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The Podcast by KevinMD

The Podcast by KevinMD

2,158 episodes — Page 39 of 44

Thank you pediatric medical professionals

"As the mother of a child born with hypoplastic left heart syndrome, besides going through four open-heart surgeries and coding, my son has also had eight abdominal surgeries, including a Ladd's procedure and resection of his colon. William also functions without his appendix, spleen, and gall bladder. In addition to every kind of therapy imaginable, he has had to endure pamidronate infusions, daily shots, G-tube feedings, and TPN. Who knows how many times he's been X-rayed and poked by a needle. It's been a roller coaster, but he wouldn't be here without you: all of you." Wendy Hind is a health care consultant. She shares her story and discusses her KevinMD article, "Thank you pediatric medical professionals, as we fondly bid you adieu." (https://www.kevinmd.com/blog/2020/11/thank-you-pediatric-medical-professionals-as-we-fondly-bid-you-adieu.html) This episode is sponsored by Augmedix: Ambient medical documentation and live clinical support powered by virtual scribes. (https://augmedix.com/kevinmd) Did you know that nearly 75 percent of clinicians surveyed in a recent study say they spend over 10 hours per week on paperwork and medical notes? Augmedix is a leading provider of remote medical documentation, using remote AI-assisted live scribes to observe, listen, and capture relevant details from natural conversation for over 35 specialties. Augmedix provides real-time support that includes orders, referrals, and reminders to deliver accurate, complete, and timely medical notes. Augmedix brings back the joy of practicing medicine. To learn more and to bring the Augmedix joy to your practice, visit Augmedix.com/kevinmd (https://augmedix.com/kevinmd).

Feb 4, 202116 min

Prison medicine during the pandemic

"Rumor has it that the SARS-CoV 2 virus was brought into prison via inmates who were on a work-release program. Allegedly, they boarded a city bus with a driver who was ill. From there, it crept beyond the work-release camp and wafted over to the general prison population. The pandemic had reached this impenetrable fortress; a tiny virus with no proper consideration of human incarceration rules. It had failed to stop at the gatehouse. Traditionally, due to the nature of prisons and the nature of convicts, infectious illnesses do have a presence in prison systems. SARS-CoV 2 is no exception. As the alarms within the prison rose from orange to red, and new hotspots named, the direness increased. Then, the ebb and flow of prison life ceased and came to a complete halt. Similarly, in the free world, those who had no convictions or felonies became imprisoned in their homes. When once, a workday end meant freedom as we left the gatehouse behind, now it only meant further seclusion. Prison had crept outside the gatehouse. We left one boiling pot only to enter into another." Edna Wong McKinstry is an internal medicine physician. She shares her story and discusses her KevinMD article, "How to find joy in prison." (https://www.kevinmd.com/blog/2020/11/how-to-find-joy-in-prison.html) This episode is sponsored by Augmedix: Ambient medical documentation and live clinical support powered by virtual scribes. (https://augmedix.com/kevinmd) Did you know that nearly 75 percent of clinicians surveyed in a recent study say they spend over 10 hours per week on paperwork and medical notes? Augmedix is a leading provider of remote medical documentation, using remote AI-assisted live scribes to observe, listen, and capture relevant details from natural conversation for over 35 specialties. Augmedix provides real-time support that includes orders, referrals, and reminders to deliver accurate, complete, and timely medical notes. Augmedix brings back the joy of practicing medicine. To learn more and to bring the Augmedix joy to your practice, visit Augmedix.com/kevinmd (https://augmedix.com/kevinmd).

Feb 3, 202122 min

Stuck between a virus and a cold place: A choice for homeless Americans

"What form the incoming winter will take depends on the location and status of the COVID-19 pandemic. Each city must find a method that will provide the most relief and assistance for their homeless population. Analyzing the results of the measures already taken by shelters in the country will prove vital to developing individualized intentional plans for others. Finances will have to be the deciding factor on whether a shelter will install an HVAC system, engage in strict lockdowns, tap into the community, or develop a hybrid solution. Whatever the choice, shelters and the cities best act fast, because after all – winter is coming." Miracle Diala is a medical student. He shares his story and discusses the KevinMD article he co-wrote, "Stuck between a virus and a cold place: A choice for homeless Americans awaits." (https://www.kevinmd.com/blog/2020/12/stuck-between-a-virus-and-a-cold-place-a-choice-for-homeless-americans-awaits.html) This episode is sponsored by Augmedix: Ambient medical documentation and live clinical support powered by virtual scribes. (https://augmedix.com/kevinmd) Did you know that nearly 75 percent of clinicians surveyed in a recent study say they spend over 10 hours per week on paperwork and medical notes? Augmedix is a leading provider of remote medical documentation, using remote AI-assisted live scribes to observe, listen, and capture relevant details from natural conversation for over 35 specialties. Augmedix provides real-time support that includes orders, referrals, and reminders to deliver accurate, complete, and timely medical notes. Augmedix brings back the joy of practicing medicine. To learn more and to bring the Augmedix joy to your practice, visit Augmedix.com/kevinmd (https://augmedix.com/kevinmd).

Feb 2, 202111 min

I will be a doctor because I was once a patient

"Everything I ever have and ever will accomplish is in part due to the doctors, nurses, administrators, and security officers who gave me safe, compassionate care. This was no fairytale ending; I wish I never had to make this choice, and I grieved for months for the path I did not choose. But I often think of the resident who held my hand in the procedure suite and told me I would make a fantastic doctor. And when I look at what she gave me — the freedom to pursue my medical education, the privilege to care for patients, the right to live my life how I choose — I hope I've made her proud." Shira Fishbach is a medical student. She shares her story and discusses her KevinMD article, "I will be a doctor because I was once a patient." The opinions expressed in this episode are those of the guest and are not necessarily those of the host or the host's employer. Please review KevinMD's terms of agreement under "Information disclaimer."

Feb 1, 20219 min

Nisha Mehta, MD on why physicians should consider side gigs

"At first, it may seem strange that 'physician' and 'side gig' are even used in the same sentence. After all, the average physician in the United States is already working more than a 40 hour work week and struggling with issues related to work-life balance. As someone who talks about physician burnout and as the founder of the Physician Side Gigs Facebook group, I've been asked many times how adding yet another thing to the physician's plate could possibly be a good idea. And yet, I'm a strong believer that physicians should have additional revenue streams and pursue other interests. Why?" Nisha Mehta is a radiologist and founder, Physician Side Gigs and the Physician Side Gigs Facebook group. She can be reached at her self-titled site, Nisha Mehta, MD, and on Twitter @nishamehtamd. She shares her story and discusses her KevinMD article, "Why physicians need side gigs." (https://www.kevinmd.com/blog/2018/01/physicians-need-side-gigs.html) This episode is sponsored by Augmedix: Ambient medical documentation and live clinical support powered by virtual scribes. (https://augmedix.com/kevinmd) Did you know that nearly 75 percent of clinicians surveyed in a recent study say they spend over 10 hours per week on paperwork and medical notes? Augmedix is a leading provider of remote medical documentation, using remote AI-assisted live scribes to observe, listen, and capture relevant details from natural conversation for over 35 specialties. Augmedix provides real-time support that includes orders, referrals, and reminders to deliver accurate, complete, and timely medical notes. Augmedix brings back the joy of practicing medicine. To learn more and to bring the Augmedix joy to your practice, visit Augmedix.com/kevinmd (https://augmedix.com/kevinmd).

