------------------------------- [A physician on his daughter’s implants]( Physician-comedian Brad Nieder on his daughter’s implants. Enjoy the comedy stylings of Brad Nieder, MD. See more at the Healthy Humorist. Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. [Health care reform: A free-market solution works in other countries]( Repealing and replacing the Affordable Care Act is on indefinite life support. The political consensus was that President Trump needed to pass health care reform to be able to move forward with his legislative agenda. While this may be true, the passing of any repeal and replacement bill without fundamental reforms has little chance of […] [A nurse returns from vacation. And she’s thankful to the ICU she came back to.]( I’m in the ICU and was just back from an incredible tropical vacation. Nine days of vegging out on the beach. The glistening ocean was just steps away from the five-star hotel I was staying in, where doormen greeted me with fruity daiquiris and a staff that couldn’t wait to serve my every whim. I […] [A safe space is needed to talk about medical errors]( Two months into my pediatric residency, while working on an overnight call, I encountered my first medical mistake. We, fortunately, had had a very good night, and all patients had remained stable. It was an hour before sign-out to the morning team, that I received a page. I quickly held my pager and dialed the […] [Pay off debt, invest, or both: Advice to young physicians]( Let me start by saying that I am a huge Dave Ramsey fan. When I completed residency and began my current position, The Total Money Makeover was the first personal finance book I read, and pardon the cliché, but it changed my life. It instilled in me a strong foundation in money management and offered me a […] [Take back our practices with physician cooperatives]( One of the biggest points of contention in the ongoing discussion of burnout is that the system of health care is flawed. The endless bureaucracy, decreasing physician pay, and increasing meaningful use requirements that spawn endless clicking on an already inefficient electronic medical record platform have become unbearable by most practicing physicians today. Furthermore, all […] [Watch how determination and resilience connect two medical students]( Determination and resilience connect two medical students — hear their story of strength and friendship. #BornToHeal Courtesy of the American Medical Association (AMA). Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. [Use your voice to change health care]( I’m pleasantly surprised to see how a growing number of physicians are finally starting to percolate openly with their extreme dissatisfaction about a just how broken our medical system is. I admire and am proud of these brave vanguards who are a minority but have seemed to pick up steam. I still don’t hear their […] [This South Pacific island will change how you think about health care]( For the last several weeks, I have been working as a medical volunteer on a remote island off the coast of Fiji called Batiki. Home to 234 natives, Batiki has no running water, and no electricity (other than solar generated power). The inhabitants are subsistence fishermen and farmers. They are filled with joy and a […] [What does it mean to be a progressive doctor?]( A curious post popped up on my Facebook feed recently: “Another doctor running for office!” A picture of an attractive family was nestled below that exclamation, asking to show your support (in the form of dollars) for this doctor running as a Democrat for the House of Representatives. It had that sense of enthusiasm that […] [The toughest task in emergency medicine]( I’m a physician, a husband and dad, a guy who tries to live by the golden rule. But sometimes I’m an escort into sadness and despair, plunging families into the darkest emotional depths with the news I must give. One particular case from years prior stands out. Mary (whose name and identifying details have been altered) […] [The surprising sleeping arrangements of an emergency physician]( I used to practice locums medicine; which for the lay person means traveling to different jobs, sometimes several states at a time. During that time I stayed in a lot of hotels. But, occasionally, I had more unique accomodations. Obviously, if you travel enough, you’ll sleep in an airport here and there. No big […] [MKSAP: 54-year-old man with elevated blood pressure]( Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 54-year-old man is evaluated for elevated blood pressure noted recently at a local health fair. He has no other medical history and takes no medications. On this visit and on two subsequent nurse visits, the patient’s blood pressure measurements are […] [How anti-vaccine parents are finding doctors willing to exempt their kids]( Dr. Tara Zandvliet was inundated with calls and emails from parents last year, after California passed a law nixing personal beliefs as an exemption from school vaccinations. Suddenly, many parents sought exemptions for medical reasons. Someone even faked two medical exemption forms purportedly written by the San Diego pediatrician, copying a legitimate document she’d provided […] [Improving drug adherence will take more than money and technology]( I recently asked, “Who’s to blame?” for patients not taking their medications and cited a couple of papers describing the poor state of medication adherence. I concluded nonadherence was a huge problem, and doctors failing to educate their patients was not a major cause. To support my contention that physicians are not the reason why patients […] [Women physicians are both less productive and more likely to burn out. We need to fix that.]( Is the practice of medicine a different experience for male and female physicians? Two recent studies from athenahealth suggest that it is — in ways that should make us rethink what we value in health care. The first study found that male physicians are more productive than their female counterparts. In an analysis of 47 […] [The interventional primary care physician]( She came to me with complaints of weight gain. I gave her a pill, and she shed 200 lbs. in 2 weeks. No, of course not. There is no such pill. Mrs. Lopez did not lose weight. At her follow up four months later, she had gained 11 pounds. I went back to my note, […] --------------------------------------------------------------- You are receiving this email because you subscribed to the KevinMD e-newsletter. 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