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03 October, 2019

Metablog Salud

Metablog Salud


Is automation the anti-workaround?
Anyone who has spent any time on the internet knows better than to spend much time on the comments from an opinion piece. The comments section, even one on a site as reputable and respected as the New York Times, is often a minefield of trolls, contrarians, and conspiracy theorists. But after reading “The American […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, an
La imprecisa medicina de precisión
¿Por qué no gastamos el dinero simplemente en las cosas que ayudan realmente a la gente? ¿sabes lo que es preciso? La experiencia de las personas que no tienen hogar y necesitan un lugar seguro. Eso es SUPER PRECISO”. Braden O’Neill. Profesor de Medicina de Familia. Ontario ( Canadá). El diario español El País, siguiendo su habitual línea editorial de fomento y difusión de uso de cualquier tecnol
Comienza el Curso de Continuum "Psiquiatría infanto-juvenil"
Comienza con fuerza el otoño en la plataforma Continuum y cuatro nuevos cursos se desgrarán este trimestre. En breve comienza del curso "Psiquiatría Infantil" , liderado por la Sociedad de Psiquiatría Infantil (SPi). Un curso que proporcionará al alumno los conocimientos y habilidades necesarias para mantener y mejorar sus competencias en los principales trastornos psiquiátricos en niños y adoles

TODAY

Primary care could hold the key to preventing Alzheimer’s disease
To delay or prevent the onset of memory loss, talk to your doctor. It can really be that simple. Among the diseases that Americans fear most, Alzheimer’s and dementia consistently rank at the top of the list. What people don’t always realize is that many causes of memory loss are treatable and preventable, and the […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, an

YESTERDAY

Enter a clinical trial because it helps others, not necessarily yourself
From time to time, I am asked by someone about participating in a medical research study. These situations are usually when an individual, or someone close to them, has unmet medical needs. Understandably, a patient with a condition who is not improving on standard treatment, would be amenable to participating in a clinical trial to […] Find jobs at Careers by KevinMD.com . Search thousands of ph
Using low-dose naltrexone to treat pain
Lori Pinkley, a 50-year-old from Kansas City, Mo., has struggled with puzzling chronic pain since she was 15. She has had countless disappointing visits with doctors. Some said they couldn’t help her. Others diagnosed her with everything from fibromyalgia to lipedema to the rare Ehlers-Danlos syndrome. Pinkley has taken opioids a few times after surgeries, but they never helped her […] Find jobs
How do we manage pain in the era of the opioid crisis?
“6 in 10 Kids Got Opioids After Tonsil Surgery, Study Says.” So screams the headline from The Daily Beast. “In the midst of the opioid crisis, doctors sent many kids home with oxycodone and hydrocodone,” it goes on to say. Another example of scaremongering and sensational headlines, or is this something we should still be […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA
How we got from 18th-century tinctures to the opioid crisis
Americans have always loved their medicines and sought them out actively to cure whatever ailed them. Their interest ranged all the way from “staying well” to “feeling better.” Productivity in this hard-charging, pull yourself up by the bootstraps society required activity, and it’s hard to be active when you’re sick. In the 18th-century in Germany, […] Find jobs at Careers by KevinMD.com . Searc
What it’s really like to be a doctor on the border
The clinic intake form we used had a space for an asylum number. The number assigned when people first presented to the border requesting asylum. It’s not a tattoo, yet. Refugee Health Alliance (where I worked for much of July 2019) provides care for asylees, refugees, and deportees just across the border from San Diego […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA,
The physician’s role in the fat-shaming epidemic
Fat shaming has come back into the collective consciousness in a big way, following James Corden’s rebuke of Bill Maher’s comments that “some amount of shame is good.” Corden, as many have pointed out, is spot-on in his assessment: No amount of fat-shaming is going to help solve the current obesity epidemic. It will, in […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA,