Feb 1, 202125 min

Death is personal for this physician

"In Wooster, Ohio, where I practiced, a small not-for-profit hospice agency relied on local physicians, clergy, and many other volunteers to supplement the skills and dedication of their employed staff. It was through this work with Hospice of Wayne County, in making home visits when needed, that I learned the immeasurable value of presence. By continuing to care for my cancer patients until they died, I acquired insight into the equally essential virtue of nonabandonment. When I first attended a hospice and palliative medicine conference in the early 1990s, I realized that I had found my home—a community of professionals of various disciplines who had found what I had discovered: that it is the people, not the diseases, that matter. It would be years before I would totally focus my medical practice on the care of the dying, but in the meantime, the lessons I learned from those at the end of their lives made me a better oncologist and maybe even a better person. As I mentioned above, the most important of those lessons is the realization that I also am mortal, and I too will die." Jeff Spiess is an oncologist and palliative care physician. He is the author of Dying with Ease: A Compassionate Guide for Making Wiser End-of-Life Decisions. (https://amzn.to/2NpqrSf) He shares his story and discusses his KevinMD article, "Death is personal for this physician." (https://www.kevinmd.com/blog/2020/09/death-is-personal-for-this-physician.html)

Jan 31, 202114 min

How doctors are losing money every time a patient pays a bill

"A practicing anesthesiologist for the past 14 years, when COVID hit, and the ORs came to an abrupt halt, I needed to occupy my mind. An opportunity to learn about the business behind running a practice came to me via a good friend who is a founding member of an award-winning Fintech on a mission to make a change in the credit card processing industry. I was stunned to learn about the questionable practices common in this industry. Medical education does not include business training, leaving us particularly vulnerable – no matter how great our office manager! I've seen first-hand how a little knowledge can yield significant savings in time and money. Here are the basics about what we, as doctors, should know." Jennifer Mogan is an anesthesiologist and account executive, Park Place Payments. She shares her story and discusses her KevinMD article, "How doctors are losing money every time a patient pays a bill." (https://www.kevinmd.com/blog/2020/10/how-doctors-are-losing-money-every-time-a-patient-pays-a-bill.html)

Jan 30, 202116 min

Health care's tech renaissance during the pandemic

"Just as the pandemic has forced massive technology adoption in the delivery of care, we will see the rapid, widespread implementation of innovative solutions that medical education has desperately needed for years. Technologies like computer-based training, adaptive learning using artificial intelligence, video game-based learning, and extended reality such as virtual reality and augmented reality can close the educational gap. Virtual colonoscopies can be practiced 100 times before touching an actual patient. Many companies innovating in this space are seeing tremendous market interest in the wake of the pandemic. Most of these new technology-based educational tools can be used remotely, synchronously, or asynchronously, often without a teacher or proctor present. Although training will always require clinical experience, innovations at the bedside will also provide a major advantage over the traditional educational path. Hence learning can continue, and learning losses minimized. This is the way forward for most, if not all, institutions in the foreseeable future, and institutions that adopt these technological solutions will outpace those that resist." Eric Gantwerker is a pediatric otolaryngologist. He shares his story and discusses his KevinMD article, "Health care's tech renaissance during the pandemic." (https://www.kevinmd.com/blog/2020/09/health-cares-tech-renaissance-during-the-pandemic-extends-to-medical-training.html)

Jan 29, 202115 min

Zoom is foie gras of the brain

"We lack the necessary signaling of the nonverbal cues when only looking at one's face. The presenter's large face only a few inches from our screen may evoke our primordial threat response with its resulting cascading transmitters. The angulation of computer and phone cameras causes facial distortions. Unless one aligns oneself to be at the same level as the camera, the camera angulation may cause one to feel either looked down upon or looked up to, but rarely on the same playing field. Our neurons are living and breathing cells, and they need to eat and rest. The brain is responsible for filtering through vast quantities of homeostatic signaling from the rest of our bodies, which may affect the limitation of information that we can process. Our neural circuitry limits our information processing capacity. Just ask why can't we pay attention to two ongoing conversations at one time? Electrical circuits have breakers for overload. We just have coffee." Lester Gottesman is a colorectal surgeon. He shares his story and discusses his KevinMD article, "Zoom is foie gras of the brain." (https://www.kevinmd.com/blog/2020/10/zoom-is-foie-gras-of-the-brain.html)

Jan 28, 202111 min

Peer-to-peer support and the second victim syndrome

"The COVID-19 pandemic has impacted everyone, especially those of us in health care. Our way of practicing medicine has been changed; some would say forever. We find ourselves affected not only clinically but also emotionally. As a result, clinicians are experiencing more stress and anxiety than ever before. These feelings are not new but have been heightened in the face of the pandemic. Physicians are perceived as self-reliant, emotionally stoic, and pillars of the medical community. Society expects perfection from our health care system and turns to us in times of medical crisis. As clinicians, we need to recognize our humanity; doctors are people too, with the same emotional needs as any other individual. In fact, one could argue that medicine demands require an even greater level of emotional support than other professions." Susan Wilson is an emergency physician and physician coach. She shares her story and discusses her KevinMD article, "Peer-to-peer support and the second victim syndrome." (https://www.kevinmd.com/blog/2020/11/peer-to-peer-support-and-the-second-victim-syndrome.html)

Jan 27, 202115 min

Why medical students should not let medicine define them

"Doctors are indeed noble for what they do. Their work is undoubtedly physically intense and emotionally taxing. But the notion that they are 'superhuman' and 'different' from the rest of society is exactly the trap that we fall into the moment we don our white coats as medical students. It is because of this trap that we get tunnel vision and let mistakes during our medical school training define our self-worth. We forget that there is a world outside of our flashcards, PowerPoint slides, exams, and clerkships teeming with people, adventures, and stories that, if we so choose, we can enrich our lives with, intellectually, physically, and spiritually. There's a reason depression, anxiety, and burnout is disproportionately higher among medical students and physicians. In fact, nearly 400 physicians commit suicide a year, the highest of any profession. Might it be because we are anchored to one thing and one thing only? Those of us who pursue medicine have built our entire personhood around the goal of becoming a doctor. If that is all that is meaningful to us, should we really be surprised at the statistics on mental health?" King Pascual is a medical student. He shares his story and discusses his KevinMD article, "Why medical students should not let medicine define them." (https://www.kevinmd.com/blog/2018/10/why-medical-students-should-not-let-medicine-define-them.html)

