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Lara K. Ronan, MD Lara K. Ronan, MD (5 Posts)

Attending Physician Guest Writer

Geisel School of Medicine at Dartmouth


Dr. Ronan is an associate professor of neurology and medicine at the Geisel School of Medicine and is the program director of the Dartmouth-Hitchcock Neurology Residency.

Practical Wellness: Perspectives from a Program Director

A program director's perspectives on practical wellness in residency and how graduate medical education leadership can facilitate housestaff resiliency and self-advocacy.




We’re Ignoring a Key Factor in the Opioid Epidemic

In order for the country to make meaningful progress in tackling the opioid epidemic, we need a cultural shift in the way patients and providers think about pain.

Pharmaceutical companies and physicians are being demonized for their manufacturing and dispensing of opioid analgesics. Money-hungry executives from Big Pharma caused the crisis by brainwashing doctors to prescribe these medications left and right. Greedy doctors want patients dependent upon them for years, ensuring a steady stream of paying patients in their waiting room. Drugs drive the market. Drugs lead to big profits for everyone involved. The more drugs, the better.

Figure 1. “Relationship between System 1 and System 2 thinking.” Daily encounters lead to the activation of System 1 or System 2 thinking. Problems demanding higher levels of thought either directly or indirectly activate System 2. Repetitive exposure decreases the demand for System 2 thinking and increases both productivity and the risk for error.

Systems-Based Thinking: How Subconscious Thought Affects Medical Decision Making

System-based thinking describes a set of subconscious thought processes aptly named System 1 and System 2. The profession of medicine relies heavily on SBT — the ability to rapidly diagnose, treat, and improvise during stressful situations is dependent on these systems, which develop and mature throughout one’s training.

A Modest Proposal: There is No Substitute for Time in Medicine

Physician burnout has emerged as an increasingly concerning phenomenon in medicine. As high as 51% of physicians in a Medscape survey report symptoms of burnout. Doctors face higher demands with less time and support. Academic medical centers, which historically have been insulated from outside forces, are now seeing larger patient censuses, leaving less time for physicians to work through each patient’s case carefully.

Syed Samin Shehab, MD Syed Samin Shehab, MD (3 Posts)

Resident Physician Contributing Writer

Boston Medical Center


I am a medicine resident who is interested in health policy and health administration. Primarily looking at diversity and inclusion and leveraging them to create a medical workforce that can provide higher quality and better access to care for uninsured and underinsured populations. I want to work on pipeline programs and on recruitment, retention and promotion of underrepresented minorities in medicine and also on creating medical school and residency curriculum that frames medical education in a social justice contest and addresses the intersection of race, sex and gender and medical sciences.