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There was a time when my daily work meant sitting across from a patient in an exam room. I listened to symptoms, asked questions, performed physical examinations, ordered laborator...
Your business’s practice structure can shape your schedule, finances, administrative workload, decision-making power, and even your patient relationships. According to the latest A...
My wife and I returned last night from the annual Family Medicine Education Consortium meeting, which was held in Atlantic City this year. Despite the rainy weather, it was an enjo...
We spend our days in the quiet reality of clinical practice. We chase elusive diagnoses, weigh the fine distinctions of symptom presentation, and measure our clinical instincts aga...
One of the most useful teaching techniques I have used as a preceptor is also one of the simplest: I think out loud. Experienced clinicians make hundreds of small decisions through...
Choosing between private practice and hospital employment can shape almost every part of a clinician’s working life, from how much control you have over your schedule to how much t...
In this Putting It Into Practice column, Jonathan D. Leffert, MD, FACP, MACE, ECNU, talks with Yul D. Ejnes, MD, MACP, FRCP (Lon.), a recent retiree, about what employed physicians...
Background: Population aging and geographic health disparities challenge health care delivery in rural settings worldwide. Point-of-care ultrasound (PoCUS) combined with teleconsul...
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Introduction Approximately fifty years ago, while attending a social gathering at a suburban hospital with my first wife, I found myself speaking with an attending physician. Durin...
Background: Systematic strategies to harness electronic health record (EHR) workflows, reduce redundancy, and support decision-making remain limited in acute care surgery (ACS). Un...
Background: Personalized follow-up for type 2 diabetes may improve the alignment between monitoring intensity and patient needs, but operational approaches that jointly consider fo...
Think primary care tech is sleepy? Think again. With AI scribe adoption hitting 58%, Ontario’s primary care market is rapidly maturing beyond basic notes into 360-degree practice a...
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There was a time when becoming a physician meant entering a profession in which your experience was not merely appreciated; it was actively sought after. My father belongs to a gen...
An excerpt from The Premed Paradox. As I had seen my senior residents do in the past, and without a second thought, I picked up the sterile gauze, folded it over to create a padded...
Emergency medicine has changed dramatically since Sir William Osler practiced medicine. Our departments now run on rapid triage, bedside ultrasound, advanced imaging, resuscitation...
Clinical trial enrollment in rare cancers remains stubbornly low. In T-cell lymphomas, a heterogeneous group of over a dozen distinct subtypes affecting roughly 9,000 new patients...
Artificial intelligence is influencing healthcare before many appointments even begin. New research from Zanda, a practice management software platform for allied health professio...
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Schools of thought differ on the importance of staffing healthcare projects with team members who have experience in care delivery roles. I once did some consulting for a health sy...
Machine learning systems are usually evaluated against a relatively stable development environment. Healthcare rarely provides one. Clinical practice changes continuously through...
One night, during cross coverage with residents, I was called to provide clinical oversight for a frail older woman admitted from the emergency department. She had multiple comorbi...
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