Jan 26, 202115 min

A medical student's story of racism and bias

"I am left wondering what would have happened if I was the patient's daughter, niece (who she said I reminded her of), or friend. The nurse made a quick judgment based on my physical characteristics, and she was completely incorrect. I am blessed to be able to challenge people's implicit bias on a daily basis. When I walk down a hall in the hospital with my medical student badge, I feel both proud and out of place. Medicine has a long way to go in terms of making sure that people of color who are underrepresented in medicine feel comfortable, welcomed, and included wherever they go. It starts with making sure we do not make quick judgments when we see Black people and assume that they are there to take out the trash." Akosua Y. Oppong is a medical student. She shares her story and discusses her KevinMD article, "A medical student's story of racism and bias." (https://www.kevinmd.com/blog/2020/10/a-medical-students-story-of-racism-and-bias.html)

Jan 25, 202116 min

Lessons learned from a combat doctor in Iraq

"My own dream-induced pain started at the same time this child was mowed down. Then and there is when and where my faith in God died because God, the higher power, had allowed this unspeakable nightmare to happen. My hope for the future evaporated, all while helplessness chewed through my guts From Left to Right. This was the same moment I realized that humanity is connected in a definitive, tangible, and spiritual way. A trigger-happy and scared Marine was likewise connected. He made an understandable mistake in the heat of the moment and accidentally destroyed this innocent little girl. His solitary action grew into horror, altering all of our lives. We are all intrinsically connected, and yet, we point weapons at each other, pulling triggers, and then we deal with a fragmented, amputated existence. War eviscerates us all." Reagan Anderson is a dermatologist and author of Universal Death Care. (https://amzn.to/38u63Ht) He shares his story and discusses his KevinMD article, "The trauma of a combat doctor in Iraq." (https://www.kevinmd.com/blog/2020/11/the-trauma-of-a-combat-doctor-in-iraq.html)

Jan 24, 202119 min

How health care organizations can tackle racism in patient care

"The new American Medical Association policy recognizing racism as a public health threat and providing an anti-racist approach to equitable care will have no effectiveness unless health care organizations get their own houses in order and actively do anti-racism work in their own institutions. Although I'm not a health care provider, as a health care communicator whose role is dedicated to diversity, equity, and inclusion, I sit in rooms where health disparities in hard-hit communities due to systemic racism are regular topics of conversations. But in the hallways, on Zoom meetings, in texts and email conversations, I also learn about all how disparities due to systemic racism are rampant inside an institution and make organizational health equity seem like a faraway dream. How can you fight to advance health equity and racial justice out in the community when you're not doing the same within your own organization?" Nikki Hopewell is a communications strategist. She shares her story and discusses her KevinMD article, "Health care organizations: Clean up your house first, then you can tackle racism in patient care." (https://www.kevinmd.com/blog/2020/12/health-care-organizations-clean-up-your-house-first-then-you-can-tackle-racism-in-patient-care.html)

Jan 23, 202116 min

How to (almost) never have a bad shift

"To understand how to create good shifts irrespective of external factors, I turned to the ancient philosophy of Stoicism. One of its core tenets is that we must focus on what is within our control. Epictetus said: 'Happiness and freedom begin with a clear understanding of one principle: Some things are within our control, and some things are not. It is only after you have faced up to this fundamental rule and learned to distinguish between what you can and can't control that inner tranquility and outer effectiveness become possible.' Too often, we ignore his admonitions, and we focus our efforts on things that are outside our control while paradoxically relinquishing control of things that are within our control. Things within our control, per the Stoics, are our own thoughts, emotions, and actions. We relinquish control of them by allowing our emotions to be unduly affected by external things. 'That person said something that made me upset,' or 'I'm angry because I couldn't get something I needed.' On the other hand, we try to control things that are outside our circle of control, such as other people's actions or opinions, politics, coronavirus, or even the weather. We try to control them in our minds by resisting their presence, continuously wishing them away, or perseverating that they should be different. In order to have the inner tranquility and outer effectiveness Epictetus encouraged, we must give up the fiction that we can control things outside ourselves and maintain better control of ourselves." Christina Shenvi is an emergency physician and can be reached on Twitter @clshenvi. She shares her story and discusses her KevinMD article, "How to (almost) never have a bad shift." (https://www.kevinmd.com/blog/2020/10/how-to-almost-never-have-a-bad-shift.html)

Jan 22, 202116 min

Unmasking inequality: the power of community organization during COVID-19

"Touted by some as a 'great equalizer,' the COVID-19 pandemic has brought to the forefront long-standing disparities in access to health for Black, Latinx, immigrant, and low-income communities. While we are all in this fight together, some are bearing the burden more than others. Studies have shown that Blacks in the United States are especially affected, with them being represented twice as often among COVID-19 deaths as they are in the population (13 percent of the population vs. 27 percent of COVID-19 deaths). In New York City (NYC), primarily Black and Latinx neighborhoods are being ravaged, while whiter and wealthier areas are seeing fewer cases and deaths. Furthermore, there has been a mass exodus from whiter and wealthier neighborhoods, while New York's Blacks, Latinxs, immigrants, and those from socioeconomically disadvantaged backgrounds have been unable to escape financial, mental, and literal suffocation by the virus." Aishwarya Raja is a medical student. Inginia Genao is an internal medicine physician. They share their stories and discuss their KevinMD article, "Unmasking inequality: the power of community organization during COVID-19." (https://www.kevinmd.com/blog/2020/10/unmasking-inequality-the-power-of-community-organization-during-covid-19.html)

Jan 21, 202116 min

General surgery, palliative care and the new meaning of the phrase, "going viral"

"Today and for the foreseeable future, COVID-19 is a serious threat, virulent and contagious, not only leading to an impressive display of human vulnerability and arrogance, but also demonstrating how innovative and creative humans can be during a time of crisis. On a daily basis, I am inspired by the outpouring of courage, empathy, and compassion, as well as the injection of original and mutated ideas that will govern the blueprint of our destiny. The truth is that the coronavirus has gone viral and, in so doing, opened the door to other remarkable evolutionary adaptations. Adaptations that will both thwart its virility and enhance our society's immunity, resilience, and long-term survivability.' Pringl Miller is a general surgeon. She shares her story and discusses her KevinMD article, "The new meaning of the phrase, 'going viral'." (https://www.kevinmd.com/blog/2020/04/the-new-meaning-of-the-phrase-going-viral.html)