OCT 01

Financial literacy is an escape hatch to physician burnout
A friend invited me to dinner to meet his new girlfriend. I’d get to hang out with several other people from work and residency, too. So, I was looking forward to dinner. We all sat down to eat. About ten minutes into the meal, I felt and looked like I had just gotten out of […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Learn more .
Mañana me encontrareis en...III CONGRESO DE ORGANIZACIONES DE PACIENTES
TRANSFORMANDO LA ATENCIÓN SANITARIA Y SOCIAL: HACIA UN SISTEMA PROACTIVO, COLABORATIVO Y HUMANIZADO Madrid, 3 y 4 de octubre de 2019 Auditorio Palacete Duques de Pastrana (Paseo de la Habana, 208. Madrid)
An expensive treatment may be a victim of its own widening use
Medical treatment has knocked down tumors in 6-year-old Easton Daniels’ brain, but the drug used also wiped out his immune system. To bolster his immune function and help keep him healthy, he has visited a hospital for intravenous infusions of immune globulin about every month for the past year and a half. But in early […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, N
Saving a physician from burnout saves patients too
Burnout has taken center stage in health care. It impacts every aspect of care and our careers, as we realized we were not living out the ideals and values we thought we had signed up for. As we “merrily” worked along, it was the little grains of sand that grew into pebbles and now into […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Learn more
The surgeon who underwent surgery: How being a patient changed him
I lay on my side while my father probed the space between my buttocks, looking for an opening in the incision. I was in bed in the guest room of my house, which had been converted into my room for the last two weeks while I recovered. My father, a surgeon himself, had assumed his […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Learn more .
Cancer patients who want to take unproven supplements
One of the most important things we do as physicians is to empower our patients with the knowledge we have so that they can make informed decisions about their care. In oncology, patients also benefit from educating themselves about ways they can try to take some control of their disease process, for example, exercising. I […] Find jobs at Careers by KevinMD.com . Search thousands of physician, P
Being on the stretcher instead of beside it changed this nurse
Lying in a hospital bed while awaiting heart surgery, I looked at my teen daughter and my parents, then smugly pointed out the irregular slashes on the cardiac monitor. “See these?” I said. “They’re called PVCs. My doctor is going to fix them. Make them all go away.” The asymmetrical rhythm, a frequent and annoying […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, a

