The recent ruminations of Drs. Katsufrakis and Chaudhry in the form of an invited commentary in Academic Medicine, entitled “Improving Residency Selection Requires Close Study and Better Understanding of Stakeholder Needs,” has garnered a significant amount of attention on Twitter. Drs. Katsufrakis and Chaudhry’s commentary was in response to a well-written and well-reasoned article by a group of medical students published in the same journal recommending the USMLE Step 1 transition from a numeric score to pass/fail.
In 1999, the American Board of Internal Medicine and Association of Program Directors in Internal Medicine defined a “problem resident” as a “trainee who demonstrates a significant enough problem that requires intervention by someone of authority, usually the program director or chief resident.”
For children who have been reunited with their parents, though, the damage may have already been done. Let’s discuss some of the key consequences associated with parental-child separation in detail, starting with the notion of toxic stress.
A quiet, frail, emaciated gentleman in his 60s who was dying of cancer. What made him different was that he was shackled to the bed, one arm and one leg bound to the bed of a barren room, lit only by the pale blue light from the window that cast the silhouette of bars on the floor. This was the prison unit.
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.
For most of our childhoods growing up in the Midwest, the Iowa we called home was a swing state proud of its investments in education, was welcoming to refugees from around the world, and was the third US state to legalize marriage equality.
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.
Just like many Americans, Teresa is a busy mother-of-two with a lot on her plate. When her four-year-old daughter fell ill with the flu, she was grateful that the Child Health Insurance Coverage (CHIP) their family relies on was recently reauthorized in January after four months of funding limbo.
On July 26, President Donald Trump released another polemic tweet informing the public that “the United States Government will not accept or allow Transgender individuals to serve in any capacity in the US military,” citing the “tremendous medical costs” that transgender individuals pose to the health system.
The House-approved American Health Care Act of 2017 (AHCA) and the proposed Senate Better Care Reconciliation Act (BCRA) would approve cuts to Medicaid that hurt Iowans.
Good afternoon, ma’am. Wow, what a contagious smile you have. I hear that you are here because of a stuffy nose? They said that you tried Claritin and that did not help. You feel congested, and it’s hard to blow anything out? And no fevers, no cough, no difficulty breathing or any wheezing?
Several months ago, I was asked by an attending about my future plans. “So I can pimp you,” he said. I told him that I am pursuing further training in addiction medicine. “Isn’t that just for psychiatrists?”