A Matter of Right and Wrong

When most of us were pre-med students, we were incredibly motivated to succeed. We aggressively, and single-mindedly, pursued our objective of becoming physicians. We allowed nothing, and I do mean nothing, to stand in our way. Regardless of socioeconomic status, gender, religion, citizenship, race, etc., we all shared a commonality….we were driven to achieve an…

Preparing for “Medicare for All”

As discussed in this article about “Medicare for All”, physicians should take note of possible coming changes to reimbursement and income. There should be no doubt that the imposition of national Medicare will drop physician and hospital income.  Medicare reimbursement is already at the bottom of most health care providers’ pay schedules, and removing private payors…

I am the Face of Burnout

I am the face of early career female physician burnout. And I fought it so hard. Until I realized that in order to overcome this foe, it wasn’t me that was broken. It wasn’t me that need to be fixed. It wasn’t something inherently wrong with me.  I was working from a place of exhaustion…

Authentic Nursing

There is a lot wrong with health care, most of it in fact, from my very jaded perspective.  But there is one component that is still very good and decent.  Some of the truly finest people I’ve met since entering medicine have been the nurses.  As a class of professionals, they hold themselves, and the rest of the…

The Apples & Oranges Fallacy: Comparing Hospitalist-Resident to Hospitalist-Midlevel Practitioner Team Performance (with The Banana Factor)

As I sit here on a weekend day amidst multiple MCQ banks of USMLE Step 3 prep, I take a break and read with interest a new research article on a head to head comparison of physicians to nurse practitioners (NP)/physician assistants (PA) (1). I’m interested as I use to be an NP prior to…

Patient Satisfaction Scores and Narcotics

We have written here before about the Candy Man, who got in trouble for handing out opioids like they were mints and how his patient satisfaction scores were great. Well, here is a story about a doctor who got hammered on her scores because she didn’t hand out narcotics but then also got less pay…