Health Policy

Karim Sariahmed, MD Karim Sariahmed, MD (1 Posts)

Resident Physician Contributing Writer

Albert Einstein College of Medicine


Karim is a PGY-1 in the Montefiore Primary Care and Social Internal Medicine Program and a member of PPF-PA.




Patients, Providers and the Working Class: Lessons for Health Workers from the Closing of Hahnemann Hospital

I had just started my first clerkship of third year at a nearby hospital when the news broke. Hahnemann Hospital, the main teaching hospital of my medical school, was closing. More accurately, the hedge fund manager who purchased the hospital a year earlier was filing for bankruptcy. He separated the valuable Center City real estate from the hospital itself to ensure a tidy profit for investors at the expense of patients and staff.

Solitary Confinement and Health: Why It Matters in 2019

Over the last year, our collective minds have been captivated by stories about child and family separation, detainment of citizens and immigrants, and the quality of the health care within detention facilities. These stories have been jarring and traumatic, and have also awoken an important level of national consciousness about the nature of detention. What has not received as much coverage in recent discourse is the ongoing nature of solitary confinement in our justice system.

A Primer on Loan Repayment and Finance Options for Residents & Fellows

Career and specialty choice aside, the debt accrued for physicians is very real. Obtaining accessible and accurate advice on what to do with that debt is, at best, disappointing. My goal for this article is to educate, provide adequate resources that can help alleviate stress, set you — the reader and colleague — up to be financially successful, and hopefully make you “money wise” when it comes to your early career.

Resident Wellness is a Lie (Part 2 of 3)

My partner Evan’s third year of residency completed his trajectory toward what is commonly called “burnout.” Two out of the 10 residents in his class left the program. In an already understaffed department, the remaining residents picked up the slack, taking extra call and working longer days. The general misery index among his cohort skyrocketed.

A Call to My Fellow Residents in the Era of the Opioid Epidemic

I met Julian six months ago. He was the first patient I watched go through a buprenorphine/naloxone induction. My preceptor carefully guided him through a series of deeply personal questions: How old were you when you first started using? What is your drug of choice? Have you ever injected? How much? Have you ever traded sex for drugs? When did you last use?

Reproductive Rights of Incarcerated Women

The recent confirmation of Brett Kavanaugh to the United States Supreme Court raises concern about the future of reproductive health, particularly access to abortion and affordable contraception. Although his impact on reproductive rights is to be determined, those who will be disproportionately impacted by further compromise of reproductive rights will always be the most vulnerable women among us. This includes the uninsured, poor, and incarcerated.

Ugly

The baby’s hat is bright orange, knit with vertical ribbing to mimic a pumpkin’s ridges, and topped with a tiny green stem. The cheeks below it bulge in perfect crescents. I turn to the mother to ask if she made the hat herself. Her eyes don’t leave the muted cartoons bouncing across the television screen as she mumbles, “The nurse or someone gave it to her.”

Rebecca E MacDonell-Yilmaz, MD, MPH (4 Posts)

Fellow Physician Contributing Writer

Rhode Island Hospital/Brown University


Becky is currently a fellow in pediatric hematology/oncology at Hasbro Children’s Hospital/Brown University in Providence, RI. She completed her residency in pediatrics and fellowship in hospice & palliative medicine at the same institution. She received her BA and MPH from Dartmouth College and her MD from Stony Brook University School of Medicine. Her work has been published in Pediatrics, Annals of Internal Medicine, Journal of the American Geriatrics Society, and The Huffington Post, as well as on the blogs Kevin, MD and Mothers in Medicine. Her personal blog is entitled The Growth Curve (www.thegrowthc.com). She lives in Rhode Island with her husband and two sons.