SEP 30

If you build a budget, hospitals will adapt
U.S. health care spending is maddeningly high. As in fifty percent higher than what other wealthy countries spend, with no evidence we’re getting any bang for all those additional health care bucks. In 2014, the state of Maryland took direct aim at this profitless profligacy, enacting a bold (dare I say European?) approach: It gave hospitals […] Find jobs at Careers by KevinMD.com . Search thousa
Creatividad: A 55 años de Mafalda / La vigencia de un personaje
La historia empieza así: Un dibujante en ascenso acepta la loca propuesta de un amigo: crear una historieta que funcione como publicidad encubierta. Ese dibujante era Quino y ese amigo era el escritor Miguel Brascó. Corría el año 1962 y la agencia Agens quería promocionar la marca de electrodomésticos Mansfield, de la empresa Siam Di Tella, con un método novedoso: una tira cómica en
Medical schools need to produce more clinician-activists to help drive social change
For hundreds of years, health care providers have been on the front lines of social change. Think Margaret Sanger, a nurse who championed women’s rights and started the organization that later became Planned Parenthood, or Max Recamier, one of the physician founders of Doctors Without Borders, who openly worked against governments fomenting violence. As we lose more […] Find jobs at Careers by Ke
The breakdown of the rule of law in medicine
The United States is a nation of laws, not of men’s dictates. The rule of law is what keeps (most) drivers from routinely running red lights, police officers from demanding bribes, and our civil servants and elected officials largely honest. There, of course, will be violators of this code, as there are in any society, […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, N
Do physicians really need such extensive training?
Last year the American Association of Nurse Practitioners announced a $2 million campaign to further expand independent practice, which they already have in 22 states. The relatively new doctorate of nursing (DNP) has led to a confusing scenario where nurses are indeed doctors, just not the kind you think of when you see a white […] Find jobs at Careers by KevinMD.com . Search thousands of physic
A physician’s career as an opioid prescriber and addict
I sat in the back seat of a police patrol car handcuffed with a mind imprisoned by addiction. My day had finally arrived after months of a manhunt by state detectives for operating a fraudulent prescription enterprise to support my obsession and compulsion with cocaine. No more unmarked police cars staked outside the crack houses […] Find jobs at Careers by KevinMD.com . Search thousands of physi
10 telltale signs that you’re ready for a mindset shift
Physician wellness and work-life balance are hot topics in today’s medical arena. It is on the minds of medical students, residents, and physicians in practice. While the concepts and methods to achieve it are enticing, the question remains how does the individual physician achieve it. Some believe that system-wide changes in medicine will get doctors […] Find jobs at Careers by KevinMD.com . Sea
Esketamina se estudia en Asturias...
Un medicamento que está siendo ensayado en Asturias puede convertirse el año que viene en el primer tratamiento indicado específicamente para el tratamiento de pacientes que sufren una depresión con riesgo inminente de suicidio. La esketamina (nombre de la sustancia) ofrece, a priori, dos ventajas esenciales: produce un efecto muy rápido (en cuestión de pocas horas) y ataca a nuevas "dianas"
Educando niños gemelos
Nigeria twins, by Reuters A principio de los años 80 del pasado siglo en nuestro hospital se producía un parto gemelar cada 83 partos. La última vez que lo conté, ya en este siglo, era uno de cada 35. Otros múltiples, trillizos, cuatrillizos, etc. sucedían con una frecuencia exponencial (1:6.900), o sea que podían pasar más de dos años para nacer unos trillizos. Todo el mundo está de acuerdo que
Ratón de biblioteca: Cuando ya no puedes más...Viaje al interior de un médico/ Enrique Gavilán
"Narrar mi historia de amor y desamor con la medicina de familia, relatar los sucesos previos a la muerte anunciada de la atención primaria y contar la biografía de encuentros y desencuentros conmigo mismo tuvo para mí un efecto terapéutico. Si decido sacar del cajón estos apuntes y darles, cua­tro años después, forma de libro, si lo estás leyendo ahora mismo, es porque a partir de
¡¡ Cumplimos seis años !! y CONTINUUMamos...
Cuando llega el otoño siempre regresa una buena noticia y sumamos un año más... y van seis. Porque un 23 de septiembre de 2013 inauguramos CONTINUUM , la plataforma de formación virtual de la Asociación Española de Pediatría (AEP). Y hace una semana cumplimos seis maravillosos años... Y en este tiempo se repiten las buenas noticias (al menos 117 posts ya en este blog al respecto). Y estas son nue

SEP 29

Artificial intelligence in medicine raises legal and ethical concerns
The use of artificial intelligence in medicine is generating great excitement and hope for treatment advances. AI generally refers to computers’ ability to mimic human intelligence and to learn. For example, by using machine learning, scientists are working to develop algorithms that will help them make decisions about cancer treatment. They hope that computers will […] Find jobs at Careers by Ke
A patient confesses that he cuts himself
I walked into the room and said: “Hi, Jason.” “Do you think it’s deep enough to need stitches? I am really scared of needles,” was his reply to me. I said, “Why don’t you let me take a look, and we can both come up with a plan of how to make it look better?” […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Learn more .
Medicine must stop eating its own
Despair has been trying to find me again. That fickle nightmare is breathing down my neck once more. I know her all too well — she has nipped at my heels most of my career and has kept me running for the past 20 years. Running from friendships, running from family, running from loss, running […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Learn
This doctor defines himself as a Christian, not a physician
What is life? It’s the cumulation of the daily processes all wrapped up into one, filling the void of each day. These processes coalesce hour by hour, filled with demands, expectations, current crisis, and bills to pay. Life is a full-contact sport, each hour brimming with all-encompassing activities, expectations, and trivial pursuits. We live every […] Find jobs at Careers by KevinMD.com . Sear

