Latest in White Coat Chronicles

Dropping the Ball

Dropping the Ball

The number of distractions pulling physician attention away from where it should be — on patients — has increased.

Sink or Swim

Sink or Swim

We need to reconsider how we train our doctors to be sure that they acquire the skills they will need.

A Special Home Visit: They Do Still Exist

A Special Home Visit: They Do Still Exist

What Arthur and his family did not know is that that home visit had at least as much impact on me.

Opioid Prescribing for Dummies

Opioid Prescribing for Dummies

We marginalize people in pain to the point where shooting up black tar heroin under a freeway overpass makes the most sense to them.

Teleconferencing with Patients: Is it Worth It?

Teleconferencing with Patients: Is it Worth It?

Patient evaluations performed through teleconferencing may lack the accuracy of a physical exam.

Addressing Patient Behaviors on Social Media

Addressing Patient Behaviors on Social Media

Commenting about patient behaviors on Facebook is becoming a common practice among clinicians.

Opting Out of Medicare: A Physician's Perspective

Opting Out of Medicare: A Physician's Perspective

This physician discusses her experience with opting out of Medicare and offers advice to physicians considering doing the same.

Sticking It to the Man

Sticking It to the Man

Battle-worn and weary, we were hungry for news, and any sign that the tide was starting to turn gripped our attention.

Safe Zone

Safe Zone

I have come to realize is that it was never the sanctity of the exam room, nor the long white coat that droops from my shoulders.

My Top 10 EHR Wish List

My Top 10 EHR Wish List

EHRs continue to spread untold misery, and with each year a new EHR comes along that promises to be "better" than the last.

How Should Physicians Discuss Use of Off-Label Medications With Patients?

How Should Physicians Discuss Use of Off-Label Medications With Patients?

Patients can be confused by such off-label use, so providing informed consent becomes a challenge.

Many Forms of Caffeine: Worth Asking About

Many Forms of Caffeine: Worth Asking About

This got me wondering what actual amounts of caffeine are safe to consume, and how much is too much.

There Are Better Ways to Win Than to Win a Game

There Are Better Ways to Win Than to Win a Game

Is winning the primary goal? Or should coaches be aware of a bigger responsibility?

Urgent Care or Family Practice: Which Offers You Better Work-Life Balance?

Urgent Care or Family Practice: Which Offers You Better Work-Life Balance?

To say that primary care physicians are squeezed for time these days is a grossly negligent understatement.

Write, Doctor, Write!

Write, Doctor, Write!

If you've ever dictated a progress note or a discharge summary, you can write an article. Just get the basic idea down to start.

Words

Words

An accent on a particular syllable, even if done unconsciously, is significant and draws attention to hidden information.

How To Begin Again

How To Begin Again

I was worried that the hectic, high-pressure process of medical education was somehow diminishing my humanity.

Divorce Surgery?

Divorce Surgery?

I have noticed that my patients who undergo successful bariatric surgery seem to get divorced at a higher-than-average rate.

No Doctor in the House

No Doctor in the House

The art of medicine doesn't matter anymore. All that matters is checking the right boxes and attaining some minimum customer satisfaction score.

Who, Really, Would Want to be a Doctor These Days? Who Really?

Who, Really, Would Want to be a Doctor These Days? Who Really?

Doctors see patient volumes and administrative burdens increasing in an ever more complex, fragmented, disjointed and dysfunctional system.

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