Jan 20, 202115 min

How shame almost ruined a physician's life

"I do want you all to know that shame is a very familiar brain track (like an 8-track tape, if you know what that is), but not one I am stuck in. The above experience of failing a class turned out to be amazing. I am now appreciative of how far I have come — of what I have learned, through much transformational therapy, mindfulness and coaching work. I am lucky enough to have a choice in my thoughts and to not disengage. I don't have to be stuck there. I can put it on speaker-phone with trusted individuals in my life. I can dedicate the work I do now to the memory of my patient and her family. I continue to heal and offer healing. Life is really an amazing tapestry with short fibers, longer fibers, many colors and most of all — each thread woven to make a perfect whole. It is when we feel stuck that guilt and shame can get the better of us, impacting all areas of our life. I am sharing this very personal story to make a difference with those stuck in the negative talk and the feeling that the core of who we are is not worthy. Enduring shame is associated with depression, anxiety, PTSD and addiction. Shedding light into the dark areas of thoughts we keep secret make a huge difference." Robyn Alley-Hay is an obstetrician-gynecologist and can be reached at her self-titled site, Dr. Robyn Alley-Hay. She shares her story and discusses her KevinMD article, "How shame almost ruined a physician's life." (https://www.kevinmd.com/blog/2019/02/she-was-dead-how-shame-almost-ruined-a-physicians-life.html)

Jan 19, 202113 min

COVID vaccines, overcoming skepticism, and pandemic theater

"Environmental cleaning rightfully plays a more prominent role within health care facilities to control the spread of other diseases, but even hospitals have overreacted when it comes to contact precautions for SARS-CoV-2. I recently went to get a flu shot from one of the hospitals I cover, and I couldn't help but think that several steps in this process seemed wasteful. Even though everyone was already masking and maintaining appropriate distance, recipients were each assigned one large desk and one pen to fill out the obligatory paperwork. Once complete, the pens went into a "dirty" cup, and a gloved staff member had to wipe down the pen, clean the entire desk surface and dispose of the cup before anyone else was allowed to use that station. Before I could sit down and receive the vaccine, I had to stand back and allow the administering nurse to wipe down the whole chair with isopropyl alcohol. We didn't go to these lengths before the pandemic, so why go over the top now for a virus that, for all intents and purposes, is not spread by contact?" Clayton Foster is an infectious disease physician and founder, AirborneID. He can be reached on Facebook and Twitter @AirborneID_CO. He shares his story and discusses his KevinMD article, "COVID transmission should not be a touchy subject." (https://www.kevinmd.com/blog/2020/09/covid-transmission-should-not-be-a-touchy-subject.html)

Jan 18, 202116 min

How ocean plastic picking made me a better pediatrician

"It has been over a month since I started this new hobby. I told my middle-school-aged daughter tonight, 'I am going to write a post about how ocean plastic picking has made me a better pediatrician.' She replied, 'You mean better than other pediatricians?' 'No, I mean a better pediatrician than I was before,' I answered in all seriousness. I know where her thoughts were coming from. I have always thought that anyone who makes it through the medical training process, including her mother, must have some level of narcissism and arrogance to make it and succeed. We have to convince parents, patients, and colleagues that we are just special enough to deserve their trust, their respect, and that we know what we are doing. Being mid-career, I certainly know I am competent. But the regular ritual of collecting ocean plastic has helped me be a better and more humble pediatrician." Vi Thuy Nguyen is a pediatrician who blogs at Dr. Plastic Picker. She shares her story and discusses her KevinMD article, "How ocean plastic picking made me a better pediatrician." (https://www.kevinmd.com/blog/2019/12/how-ocean-plastic-picking-made-me-a-better-pediatrician.html)

Jan 17, 202123 min

This physician is overwhelmed. She is not alone.

"I am overwhelmed right now. I know I am not alone. I hear it in the voices of my friends, family, colleagues, patients. We are all feeling it. I am overwhelmed by this virus. There is so much to learn, so much to teach. Every day the information changes. Who is credible? Who is just shouting the loudest? It can be hard to sort, but it must be done. As I figure it out, I need to pass on the information in the most compassionate but clearest way possible, despite the naysayers. I am overwhelmed by our numbers. In my small county of about 40,000, we had two cases on March 22, ten on April 1, seventeen on May 1. We seemed to be doing ok. Then we climbed from 76 on June 1 to 196 on July 1. And as of July 8, we are up to 346. That's 150 in a week. That more in one week than we had in 3 months. And it is not just from testing more. Our hospital, COVID-free for weeks, is now seeing more and more COVID-19 patients not only in the ER but needing admission and serious treatment. The numbers are heart-stopping." Diana R. Twiggs is a family physician and can be reached at her self-titled site, Diana Twiggs, MD. She shares her story and discusses her KevinMD article, "I am overwhelmed right now. I know I am not alone." (https://www.kevinmd.com/blog/2020/07/i-am-overwhelmed-right-now-i-know-i-am-not-alone.html)

Jan 16, 202114 min

Tips for medical students starting their clinical rotations

"Each year, medical students across the country prepare to start the long-anticipated core clinical rotations. Suddenly, we're thrust into a world of constant adaptation and evaluation, with many highs and many lows. As I finish up the year and new students get ready to start, I've been asked time and time again for my advice. I decided to aggregate my key takeaways from the year, and what I wish I had been told." Netana Markovitz is a medical student. She shares her story and discusses her KevinMD article, "13 tips for medical students starting their clinical rotations." (https://www.kevinmd.com/blog/2020/09/13-tips-for-medical-students-starting-their-clinical-rotations.html)

Jan 15, 202115 min

Do doctors make great entrepreneurs?

"We in medicine are experts in delayed gratification. We've been in school for what, about 21 years before residency? Then we finally become an attending. Then we can splurge a little. But still, we were told to hold back. Live like a resident. This is a great skill to have as an entrepreneur. Their world is tough. Countless working hours, low pay, myriad emotions, and a light at the end of the tunnel. Sounds just like residency, right? Now I know the idea of doing another residency doesn't sound that great, but it's possible. You've already survived one. Many even more than one or a fellowship. You have the power to do another if you wanted." Pranay Parikh is a hospitalist and can be reached at his self-titled site, Pranay Parikh. He shares his story and discusses his KevinMD articles, "Doctors make bad entrepreneurs" (https://www.kevinmd.com/blog/2020/09/doctors-make-bad-entrepreneurs.html) and "Doctors make great entrepreneurs." (https://www.kevinmd.com/blog/2020/09/doctors-make-great-entrepreneurs.html)

Jan 14, 202116 min

A crisis of physician intra-professional respect

"What has become of medicine today? What has become of the sacred patient-physician relationship? What has become of medical offices- aren't they supposed to be healing places? Who goes to a medical clinic (no matter how Big the Name) to be insulted and diminished and hurt? What has become of physicians as stewards of healing? Why is this happening to us? How much have we been hurt, as doctors, to not be able to see past our own ego and agenda and use our hard-earned healing potential to harm instead of soothe and heal?" Corina Fratila is an endocrinologist. She shares her story and discusses her KevinMD article, "Are physicians the stewards of healing that they are meant to be?" (https://www.kevinmd.com/blog/2020/10/are-physicians-the-stewards-of-healing-that-they-are-meant-to-be.html)