SEP 28

To reduce suicides, follow the data
On Kimberly Repp’s office wall is a sign in Latin: Hic locus est ubi mors gaudet succurrere vitae. This is a place where the dead delight in helping the living. For medical examiners, it’s a mission. Their job is to investigate deaths and learn from them, for the benefit of us all. Repp, however, isn’t a […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA job
Don’t underestimate the appeal of a Trump “health plan”
As the Democratic candidates for president continue to beat up each other on how best to achieve universal coverage (Medicare for all, a public option, closing the ACA’s coverage gaps), health care journalists keep wondering when President Trump will release his long-promised “phenomenal” plan to position the GOP as “the party of health care” for the 2020 election. Skepticism […] Find jobs at Car
It’s time for presidential candidates to debate the safety of pharmaceutical products
I watched all three presidential debates this summer with health care being a time-consuming topic for all. Universal health care and Medicare for all, with or without an option for private insurance, were debated and discussed at length. At the same time, NBC Nightly News presented a story documenting that all our antibiotics come from […] Find jobs at Careers by KevinMD.com . Search thousands o
MKSAP: 40-year-old man with a flesh-colored lesion
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 40-year-old man is evaluated for a firm, flesh-colored lesion that has been growing on the back for several months. Foul-smelling material can be expressed from the lesion. The patient is bothered by the periodic drainage. He is otherwise healthy and […] Find jobs at Careers by KevinMD

SEP 27

4 reasons why physicians should hire a financial advisor
I’m a big proponent of do-it-yourself investing. In the age of index funds, many investors can manage their own investments at very low cost. And fees you pay to a financial advisor could be used to invest and grow your nest egg. But that’s not to say that I believe that no one should have a financial […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs n
Cine y Pediatría (507). “Juegos prohibidos” de guerra e infancia
“Por elevar a una singular pureza lírica y a una excepcional fuerza de expresión la inocencia de la infancia por encima de la tragedia y desolación de la guerra”. Esta era la mención especial para esta película clásica en blanco y negro del año 1952, cuando obtuvo el León de Oro del Festival de Venecia, amén de obtener también la Palma de Oro del Festival de Cannes y de ganar el Oscar Honorífico
El autentico “No hacer” en actividades burocráticas
Pues eso, que al contrario que otros que se publicaron con anterioridad, este documento es claro y cristalino. Puedes cambiar el logo del SAS y poner el de tu servicio sanitario ,aunque te recomendamos que se lo envíes y lo asuman primero. Puedes conseguir el documento completo, aquí
The mystery illness of Kim Kardashian West
Reality star and meta-celebrity Kim Kardashian West made the rounds on the network news and talk shows last week to promote her new line of shapewear. But she also talked about the recent health scare that was revealed on the latest episode of “Keeping Up with the Kardashians.” Talking to Savannah Guthrie and Hoda Kotb […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, N
Don’t let patient care interfere with documentation
I’m being sarcastic, of course, but that’s often how it seems some days. Those are days when I’ve been busy at patients’ bedsides all day and then struggle to get my documentation done later, typically many hours later. I jot notes to myself as I go along, but it can be hard to recall at […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Learn more
The answer to physician burnout isn’t resilience training
The answer to physician burnout is purported to be resilience training. That’s like glorifying the natural ability of frogs to tolerate gradually heating and boiling water. Unfortunately, health care today has some toxic ingredients, and physician burnout is directly related to them. Some forms of resilience training I have been exposed to are no more […] Find jobs at Careers by KevinMD.com . Sea

