Primary Care Moves Patients With Addiction to Self-Advocacy

Samuel Werner, DO, a family medicine physician in West Hartford, Connecticut, vividly remembers one patient who was struggling with a drug addiction. The man was having trouble holding down a steady job because of his dependence, but with Werner’s guidance, he started on buprenorphine. Werner also connected him with a social worker to address housing … Read more

The Importance of the Need for Hope

After the 1995 bombing in Oklahoma City, the search and rescue response included specially trained cadaver dogs. Their job was to help detect and retrieve the missing. With each discovery, the dogs initial excitement quickly vanished, and the person was found to not have survived the incident. Hours turned into days of pulling human remains … Read more

From Frankenstein to Lecter: Hollywood’s Baddest Docs

Masks can be scary on Halloween, but more so when they come with scrubs, scalpels, and God complexes. In March, Medscape readers chose their favorite characters and performers in the Hollywood healthcare system. As a Halloween treat, we follow up with a dozen of our favorite Evil Doctors from a deep bench (and no, Dr … Read more

Four Methods to Chip Away at Imposter Syndrome

Regardless of the setting, one of the most frequently discussed topics in healthcare is imposter syndrome. Imposter syndrome was first defined by Clance and Imes as an inability to internalize success, and the tendency to attribute success to external causes such as luck, error, or knowing the appropriate individual. This definition is essential because most … Read more

Focusing on What Goes Right: The Safety-II Mindset

Amy C. Edmondson, known for her work in psychological safety and organizational behavior, squarely places healthcare organizations in the category of “complex systems.” In her article “Strategies for Learning from Failure,” she suggests that “failures are due to the inherent uncertainty of work.” The very nature of the work requires healthcare professionals to be skilled … Read more

Commission Calls for Urgent Action to End Mental Illness Stigma

An international commission has developed a roadmap to end stigma and discrimination against people with mental illness by 2030, and calls on a massive response by governments, industry, the media, employers, and others. The Lancet Commission on Ending Stigma and Discrimination in Mental Health recommends aggressive steps to address stigma, which authors say is often … Read more

Doctors Less Open to New Patients With Opioid Use Disorder

Family physicians are almost three times less likely to offer a new patient appointment to a patient with opioid use disorder (OUD), compared with a patient with diabetes, new data from Ontario, Canada suggest. In a randomized clinical trial that included almost 400 family physicians, those with more than 20 years’ experience were almost 13 … Read more

I Missed It: Coping With Medical Error

Thursday Night It was 9 o’clock at night when my phone rang. I didn’t recognize the number but decided to answer it anyway. It was my doctor. “Chase, I got your labs back and you have a critically low level. I spoke with someone at the hospital, I think I know what is happening, but … Read more

‘Overlapping’ Job Stressors May Flag Risk for Physician Suicide

The interplay between an individual’s work as a physician and problems associated with physical and mental health, substance use, relationships, legal matters, and finances all contribute to risk for suicide among physicians, new research shows. “This has meaningful implications for designing and implementing future suicide prevention interventions for healthcare workers; that is, targeting such overlapping … Read more

How Can Teleworkers Stay Mentally and Physically Healthy?

MADRID — The COVID pandemic has had countless consequences. One of the most significant can be seen in any number of companies: the introduction of the telework model into work routines. There has been such a clear push toward this way of working that it’s quite likely that employees will regularly carry out their tasks … Read more