Jan 13, 202115 min

Dear medical community, it's time to engage in the climate movement

"I plan to reach out to climate organizations and see what I can do to get involved. Whether that means writing more op-eds like this one or writing to legislators, I now recognize that as part of the medical field, especially in regard to mental health, I have a role to play. I invite all of you in the medical field to join me in this effort. You can hear the rumblings in certain pockets that, just like with gun control, medicine should stay in its lane and not be involved in issues like climate advocacy. That's simply not a tenable stance. With a warming planet and without action, the human population will simply get sicker. That stands in direct conflict with our oath to "Do no harm." So again, get involved with the climate movement in the best way you know how. Our patients' and future patients' lives are on the line." Derek Wolfe is a medical student. He shares his story and discusses his KevinMD article, "Dear medical community, it's time to engage in the climate movement." (https://www.kevinmd.com/blog/2020/09/dear-medical-community-its-time-to-engage-in-the-climate-movement.html)

Jan 12, 202110 min

Women physicians and pivoting from medicine

"We must continue to work to create gender equity as here is where we stand today: A significant gender pay gap still exists in medicine where women doctors earn up to 33% less than their male counterparts. Even though women make up 36% of practicing doctors in the country, only 15% of women doctors are department chairs. Among women doctors who are also mothers, 78% felt discrimination. All of this is leading to 48% of women doctors reporting burnout, and 22% of female physicians admitted thoughts of suicide this year right before the pandemic hit our shores. As a nation, we cannot afford to lose doctors to professional burnout and suicide, especially in the midst of a global pandemic worsening and hitting record numbers throughout our country in recent weeks." Archana Reddy Shrestha is a physician life coach, author, and co-founder, Women in White Coats. She can be reached on Instagram @womeninwhitecoatsblog. She shares her story and discusses her KevinMD article, "What Kamala Harris means for women doctors." (https://www.kevinmd.com/blog/2020/11/what-kamala-harris-means-for-women-doctors.html)

Jan 11, 202119 min

How this surgeon beat a medical staff disciplinary action

"I recently represented a physician in a noteworthy peer review case at an academic medical center. The medical staff president initiated a complaint against a surgeon, who would later become my client. The complaint was that the surgeon inappropriately collected cash payment from an uninsured patient at the hospital's point of service instead of having his office invoice and collect payment from the patient. The medical staff felt this was unorthodox and highly inappropriate and contra to the medical center's values. It is important to note that neither the medical staff bylaws nor any hospital rules addressed the collection of payment at the hospital's point of service. The medical staff president quickly appointed a three-member ad hoc investigation committee, which included one of the surgeon's competitors, an obvious conflict of interest. The ad hoc investigation committee recommended that the surgeon be disciplined, i.e., lose his medical staff privileges." Barney Cohen is a health care law attorney. He shares his story and discusses his KevinMD article, "How this surgeon beat a medical staff disciplinary action." (https://www.kevinmd.com/blog/2020/12/how-this-surgeon-beat-a-medical-staff-disciplinary-action.html)

Jan 10, 202114 min

When an epidemic of violence against health care workers meets a pandemic

"The COVID-19 pandemic has exacerbated factors that cause violence in the workplace. At no time in recent history will you find clinical health care workers under this degree of stress. Physicians and nurses are operating under high alert in hospitals and clinics while facing COVID deniers and abusive treatment (name-calling such as "disease spreaders") in their day-to-day life. Due to social distancing measures, shutdowns, and resultant economic fallout, patients are experiencing significant psychological and financial burdens. The politicization of the pandemic has elevated the level of difficulty for all parties. This combination of clinical and societal strain increases the likelihood of overly (and overtly) aggressive or unpredictable reactions to day to day encounters." Mercy Udoji is an anesthesiologist. She shares her story and discusses her KevinMD article, "When an epidemic of violence against health care workers meets a pandemic." (https://www.kevinmd.com/blog/2020/09/when-an-epidemic-of-violence-against-health-care-workers-meets-a-pandemic.html)

Jan 9, 202114 min

When your institution has a less than 1% hiring rate for Black residents

"As soon as I realized we had so few Black residents, I began to ask around to find out if there were reasons why. One person brought up the fact that we happen to be the smaller institution between 3 other larger universities within an hour away and even bigger world-class institutions just 6 hours away. So, there is always a chance that Black residents may be choosing to go to more urban and populous cities for more job opportunities and networking. Another attending explained that the county we are in is in the top ten most populous counties in all of the United States, but Black or African Americans make up only 1.7% of the demographics. There are some odds that black applicants may not have family close enough for support and choose to go elsewhere. But despite these potential reasons, even though our county's demographic makeup is admittedly small, it's still better than our institution's hiring rate." Karen Tran-Harding is a radiologist who blogs at How the Other Side Thinks. She shares her story and discusses her KevinMD article, "When your institution has a less than 1% hiring rate for Black residents." (https://www.kevinmd.com/blog/2020/12/when-your-institution-has-a-less-than-1-hiring-rate-for-black-residents.html)

Jan 8, 202112 min

Medicine must create inclusive clinical trials

"Researchers should make clinical trials more accessible by providing patients with simple explanations of studies at a variety of locations, including community clinics and medical centers. Increased flexibility regarding transportation and visit timing is essential. Researchers should also allow the participation of people who do not speak English and those living with chronic conditions whenever it is safe to do so. If the treatment will be approved to use on these populations, it is unethical to exclude them. These are considerations that researchers must think about not only when designing COVID-19 studies, but all clinical trials, as this is essential to reducing health care disparities overall. Moving forward, we must put fairness and our patients' safety above increased cost or administrative burden; perhaps this is how we begin to make amends for the atrocities of the past." Amelia Trant is a medical student. Andrea Silber is an oncologist. They share their stories and discuss their KevinMD article, "Medicine must create inclusive clinical trials." (https://www.kevinmd.com/blog/2020/09/medicine-must-create-inclusive-clinical-trials.html)

Jan 7, 202110 min

Beyond the medical lessons learned from COVID

"I am thankful to you SARS-CoV-2 virus as you allowed me to be human again, to make mistakes, and learn from them. You taught me to slow down so that I could reset and redefine my goals. You allowed me to have time for myself, to dream again, and plan my future. You pushed me out of my comfort zone and re-explore what I thought was possible or impossible. You helped me re-embrace my imperfections and love myself just the way I am! You showed me that this pandemic is a circumstance beyond my control and that there will many more circumstances, such as this one in life. However, what will always remain within my control or reach is my own thoughts about, and reaction to, such times. It is up to me now how I want to re-shape them to get to the results I want to see. Thank you, COVID-19, for being a great teacher. I respect you. I am not afraid of you but will always be cautious of you." Annie Nawab is a pulmonary and critical care physician. She shares her story and discusses her KevinMD article, "Beyond the medical lessons learned from COVID." (https://www.kevinmd.com/blog/2020/09/beyond-the-medical-lessons-learned-from-covid.html)

Jan 6, 202122 min

Care is no longer personal. Care is political.