SEP 26

What has emergency medicine wrought? Helplessness.
It seems that all day, every day, I care for patients who simply won’t take care of themselves. And I sometimes think that we in emergency medicine have caused more harm than we expected. Now let me first say, I also take care of those who can’t care for themselves. There are those who, through […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Lea
Cinema Paradiso: Diario de un joven doctor
. Basada en la prolífica obra de novelas cortas del autor Mikjaíl Bulgákov, Young Doctor's Notebook narra la historia de un doctor durante dos épocas de su vida: cuando es un joven intrépido con muchas ganas de desempeñar su profesión, y cuando es un adulto al que el paso del tiempo ha desviado de su camino. Tras el final de la primera Guerra Mundial, el doctor Vladimir Bomgard (Jon Hamm,
What’s the best way to treat doctors and nurses with drug addiction?
Dr. Wesley Boyd, an associate professor of psychiatry at Harvard, has spent years working with state programs that help doctors, nurses and other health care workers who have become addicted to opioids get back on their feet professionally. He supports these non-disciplinary programs, in which doctors and nurses enroll for a number of years and […] Find jobs at Careers by KevinMD.com . Search tho
The keyboard is the sworn enemy of physicians
During one long ago very hot Washington, DC summer, at the suggestion of my parents, I enrolled in a typing course that was given at our elementary school. This was the summer between sixth and seventh grades, and there were lots of things I would’ve preferred to have been doing, but my dad, who started […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs
A physician is on the scene in the Bahamas after hurricane Dorian
The water continued to rise as the rain pounded Marsh Harbor, a town on Abaco, one of the 700 islands of the Bahamas archipelago. Hurricane Dorian plodded along, nearly slowing to a stop directly over their meager homes. The rain and wind continued to lash their wood and aluminum dwellings, but the real threat came […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, a
Doctors, do you really understand?
There is a haze lurking overhead clouding rational thinking. Thoughts wander back to times when my body was unencumbered, and I felt nothing was out of my grasp. Maybe that was an unrealistic thought, but it is how youth and inexperience protect one from the somewhat harsh realities of growing older. Coming to terms with […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA,
Here’s why health care innovations stay secret
Having been an improvement advisor with many quality improvement initiatives and collaboratives, I have observed that stories about successful initiatives too often leave out major relational barriers that got in the way as well as the critical interventions necessary to overcome them. That important details about relational challenges so often remain hidden is not a […] Find jobs at Careers by K
Amazon care: ¿la revolución?
Amazon ha lanzado un sistema de atención sanitaria dirigido a sus empleados y familiares en la zona de Seattle. El sistema se llama Amazon.care y tiene una web en la que se explican sus servicios y otras características. Por ahora se ofrecen 4 servicios sanitarios: - Un chat a través de la app que permite conversar con una enfermera para recibir consejos de salud y resolver dudas sobre cualquier

