What? Oh, Never Mind by Pat Conrad MD

Hey AMA, what sort of year has it been for the med students?  In the “Medical School Life” section, Kevin B. O’Reilly, news editor of the American Medical Association, gives us Our 10 most popular stories of 2018.”

 They talked about specialty as it relates to burnout; factors impacting Match rankings; and how the U.S. Supreme Court might rule against physicians and give Big Insurance greater power to limit referrals out of network.

 (Let’s see…scanning…skimming…nope…)

 There is more about how to reduce burnout, and what it’s like to be a dermatologist (insert appropriate snark here, internists). 

 How to be professional during clerkships… (we could do without the lip rings).

 (…still looking…)

 …and how romance and residency need not be mutually exclusive (as though they couldn’t figure out what call rooms are really for).

I got all the way to the end of the list and saw nothing about reducing Medicare regulations, or stabilizing reimbursements, but those student loan payments are years off.  I saw no articles about how the only true purpose of the “Quality” industry is to avoid paying doctors and hospitals, but hey, that’s down the road.  Apparently revolting against the MOC and getting rid of the insulting American Board of Medical Specialties extortion racket wasn’t too popular a topic, nor should it be for students hoping to be constantly scrutinized forever.  I would have guessed the AMA’s resolutions against racism and homelessness would have been a big student hit, but maybe the head office cancelling their convention in San Francisco over safety concerns spoiled the mood to write about it.  The AMA didn’t run any story promising to oppose an ICD-11, or eschewing further profits off of codebooks, which would have been boring anyway.  And in fairness, any story on how every member of the JCHAO should be loaded on a boat bound for one of those islands where the natives eat missionaries would just confuse those worried about the boards Part 1.  And by the time the kids get to Part 3, a top story may well be how physicians will truly have fallen in love with their patient-centered EHR’s.

So on second thought, never mind – they can cover all that stuff after residency.  

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  1 comment for “What? Oh, Never Mind by Pat Conrad MD

  1. Steve O'
    December 10, 2018 at 11:58 am

    If man’s life is ever worth the living it is when he has attained this vision of the soul of beauty. And once you have seen it~ you will ever be seduced again by the charm of gold, of dress, you will care nothing for the beauties that used to take your breath away … and when one discerns this beauty one will perceive the true virtue~ not virtue’s semblance. And when a man has brought forth and reared this perfect virtue he shall be called the friend of God and if ever it is capable of man to enjoy immortality shall then be given to him. (Plato, the Symposium, 212d)

    Or Aristotle:

    Aristotle argued that the way to bridge the gap between knowledge of the good life and actually living it was through the development of a good moral character. And this entails developing good habits. A good habit allows us to perform certain actions without effort.

    Aristotle calls good habits virtues or excellences. Virtues of the mind are intellectual virtues; while virtues exemplified by a regular disposition to choose correctly are moral virtues. For Aristotle, moral virtue plays a special role in living well. The reason moral virtue—the habit of making the right choices—is so important is that our choices determine whether we live well. If we make too many bad choices we will live poorly.

    The most important moral virtues or habits are moderation, courage, and justice. Moderation keeps us from overindulging in pleasure or seeking too much of the limited goods. Courage is having the disposition to do what it takes to live a good life, and justice is the virtue that allows us to have friends and enjoy the benefits of cooperation.

    See R&M

    To enjoy life by practicing the virtues inherent in the art of medicine? How’s that for an answer?

    Or do we learn a different message:

    When one takes up this most external standpoint and views one’s finite—and even downright puny—impact on the world, little of one’s life appears to matter. What one does in a certain society on Earth over an approximately 75 years just does not amount to much, when considering the billions of years and likely trillions of beings that are a part of space-time.

    Stanford i.e. life is a small blip in the stream of nonsentient nonawareness.

    Which does today’s medicine teach? and which should it teach?

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