"To care for dependents, the carer must be cared for, both for the sake of her charge and for her own sake. Without such basic infrastructure, we have anxiety, confusion, and chaos. Contagion knows no independent individuals. Its boundaries are not the boundaries of our skin. It relies on the inevitable sociality of human beings. But our vulnerability is also our defense: bonds of care minimize, and can even defeat, the power and reach of COVID-19. Care must move out of the private domain, out of the recesses of hospital rooms and nurseries, nursing homes, and day-care centers. We seem to recognize now that a leader of a nation is entrusted with its care. Care is no longer personal. It never was. Care is political." Eva Kittay is a philosopher and author of Love's Labor: Essays on Women, Equality, and Dependency (Routledge) and Learning from My Daughter. (https://amzn.to/38rxEb5) She shares her story and discusses her KevinMD article, "Care is no longer personal. Care is political." (https://www.kevinmd.com/blog/2020/09/care-is-no-longer-personal-care-is-political.html)

Jan 5, 202118 min

A medical student's 100 days of COVID

"The first 100 days of COVID made me confront and reflect on a lot of aspects of myself and life, as philosophical as that sounds. Often times, I'm exhausted talking about COVID every single day and frustrated because we should be in a much better place right now as a nation. The wound is still fresh, and it deeply hurts to see more people suffering due to a lack of proper health care infrastructure and guidance as an underlying cause rather than the virus itself. I remind myself to be mindful, be kind to myself, allow myself to feel whatever I want without holding back emotions, and stay present. Emotional ups and downs are a part of life, but how you process them matters. It has also given me a glaring reminder that life is not guaranteed. It has reminded me that medical school is only a facet of my life, and the rest of my life is happening now. So why do we say, I'll do that after I've reached 'X' stage in my life? Within reason, just do it, and you won't regret it. Writing this has given me a lot of peace and clarity, and I hope whoever is reading this can reflect on their experience to gain some level of calm." Priyanka Shindgikar is a medical student. She shares her story and discusses her KevinMD article, "A medical student's 100 days of COVID." (https://www.kevinmd.com/blog/2020/08/a-medical-students-100-days-of-covid.html)

Jan 4, 202114 min

Why flu vaccines are more important than ever in this pandemic

"The flu vaccine can strengthen your immune system, prevent the disease spread among those closest to you, protect your children, and reduce the health care system's burden. Protecting ourselves and others as we traverse a pandemic is paramount in saving lives and keeping our communities safe and healthy. Along with our ongoing initiatives through Covid Rapid Response Team Chicago to maintain an adequate supply of PPE, host blood drives, and perform screenings in homeless shelters, increasing the rate of flu vaccinations is essential to protect the community. Our country has suffered more than enough during this COVID-19 pandemic – do your part and protect yourself, your loved ones, and our health care heroes this fall by getting your flu shot." Marina Lentskevich is a medical student. She shares her story and discusses the KevinMD article that she co-wrote, "Why flu vaccines are more important than ever in this pandemic." (https://www.kevinmd.com/blog/2020/10/why-flu-vaccines-are-more-important-than-ever-in-this-pandemic.html)

Jan 3, 202112 min

Climate change, cardiac arrest, and the price of inaction

"We have to start understanding these as the real costs of climate change. We are paying these costs now. In my state of Oregon, people are going to start getting sick and dying in the next few days of the wildfire smoke choking the air. When they show up to the hospital with a severe heart attack, or stroke, or respiratory exacerbation, maybe it will be attributed to the wildfires, but probably everyone will just be focusing on getting through their shift, and the context of this one death, this one illness, will be missed. But make no mistake, the coming wave of hospitalizations, ER visits, and deaths is not random; it is due to climate change." Erika Maria Moseson is a practicing, board-certified pulmonary and critical care physician. She shares her story and discusses her KevinMD article, "Apocalypse now: climate change, cardiac arrest, and the price of inaction." (https://www.kevinmd.com/blog/2020/09/apocalypse-now-climate-change-cardiac-arrest-and-the-price-of-inaction.html)

Jan 2, 202117 min

COVID-19 vaccines: Channeling the 7 habits to get from vaccines to vaccinations

"As we get excited about vaccine news and results, we need to evaluate our messaging and how we can get to high enough COVID-19 vaccination rates to achieve herd immunity. This requires broad and frequent education on the safety and efficacy of the vaccines. It also requires active listening to address concerns so people can make informed decisions. The 7 Habits of Highly Effective People by Stephen Covey are relevant to the task ahead of us to combat COVID-19." Toyin M. Falusi is an infectious disease physician. She shares her story and discusses her KevinMD article, "COVID-19 vaccines: Channeling the 7 habits to get from vaccines to vaccinations." (https://www.kevinmd.com/blog/2020/12/covid-19-vaccines-channeling-the-7-habits-to-get-from-vaccines-to-vaccinations.html)

Jan 1, 202123 min

Bottles and pacifiers: advice from a Latinx pediatrician

"Growing up in Puerto Rico, 'babas' (bottles: biberón/botellas) and 'bobos' (pacifiers: chupetes/chupón) were very common among the families and children of the island. I still remember our Abuelita giving us milk in our "babas," so my younger sister and I were sure to fall asleep better. From the time of our births, to when my sister was three years old, the "bobo" was also consistently being used in our home. Now, as a pediatrician, one of the conversations I have most frequently with my Latino families is regarding the proper use of both 'babas' and 'bobos' for their children. Were you aware that children should begin using training cups (commonly referred to as 'sippy cups') as early as nine months of age? It is also very important that your child gradually ween off the use of bottles between the ages of 12 to 15 months. Continued use of bottles after one year of age has been repeatedly documented to increase the risk of tooth decay in children." Johanna Vidal Phelan is a pediatrician. She shares her story and discusses her KevinMD article, "Bottles and pacifiers: advice from a Latinx pediatrician." (https://www.kevinmd.com/blog/2020/07/bottles-and-pacifiers-advice-from-a-latinx-pediatrician.html)

Dec 31, 202014 min

Why COVID is so emotional for physicians

"These encounters made my evening shift much more emotional than usual. I am still not sure what it was exactly that evoked such strong feelings of sadness. Was it having a patient who was a health care worker? Was it the rapidity in which all three patients' conditions deteriorated? Was it realizing that without timely, expert care, all three would die very quickly? Or, was it hearing people wanting to relax the measures and not wear masks, without insight into how quickly things can go wrong and end up deadly? Or, was it the cost of empathy, and just feeling the pains of my patients way too deeply? Or, was it talking to the family members of patients and trying to answer their many questions: How will it be in the ICU? Will it be lonely? Can you please let us visit? Just one time? What can we expect? When will they recover? Or, was it my inability to answer some of these questions? My lack of a crystal ball? Or, was it being already emotionally exhausted from managing everyday challenges of keeping life as normal as possible, with remote learning, running a household, and helping elderly in-laws with lots of medical, emotional, and personal needs?" Jasminka Vukanovic-Criley is a hospitalist and can be reached on Twitter @criley_md. She shares her story and discusses her KevinMD article, "The emotional side of being a doctor during the COVID-19 pandemic." (https://www.kevinmd.com/blog/2020/07/the-emotional-side-of-being-a-doctor-during-the-covid-19-pandemic.html)

Dec 30, 202019 min

Think you have an iodine allergy? You may want to reconsider.