SEP 25

Who actually owns your medical records?
I was in a discussion with a group of patients about how difficult it is for patients to get access to their own medical records. It was initiated after one of my patients was refused copies of her recent hospitalization. There is much confusion out there about who actually owns the record and how it […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs no
Mergers emergentes...
En lo que va de 2019, el sector farmacéutico está batiendo su récord de movimientos corporativos. Hasta junio, se han registrado 62 operaciones de fusiones y adquisiciones, por un valor de 155.100 millones de euros. La cifra en tan solo seis meses ya es mayor que muchos de los ejercicios completos precedentes en la última década, según datos de la consultora Evaluate Pharma. Ver: Todo
Black market pharmaceuticals target immigrants
The bootleg medications were smuggled across the border and sold to mostly Latino immigrants in public spaces throughout Los Angeles — at swap meets, parks, beauty salons and makeshift stands outside mom-and-pop grocery stores. The drugs were cheap, and the customers — mostly from Mexico and Central America — did not need prescriptions to buy […] Find jobs at Careers by KevinMD.com . Search thous
In medicine, find the beauty in what is common
“The value of experience is not in seeing much, but in seeing wisely.” – Osler, “Aequanimitas” Recently, my family and I were leaving a restaurant, and in so doing, we crossed a large parking lot filled with a seemingly endless number of pebbles. My youngest daughter, whose hand I was holding, suddenly pulled away from […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, N
An important health care safety net is at risk
EMTALA is born The machine beeps alarmingly as it breathes for your child. The various numbers on the monitor are foreign to you, but you know something isn’t right because the nurse briskly walks away from the stretcher to grab the doctor, who then orders more medication and makes adjustments to the machine. The beeping […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA,
Your bone fracture, my cash flow: the consequences of private equity in health care
A recent article in Modern Healthcare describes how private equity firms are starting to snatch up specialist physician groups that promise rich revenues, such as orthopedists, dermatologists, and ophthalmologists. Naturally, this is about adding value, not adding to bank accounts. Because whether it’s physicians or hospitals, health insurers or drug companies, no one in health […] Find jobs at C
How emotional intelligence makes you a better physician
In the early evenings after work, I thoroughly enjoy taking brisk walks. Walks are a great opportunity to exercise, of course, but I also cherish making time for myself to process the many thoughts that can occupy the mind of a busy physician. My walks are typically the only time of the day when I […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now.
Mercaderes y brahmanes
Cuenta Fito Paez en el Gatopardo que en su adolescencia se sacó todas las muelas con tal de librarse del servicio militar. Puede sonar excesivo, pero no hay que olvidar que en aquellos años dicho servicio se realizaba en una de las dictaduras más atroces que conoció el siglo. A uno le dan las ganas de “sacarse todas las muelas” (electoralmente hablando) y no votar el próximo 10 de noviembre, porq
Sarampión. Vacunación de adultos nacidos entre 1970 y 1980
La vacuna del sarampión no existe, existe la vacuna triple vírica, sarampión, parotiditis y rubeola. Hay que comentárselo a los pacientes, pues lo que precisarían sería sólo la vacuna para el sarampión. Ojo con la rubeola en mujeres fértiles, no pueden estar embarazadas ni embarazarse. La recomendación es para los nacidos entre 1970 y 1980 (y no hay que hacer anticuerpos) ya que en 1981 se introd
“Roma” y el parto de Cleo
En la película “Roma” hay un parto de película, el de Cleo. La película está rodada en blanco y negro y su protagonista es Cleo, empleada doméstica de una familia de clase media en la que el padre es médico. Cleo es indígena, oaxaqueña, y habla tanto el español como su lengua materna, el mixteco. Su personaje se basa en el personaje real que atendió a la familia del director de la película, Alfon
Jornada de prevención de agresiones en el entorno sanitario
Hace ahora justo medio año que compartimos un post justo y necesario bajo el título de "Agresiones a profesionales sanitarios: una lacra social" . El contenido se puede revisar en el enlace adjunto, pero estos eran los mensajes clave : - Las agresiones verbales y físicas al personal médico y de enfermería, se están incrementando. - Las agresiones en el entorno sanitario son más frecuentes a mujer

SEP 24

When patients die, physicians mourn as well
I was driving to work one morning, and as part of my new routine, I listen to The Moth podcast. If you do not know it, it’s a wonderful community of storytellers — compelling stories, told by people from every walk of life. I often find myself drawn into the program (like a moth to a flame, […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Learn m
Vacuna (?) migraña...la deseada
Los nuevos tratamientos se basan en tres principios activos: “galcanezumab”, “fremanezumab” y “erenumab”. Valentín Mateos puntualiza que, pese a su éxito en el lenguaje coloquial, aplicarles la expresión “vacuna de la migraña” no es del todo correcta. Eso sí, “representan una aproximación más específica a la migraña”, al contrario de lo que sucede con los fármacos preventivos actualmente
How pneumatic tubes symbolizes our health system
About once or twice a day, everyone on our hospital’s computer network gets an emergency message that scrolls across the bottom of our screens, highlighted in the colors of danger and warning. They include things like a notification that a particular data system is down and that a backup on paper will have to be […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and
Let’s end surprise billing without a Trojan Horse
With August recess at a close, Congress has yet to find a solution to end balance (or “surprise”) billing, where patients are charged the remainder of their medical bill for out-of-network (OON) expenses not reimbursed by their health plan. About the only compromise for-profit health insurers, hospitals, and physician groups can agree on is that […] Find jobs at Careers by KevinMD.com . Search th
It’s time for AI-enabled solutions in health care to live up to their buzz
Artificial intelligence is incredibly buzzy in health care right now, and for a good reason. Other industries are already experiencing AI-enabled radical transformations, like real-time fraud monitoring and detection in banking and finance and instantaneous image recognition across the web and social media. Health care now stands similarly positioned to capitalize on the transformative power […]
To extinguish burnout, bring back physician autonomy
In his article, “Medical education needs to stop burning out students — now,” Augustine Choi suggests the culture of medical education is responsible for increasing numbers of depression and burnout among medical students, and suggests that more programs are needed to address self-care and wellness in order to build resilience. While I agree that mental […] Find jobs at Careers by KevinMD.com . S
Made mistakes? How to spin them for your medical school applications.
Despite more than a dozen years in medical school admissions consulting, I still clearly recall a bright advisee who had improved her grades considerably throughout her college career. But I, unfortunately, had a less than stellar freshman transcript. After calculating her AMCAS GPA with me, she lamented, “I feel like my grades are a criminal […] Find jobs at Careers by KevinMD.com . Search thous

