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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...
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...
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...
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...
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...
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...
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...
Machine learning systems are usually evaluated against a relatively stable development environment. Healthcare rarely provides one. Clinical practice changes continuously through...
NEW ORLEANS — In the high-stakes environment of ocular surgery, stress management is a trainable skill that can be improved with strategic planning and practice, according to a spe...
Background: Population aging and geographic health disparities challenge health care delivery in rural settings worldwide. Point-of-care ultrasound (PoCUS) combined with teleconsul...
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...
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Background: Systematic strategies to harness electronic health record (EHR) workflows, reduce redundancy, and support decision-making remain limited in acute care surgery (ACS). Un...
A little while ago, the new “McDonald” criteria were published. Here are our thoughts about the potential of moving the needle towards earlier detection, the risk of not getting it...
Emergency medicine has changed dramatically since Sir William Osler practiced medicine. Our departments now run on rapid triage, bedside ultrasound, advanced imaging, resuscitation...
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...
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...
As I draped the ultrasound table and laid out the sterile speculum, I noticed my patient’s shoulders were locked near her ears. Her chart noted a history of failed fertility cycles...
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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