"Iodine-based contrast agents are widely used for CT and other X-ray studies. They light up blood vessels and enhance perfusing tissue. These agents are essential for diagnosing everything from clots, to tumor, to bleeding. Unfortunately, many patients do not get contrast studies they may benefit from, due to unnecessary confusion about allergies. The most important step to avoiding confusion is to start calling contrast agents by their names, as you would do for any other drug, and to remove 'iodine' from your allergy vocabulary. Like antibiotics, there is more than one kind of contrast agent. Radiologists routinely dictate the name of the agent used in their study reports, so if a reaction occurs, the information is readily available. The problem comes when we do not distinguish one agent from another. Most patients with a prior reaction were never told the name of the drug they received, and they incorrectly assume that an allergy to one means allergy to all. Not so, just like with other classes of medications." Cullen Ruff is a radiologist and author of Looking Within: Understanding Ourselves through Human Imaging. (https://amzn.to/3qEL23Z) He shares his story and discusses his KevinMD article, "Think you have an iodine allergy? You may want to reconsider." (https://www.kevinmd.com/blog/2018/08/think-you-have-an-iodine-allergy-you-may-want-to-reconsider.html)

Dec 29, 202017 min

Behind the scenes of a hospital's COVID response

"In the midst of a COVID-19 pandemic, getting a flu shot has never been more important. Many people are staying indoors, wearing a mask, and washing their hands frequently. In this environment, patients ask me, "With all this social distancing, do I really need a flu shot this year?" The answer is unequivocally, "Yes!" Even the safest practices do not guarantee that a person won't catch the flu or the coronavirus. For people who are at high risk of becoming seriously ill from either the flu or from COVID-19, it is critical that they get their flu shots before the start of the flu season in the fall. A bad flu season could combine with the coronavirus pandemic in the fall and winter. And because both illnesses present with the same symptoms, it is possible that physicians will have to test sick patients for both." Grace Lozinski is an internal medicine physician and chief quality officer, Hoag Memorial Hospital Presbyterian, Newport Beach, CA. She shares her story and discusses the KevinMD article, "The flu shot is more important this year than ever." (https://www.kevinmd.com/blog/2020/09/the-flu-shot-is-more-important-this-year-than-ever.html)

Dec 28, 202014 min

Food allergies are not funny

"If we do not raise objections to this kind of comedy, we are teaching those around us that food allergies can be funny. It is no that surprise that data indicates kids and adults are anxious, embarrassed, and bullied due to food allergies. When we make light of anaphylaxis, we perpetuate the misleading stigma regarding food allergies. It has been my steadfast belief that in educating the greater public on the potential severity of food allergies, we will reach a point where it will be taboo to make these kinds of 'jokes' publicly. I hope for a day that it is simply unacceptable to joke about food allergies. Clearly, we are not there yet." Lianne Mandelbaum is founder, the No Nut Traveler, and can be reached on Twitter @nonuttraveler. She shares her story and discusses her KevinMD article, "Food allergies are not funny." (https://www.kevinmd.com/blog/2020/07/food-allergies-are-not-funny.html)

Dec 27, 202019 min

Surgical smoke evacuators and inertia in the time of COVID

"Early in the pandemic, in thinking of and discussing possible solutions to help protect health care workers, two of my former colleagues and I recalled a device called the Surgical Smoke Evacuator (SSE), which we used extensively since the 1990s when we worked together at the University of Pittsburgh to collect and safely dispose of the papillomavirus-containing smoke and aerosol cloud generated during the laser or electrocautery removal of laryngeal, cutaneous, and genital warts (papillomas). These FDA-approved air suction devices are still in routine use today in operating rooms around the world. They have been vigorously advocated by organizations such as the Centers for Disease Control (CDC), the Association of periOperative Registered Nurses (AORN), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). SSEs utilize a very powerful suction pump and the most effective small-particle filter, the ultra-low particulate air (ULPA filter) used in clinical medicine. ULPA filters are much more effective at trapping particles the size of coronavirus (which are only approximately 0.1-0.12 microns in diameter) than are the better-known and more commonly-used and better-known HEPA filters." Rene' M. Gonzalez is an anesthesiologist. He shares his story and discusses his KevinMD article, "Surgical smoke evacuators and inertia in the time of COVID." (https://www.kevinmd.com/blog/2020/11/surgical-smoke-evacuators-and-inertia-in-the-time-of-covid.html)

Dec 26, 202022 min

Talking politics in the exam room

"The medical profession now understands that social determinants of health are probably the most important driver of a patient's overall health, and these determinants are largely the result of political decisions. Clearly, we have a professional responsibility to teach our patients the science underlying their health issues. Don't we also have a professional obligation to ensure that our patients understand the health ramifications of their political choices? If that is the case, do we not have a professional obligation to initiate a conversation about the political issues which impact our patients' health? If we fail to breach the taboo of 'talking politics' in the exam room, are we not shirking our professional responsibilities to our patients and society?" Hayward Zwerling is an endocrinologist who blogs at I Have an Idea. He shares his story and discusses his KevinMD article, "Talking politics in the exam room." (https://www.kevinmd.com/blog/2020/09/talking-politics-in-the-exam-room.html)

Dec 25, 202018 min

Why corruption is ruining your health care

"Doctors help patients, and they love us for it. We fix bones, replace joints, cure killer infections, and control diabetes with insulin. We use painless scans for diagnosis. Liver, kidney, and heart transplants are now routine. Some patients get cured of lymphomas, leukemia, Hodgkin's disease, and testicular cancer. Lives are prolonged for myeloma and amyloidosis. Vaccines have saved millions worldwide. We have complex technologies such as the heart bypass machine and dialysis. We replace diseased heart valves with artificial ones that work. Cardiologists permanently correct irregular rhythms using techniques that would seem natural on Star Trek. Other specialists gift infertile couples with children. For a lot of the rest, supporting evidence that it works is lacking." Robert Yoho is a cosmetic surgeon and author of Butchered by "Healthcare": What to Do About Doctors, Big Pharma, and Corrupt Government Ruining Your Health and Medical Care. (https://amzn.to/36U4sdj) He shares his story and discusses his KevinMD article, "How I was wrong about health care." (https://www.kevinmd.com/blog/2020/09/how-i-was-wrong-about-health-care.html)