SEP 23

The unexpected people who’s listening to your conference speech
Do you ever wonder what the staff in hotel conference rooms think about what we talk about in presentations and lectures? I talk about sensitive stuff — sexuality, fertility, etc. — and I use words that many people have not said out loud in front of hundreds or thousands of people. I’m used to the […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now.
Creatividad: GSK / Las mujeres se hacen fuertes
. La mayor farmacéutica británica, liderada por Emma Walmsley, quiere tener un 37% de directivas en 2022. En septiembre de 2016, GSK, la mayor farmacéutica británica, sorprendió al mercado al anunciar el nombramiento de Emma Walmsley como nueva consejera delegada. La directiva, con una larga experiencia en el grupo y licenciada en Lenguas Modernas por la Universidad de Oxford, se convertía en
Seniority is the worst metric for health care leadership
Health care delivery in the United States is being led by practitioners who have ascended to leadership roles primarily through years of loyalty to their organizations. But as burnout worsens and affects the youngest clinicians to the detriment of the system, is this the appropriate cadre to shepherd us towards necessary system transformation? We share […] Find jobs at Careers by KevinMD.com . Se
Fact-checking faces steep challenges in health care
Fact-checking has become one of the buzziest buzzwords in journalism. There are more than 100 fact-checking projects around the world. It’s been trotted out to counter alleged “fake” news. And to monitor the accuracy of political leaders who stretch the boundaries of believability. April 2 has been proclaimed International Fact-Checking Day. Indeed, genuine fact-checking may play an important rol
Modern health care and the Burger King mentality: Sometimes you can’t “have it your way”
It’s difficult to put into words the honor I feel as an emergency physician. Strangers invite you into their lives, trusting in your training, knowledge, and compassion as they battle crisis. We are involved in intimate details of triumphs and loss on a daily basis, sharing in tears of joy and sorrow as we fight […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and
Wonder about each patient outside the exam room
I pass by one of our local parochial schools on the way to clinic two mornings a week. With the school year in full swing, each Friday I see the children lining up outside to go to weekly Mass. With the girls in their grey tartan skirts and blue vests and the boys in their […] Find jobs at Careers by KevinMD.com . Search thousands of physician, PA, NP, and CRNA jobs now. Learn more .
Hair is undoubtedly the politician’s crowning glory
It all started with John F. Kennedy’s campaign for the presidency. After eight years with President Eisenhower’s baldness and Vice President Nixon’s receding hairline, the American public was ready for a change. Kennedy had great hair, which he flaunted by appearing bareheaded at his inauguration. A new political maxim was established that day; to win […] Find jobs at Careers by KevinMD.com . Sea
Mental Health of Children in Conflict
This week issue of the Lancet brings to our attention the problem of the Mental health of children living in areas with open social and war conflicts. (ref. DOI: https://doi.org/10.1016/S0140-6736(19)32143-9 The text: The mental health imperative of children in conflict On Sept 10, ahead of the UN General Assembly and a mental health in emergencies summit in the Netherlands (Oct 7–8), Save the Ch
Vapeo, el peligro emergente
Hace justo un año publicamos en este blog el post titulado "La epidemia (y las consecuencias) de los cigarrillos electrónicos entre los jóvenes" , en donde, ante el alarmane crecimiento del uso (y abuso) del cigarrillo electrónico se respondían a estas preguntas: - ¿Qué contiene el cigarrillo electrónico? - 

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