Incompetency Bias

Like we don’t have enough to worry about, and like California already hasn’t won “Dumbest State of the Year” so many times it will hold the title through 2030 at least. The LA Times tells us that there is a new push on the in the not-so-Golden State for further training to stamp out bias…

Thoracentesis

Who remembers when you used to do a thoracentesis at the bedside? Nobody used ultrasound guidance! We did physical exam in those days and then we checked a chest xray afterwards to make sure we hadn’t caused a pneumothorax. Get our awesome newsletter by signing up here. We don’t give your email out and we…

Where’s the Beef (Part 1): A critique one study at a time on nurse practitioner full practice authority model vs. physician supervision/collaboration model

So I’ve seen several trends in the non-scientific literature (news articles, blogs, social media etc) on the topic of nurse practitioner (NP)/physician assistant (PA) full practice authority (FPA) versus physician collaboration and/or supervision. I support the use of NPs/PAs on Physician led multidisciplinary teams. I have written on this before that utilized correctly these mid-level…

Alba’s Doctors Missed It: Will yours?

High fever, cough, coryza, conjunctivitis, and Koplik’s spots. I memorized these signs and symptoms of the Measles when I was a second-year medical student. I remember seeing the pictures in Shwartz Textbook of Physical Diagnosis and Zitelli’s Textbook of Pediatric Physical Diagnosis. But, I don’t remember ever seeing a child infected with Rubeola during my…

Has Your Healthcare Been Breached?

Did you know that: More than 883,000 people had data exposed in healthcare breaches reported to the federal government last month. That’s down from a whopping 2 million people whose data was compromised in healthcare breaches reported in February, according to HHS’ Office for Civil Rights, the agency that maintains the government’s database of healthcare breaches In…

Moral Injury Starts in Medical School

I have received feedback about my content and ideas being relevant to a variety of fields/industries – and I love it! I hope for as many people as possible to find value in my work. I do however, want to explain why I am so driven to write specifically about med student/physician well being. I’ve…

The Real Gift List Your Medical Graduate Actually Needs

I recently saw an article by the American Osteopathic Association online publication, The DO, entitled 6 gifts for Osteopathic Medical School Graduates that made me want to scream. The list include a new stethoscope, scrubs, smart watch, compression socks, a pillow that covers your head, meal delivery service and home decor gift card. Though these…