Dec 24, 202013 min

How to develop a mission-driven personal brand

"When it comes to social media, embrace a micromedia mindset. That means sharing entertaining, informative content that provides value. Think of yourself as the editor of your newspaper. Newspapers include various content: current events, interviews, information and research, op-eds, and more. Some of these are news-driven — like current events and information and research. Some are relationship-driven — like interviews. And some are self-driven — like op-eds. Jump into social media by sharing content in thirds. Aim for 1/3 news, 1/3 relationships, and 1/3 you. Don't start building your personal brand with too much focus on you. If you fill your feeds with op-eds, that will be hard for you to sustain, and it will ultimately turn audiences away. An important outcome of creating a personal brand is that it's yours. It will go wherever you go. If you're building a new practice, applying for a new job, jumping into the industry from medical school, or establishing your legacy, your personal brand is the path to take." Paige Velasquez Budde is CEO, Zilker Media and can be reached on Twitter @PaigeVelasquez. She shares her story and discusses her KevinMD article, "How to develop a mission-driven personal brand." (https://www.kevinmd.com/blog/2020/09/how-to-develop-a-mission-driven-personal-brand.html)

Dec 23, 202018 min

Understanding critical care in the ICU: then and now

"I write this as a caregiver, patient educator, and clinical researcher. The coronavirus pandemic has shone a spotlight on intensive care units (ICUs). Due to the rapid and continued increase in critical illness from COVID-19 infection, discussions about capacity and specialized equipment have become commonplace. Terms such as ventilators, ECMO, PPE, emergency use authorization, and proning have entered into the lingua franca. Critical care happens in the ambulance, the emergency department, and across the hospital. Ultimately the sickest and most severely injured patients end up in the ICU, or their medical providers are assisted virtually by trained clinicians (e-ICU). Before the pandemic, there were nearly 100,000 ICU beds across the U.S. COVID-19 has necessitated the creation of de facto ICUs, in repurposed operating rooms, in tents, and on ships. Non-critical care medical personnel have been deployed to meet the demand to render care for acutely ill patients." Sara L. Merwin is the co-author of The Informed Patient: A Complete Guide to a Hospital Stay. (https://amzn.to/2K8nzqY) She shares her story and discusses her KevinMD article, "Understanding critical care in the ICU: then and now." (https://www.kevinmd.com/blog/2020/10/understanding-critical-care-in-the-icu-then-and-now.html)

Dec 22, 202015 min

Does your doctor's age matter?

"If I had $100 for every time I walked into a patient's room, introduced myself as the doctor, and was immediately asked, 'Hey, how old are you?' I might be able to retire right now — at the age of 28. Of course, I am exaggerating, and yet this question echoes for my baby-faced colleagues and me constantly. Whether it's simple curiosity or blatant reverse-ageism, I find this question erodes trust before it is built. I haven't yet found an agreeable way to bypass it. I usually just state my age before quickly moving on. Rarely, some congratulate me on my accomplishments given 'such a young age.' But these felicitations are like writing in the sand, which quickly wash away in the waves of emotions I begin to feel the moment they ask me that question." Sneha Shah is an internal medicine chief resident who blogs at Insights on Residency Training, a part of NEJM Journal Watch. She shares her story and discusses her KevinMD article, "Does your doctor's age matter?" (https://www.kevinmd.com/blog/2020/09/does-your-doctors-age-matter.html)

Dec 21, 202011 min

Don't underestimate the value of intergenerational relationships

"With the rapid growth of modern medicine and awareness in lifestyle and environmental influences, individuals can live longer and healthier lives. Approximately 15.2 percent of the U.S. population consists of individuals 65 years and older. To make the added years of life expectancy fulfilling, older adults need to stay socially connected and involved. One key method is through the development of meaningful relationships. Through the intergenerational paradigm, researchers have recognized a mutually beneficial relationship for both older and younger generations. The focus on relationships between the young and the old has been centered around the historical and cultural bond. Traditionally, family dynamics were structured to allow elders to share their wisdom and experiences with the younger generations while also establishing the family's norms and values. However, the social and economic changes have led to family structures to be transformed from single units to more complex and involved relationships. With the different family dynamics of single-working parents and two-working parents, there has been an increase in job opportunities. For this reason, many families move to newer cities and areas where there is higher job availability to support the family's financial needs. These changes have separated the two generations and have left them both missing key relationships of life that can improve their overall well-being." Satya Moolani is a premedical student. He shares his story and discusses his KevinMD article, "The value of intergenerational relationships." (https://www.kevinmd.com/blog/2020/11/the-value-of-intergenerational-relationships.html)

Dec 20, 202016 min

Issues faced by LGBTQ individuals in the operative setting

"Studies have repeatedly demonstrated a vast majority of pain physicians don't feel like they have adequate training in meeting the unique needs of this patient population, though most agree that such efforts are very necessary. This disconnect between demand and supply is a problem, a big one. With the current pandemic stretching many people thin financially, the last thing that needs to happen is people avoiding the hospital out of fear, not of the virus, but of the health care field itself, much like what my patient seemed ready to do. In some instances, this could be the difference between life and death. There needs to be a much larger emphasis placed on training students and even residents on how to become more aware of micro-aggressions, biases, and the struggles of the LGBTQ community. I'm not saying the changes will be evident overnight, but they won't ever happen if we aren't willing to even try." Indraneel Prabhu is a medical student. He shares his story and discusses his KevinMD article, "Issues faced by LGBTQ individuals in the operative setting." (https://www.kevinmd.com/blog/2020/08/issues-faced-by-lgbtq-individuals-in-the-operative-setting.html)

Dec 19, 202013 min

How to be a transformational, supportive leader during COVID-19

"The behavior of managers and supervisors in organizations affects the mental health of their employees. This is especially true during times of uncertainty, such as a global pandemic. Does a leader's health and well-being change how they lead? Early evidence shows that when leaders are experiencing challenging conditions, they are more likely to become resource depleted and exhibit negative behaviors, such as passive leadership or abusive supervision. You know the kind of boss who doesn't give you any credit, puts you down in front of others, or is simply never around? When leaders are resource depleted and are experiencing poor health (e.g., lack of, or poor quality sleep; excessive use of alcohol), they are more likely to act abusively. The good news is that leaders are often well-equipped to deal with stressors that affect us all, like the impacts of COVID-19, and can take steps to prevent passing their difficulties on to their employees. Three styles of leadership can help support employee well-being during difficult times." Kara Arnold is a professor of organizational behavior, Memorial University, St. John's, NL, Canada. Jennifer Dimoff is an assistant professor of organizational behavior and human resources, Telfer School of Management, University of Ottawa. They share their stories and discuss their KevinMD article, "How to be a transformational, supportive leader during COVID-19." (https://www.kevinmd.com/blog/2020/08/how-to-be-a-transformational-supportive-leader-during-covid-19.html)

Dec 18, 202016 min