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Becoming A Doctor And An American All At Once

I [recently] attended a fascinating session offering advice to international medical graduates (IMGs) on how to fit in and succeed in U.S. medical practice. Here’s a slightly-silly example of the kind of cultural differences that can cause confusion for IMGs:

Speaker Vijay Rajput, FACP, started to make a point using the good-old analogy of Lake Wobegon. Then he paused and asked how many attendees knew about Lake Wobegon. Only two raised their hands.

“That’s the problem right there,” he said, only half-jokingly. “You need to be listening to NPR!”

Clearly it takes a lot to become an American and a doctor at the same time.

*This blog post was originally published at ACP Internist*

Patients Are Happier When Doctors Sit

Patient satisfaction, as I wrote about previously, is being increasingly focused upon.

Doctors are often pressed for time, and appear rushed — which can potentially lead to unhappy patients.

I saw this small study showing that the simple act of sitting down while talking to patients can have a profound effect. Many doctors I know already do this, but now there’s some data to support sitting. Read more »

*This blog post was originally published at KevinMD.com*

RXplore: New e-Tool Helps Doctors Find Drug Reactions

Jon D. Duke, M.D., a medical informatics fellow at the Regenstrief Institute at the Indiana University School of Medicine, has created an easy-to-use graphical online tool called RXplore that allows physicians and other healthcare providers to retrieve adverse reaction data for multiple medications simultaneously, and with an intuitive visual representation.

With RXplore, a physician can easily call up a visualization of the top 10 side effects of a specific drug or ask only for side effects relating to a particular specialty, such as gastroenterology. Alternatively, the doctor may request a snapshot of those drugs that cause a particular symptom, such as liver problems. Read more »

*This blog post was originally published at Medgadget*

How Direct Access To A Doctor Can Save A Person’s Life

At my front door stood my neighbor and his daughter making their annual Girl Scout cookie trek. “Should I make it a baker’s dozen?” the girl asked, knowing I wouldn’t refuse. Her father chimed in, “I was just at a wedding where I sat next to someone who said you saved her life. She said some very nice things about your medical practice.”

The name of the patient he was mentioning flashed me back. Mrs. BB (whose name has been altered to maintain privacy) was referred by a mutual acquaintance who already used our practice. This acquaintance felt that maybe I could solve Mrs. BB’s problem, specifically because all of our practitioners are paid for time, which means we can listen and communicate to determine how we can best help our patients.
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The State Of U.S. Health

The Centers for Disease Control and Prevention (CDC) issues an annual report on the state of health in the United States. The 33rd edition is out and has some surprising findings, especially about the use of procedures, tests and medical technology.

The life expectancy in the United States is now 77.9 years. Are you over that age? If so, congratulations — you beat the odds. Read more »

*This blog post was originally published at EverythingHealth*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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