The Podcast by KevinMD

"Work dread. Even if you didn't know it had a name, you know the feeling. It is that sensation in the pit of your stomach when you realize that the start of your workday or workweek is fast approaching, and you don't want it to come. Sometimes it begins on Sunday afternoon when you want to be enjoying time with your family. Other times, you might find yourself sitting in the hospital or clinic parking lot, resisting the beginning of another busy day. Maybe you sit in your car for an extra 10 minutes and allow yourself to finish a podcast episode. Or perhaps you doomscroll on Facebook for a few minutes before taking a deep breath, getting out of your car, and starting your day." Michael Hersh is a gastroenterologist. He shares his story and discusses his KevinMD article, "The epidemic of work dread." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"This is an important time to rise up, come together, and understand that it is our time to remove the confusing veil put on us. We are not delirious. We are not psychotic. We are physicians. We are the ones who took an oath to benefit patients according to our most extraordinary ability and judgment to keep pure and holy both our lives and our art. It is time to take back what belongs to us. It is ours. It is time to rise and start the revolution. Our title will not be taken away. You would never accept being called Laura when your name is Sarah. Our title has power. It is our healers' birthright. Start the revolution. It starts with your title. Reclaim your power. Hi. My name is Diana Londono, and I am a physician — #notaprovider. Diana Londoño is a urologist and can be reached on Twitter @DianaLondonoMD. She shares her story and discusses her KevinMD article, "I'm a physician, not a provider." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Physicians have terrible technology, but they refuse to recognize high-tech as a medical specialty. They must integrate technology as they do laboratory science. Physicians are certainly suffering from poorly-designed electronic medical records (EHR), but they are also guilty of wilful blindness in abdicating responsibility for technology in medicine. This must change. Physicians have a higher suicide rate than post-combat troops in the military. A lot of this is due to widespread burnout from poorly designed EHRs. Yes, it sucks, but who is really at fault? What if this problem was a consequence of a professional stance medicine can choose to reverse? What if it won't go away until we do?" Drea Burbank is a physician-entrepreneur. She shares her story and discusses her KevinMD article, "Why doctors are getting their asses kicked by technology." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Address the patient's chief complaint first. In this case, the other symptoms were only side effects of the main problem. Pay attention to lab work. In this case, the elevated white blood count and the related blood culture results. Keep an open mind, broaden your differential and document your medical decision-making (MDM), especially when sending a patient home with pending blood cultures. Avoid anchoring bias and premature closure based on a patient's self-diagnosis. This teen's report of a lifting injury does not comport with his signs and symptoms. Follow your hospital's procedures on abnormal lab results. Don't automatically write off 'preliminary' culture results." Charles A. Pilcher is an emergency physician and editor, Medical Malpractice Insights - Learning from Lawsuits. He shares his story and discusses his KevinMD article, "Teen dies when blood culture protocol botched: What can we learn from this tragedy?" Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

The word "resiliency" has been lauded, applauded, and buzzed about in talks about physician burnout. When I hear it, I tune out. My stomach churns. I feel sick. Why? Because physicians are resilient. We are, in fact, the walking, talking, breathing personification of the word. We cannot manage to get through medical school, residency, and boards, without being resilient." Dympna Weil is an obstetrician-gynecologist. She shares her story and discusses her KevinMD article, "Less resiliency may heal burnout." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Amazing pediatricians are back where I was years ago, with their C-suite asking for business plans for the medical side of their adolescent bariatric surgery programs. The reality is corporate health care has infiltrated pediatric health systems, and the C-suite looks at the medical component as a necessary evil to drive adolescent bariatric surgeries. In fact, they are OK with medical treatment failing because it means more adolescent bariatric surgeries. The medical arm is what helps document six months of failed treatment which is a requirement for consideration for bariatric surgery." Karla Lester is a pediatrician. She shares her story and discusses her KevinMD article, "What it takes to build a pediatric weight management program." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Nearly three-quarters of consumers say they prefer texting with a business if an actual human is the returning texts — no bots need reply. But the rise of artificial intelligence has led to further advances in smart texting, including the ability to answer simple questions — such as "when is my next appointment?" — without human intervention. Texts regarding certain actions like prescription refills or payment questions can be automatically routed to the correct department for follow-up. Because of privacy concerns, texting in a medical setting must occur on a HIPAA-compliant platform, but solutions exist today where secure text communications flow to the patient record and enable video calls and the ability for patients to pay their bills by text." Keith Dressler is a health care executive. He shares his story and discusses his KevinMD article, "3 reasons practices should implement patient-initiated collaborative texting." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I was first diagnosed with stage 1 breast cancer, DCIS (ductal carcinoma in situ), on May 15, 2015, at 41 years old. I had my annual exam with my gynecologist and told him I felt a small, pea-sized lump under my right armpit close to my breast. He confirmed what I felt and said it was probably nothing but still wanted me to get a mammogram. I got an appointment the next day, and with much squeezing, because my itty-bitties measured as A minuses (in size), the technician couldn't find or see anything during the mammogram. But I told her where I felt the lump, and she also felt it, so she brought out the ultrasound machine." Bianca Haines is a patient advocate. She shares her story and discusses her KevinMD article, "Candid about my breast cancer." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Automation and technologies can enable adherence, but true change happens when physicians and pharmacists work together in collaborative teams to achieve common goals: Better managed chronic conditions, fewer complications, and improved experience for patients and physicians." Tony Willoughby is a health care executive. He shares his story and discusses his KevinMD article, "Automatic refill and 90-day fill programs don't improve medication adherence." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"I cry often enough that my kids almost gleefully expect it, checking me for tears during movies or shows, shaking their heads in mock dismay when they see that their prediction is correct. I've cried many times at home, watching screens, reading books, talking on the phone, and at work, where I am a doctor who cannot always suppress my emotions. And I've cried in front of health care providers as a patient or family member, something that I have the most trouble admitting because the tears were virtually involuntary and unwelcome in a health care space that did not feel safe to me. In that setting, there is shame." Christine J. Ko is a dermatopathologist. She shares her story and discusses her KevinMD article, "Is there more to patient safety than preventing medical error?" Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info