Blog Archives

“…We’ll Build Our Own Damn Medical School”

A California Assemblywoman, who is also a physician, recently introduced a bill to force the hand of the University of California in hopes of opening a medical school by next year in an underserved area of California. 

Since 1960, the University of California has been the only public education system authorized to confer medical degrees in the state. However, a new bill, introduced by Jasmeet Baines, a family physician and Democrat representing Kern County’s city of Delano, allows California State University, Bakersfield, and the Kern Community College District authority to establish a medical school if the University of California doesn’t do so within a year. 

In 1978, the Fed formally designated Kern County an area with a physician shortage. The County is located in the California Valley, which has fewer than 45 primary care physicians per 100,000 people compared to 156 per 100,000 across California.

Dr. Bains was quoted as saying, “If the UC won’t build it, we’ll build our own damn medical school.”

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Is There a Doctor on Board?

Those are words no physician wants to hear. Even as an emergency physician, I hated the few times I heard that phrase. Fortunately, the passengers I tended to were not terribly ill, but this story, written by a medical student who cared for a critically ill passenger, is well told and worth the read.

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Studies Show that Physicians are More Likely to Use Negative Terms in Black Patients’ Medical Charts

Here’s a disturbing and important New York Times article detailing two studies showing that physicians were more likely to use negative language in the medical record about Black patients than about those of other races. 

Medical notes from emergency departments and inpatient settings were more likely to use this pejorative language, possibly because of a lack of long-standing relationships with patients.

Along these lines, a term like “refused” should not be used in the medical record. If we, as medical professionals, believe the patient is truly in charge of his/her body, “declined” is an appropriate replacement. 

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Burnout and Does the Patient Always Come First?

Although written somewhat tongue-in cheek, “A Totally Novel Concept: The Patient Comes Second” – sent to me by an emergency medicine colleague – is worth a quick read. Considering the huge problem with physician burnout, putting the patient second sometimes is an interesting intellectual exercise.

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“Unhappy is He Who Depends on Success to be Happy” – Alex Dias Ribeiro, Former Formula 1 Race Car Driver

Age-related professional decline is the last thing many doctors want to think about. Those who have just finished years of arduous training can’t imagine that they have only 15 years until they will deteriorate (statistically true), and those of us in middle age don’t want to think about our impending, cognitive retreat from medicine. And yet, this fantastic piece in the Atlantic “Your Professional Decline is Coming (Much) Sooner than You Think” by Arthur C. Brooks is a fascinating, well written article about happiness, gifted and accomplished people, and personal relevance with multiple interesting celebrity examples. Brooks also proposes some quasi-solutions (or at least some work-arounds). I strongly recommend this compelling piece for physicians of all ages and stages.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital. She was appointed to the Assistant Residency Director position for the Harvard Affiliated Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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