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Lately, there has been considerable discussion about the changing boundaries between physicians and patients. How quickly should doctors respond to portal messages? When does reaso...
An excerpt from Failure to Treat: How a Broken Healthcare System Puts Patients and Providers at Risk. Over the course of my career, I have witnessed an inexorable decline in the qu...
Physicians are taught to accommodate. A clinic runs behind. We stay late. A colleague calls out. We cover. Credentialing takes longer than expected. We send another document. An ad...
The health care system is supposed to put the patient first. Physicians evaluate, diagnose, treat, and manage risk. Hospitals, insurers, administrators, and regulators exist to sup...
Physician shortage forecasts influence everything from residency expansion to rural workforce policy. But many of those forecasts begin with a deceptively simple question: How many...
I am writing this from the slow, disciplined landscape of recovery (one repaired shoulder, one sling, and one unrepairable truth): Medicine did not suddenly become fragile when AI...
Many of the physicians I work with bring up the issue of boundaries. “I know I need to set better boundaries, but.” They see the costs. They are clearly aware of what they need to...
Medicine is one of the few professions in which a colleague may understand exactly how difficult the journey has been and simultaneously possess enormous influence over whether ano...
Patients trust physicians with their lives, hospitals trust them with their reputations, and colleagues trust them to foster a safe, professional workplace.
Most doctors have it in them to make excellent expert witnesses, but still hesitate due to misconceptions about the work. ... Read more
Last week, a former patient came back to see me after spending several months with another doctor at a practice where I once worked. During our visit, the patient seemed uneasy and...
The central limitation in evaluating racial parity in physician discipline is not the absence of concern, but the absence of standardized upstream data. Existing national systems p...
Making the decision to leave clinical practice was a leap off a cliff into thin air when I wasn’t sure I had a place to land. Who was I, what would I do, if I wasn’t a physician? I...
Physicians are exiting medicine faster than the sector can replace them. We’ve been facing burnout, workforce shortages, growing administrative burdens, and other mounting pressure...
Cardiac electrophysiology is uniquely demanding. Even in the most experienced hands, procedural risk cannot be eliminated. Yet in malpractice litigation, adverse outcomes are frequ...
In 2009, a New England Journal of Medicine analysis examined 84,730 patients undergoing inpatient general and vascular surgery and ranked the hospitals by risk-adjusted mortality....
An excerpt from Physicians With Lived Experience: How Their Stories Offer Clinical Guidance (APA Publishing, 2025). In an interview that Dr. Grinspoon did with the New York Post in...
An excerpt from Essays and Echoes: Reflections from a Life in Medicine. Every year, someone ranks the best states in which to practice medicine, presumably because physicians have...
Another state just added itself to the list of places with its own AI health care law. Another compliance memo just landed on somebody’s desk. It’s easy to file this under bureaucr...
When I started medical school, I pledged to take care of anyone who would walk through the door. I pledged not to discriminate between my patients and to advocate for them both ins...
In nearly every occupation in America, women live longer than men. This is one of the most stable findings in public health, true for teachers, lawyers, engineers, retail workers,...
After more than three decades of practicing medicine in Maryland, I recently applied for medical licensure in Washington, D.C. I expected the process to be similar to neighboring V...
Burnout is often described in terms of workload: long hours, full waiting rooms, administrative burden. Those factors matter. But they do not fully explain a pattern many of us rec...
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