Finding the Balance in a Life in Medicine

“As a mom and a doctor, what advice would you give a third year medical student trying to choose a specialty?” the bright-eyed med student asked me.

Her smile was ear to ear and I didn’t want to burst her bubble. This is a complicated question to ask and the answers change as life changes. I chose OBGYN because it was the only specialty I truly fell in love with. For me, there was no other option. I knew that residency was going to be rough. I knew that life after residency would still be hard. As a determined, energetic and idealistic young woman I told myself – this is my destiny!

Destiny?

Continue reading Finding the Balance in a Life in Medicine

A Deeper Dive into Patient Experience

Recently, my blog on Patient Experience was re-posted on KevinMD. The comments that patients and providers made on the site were challenging, insightful and difficult to read at times.

So many providers, mainly physicians, are so incredibly angry about the idea of patient experience. They get red in the face and raise their voices as they talk about it. They get defensive and make all kinds of excuses about how the data collection methodology is wrong and how medicine is going down the tubes.

Continue reading A Deeper Dive into Patient Experience

The Human Side of Corporate Medicine

“I want to explore employment opportunities with you.”

He is looking at me. Trying his hardest. Passion, yet anger, in his eyes.

Everything I know about him and his tenure in the community helps me understand how difficult this conversation is. Everything I see in his eyes helps me understand how painful this is.

Private practice is dying…on the vine…in America.

Continue reading The Human Side of Corporate Medicine

Tips for your Perfect Job: Reflections of a Physician Leader

Recruitment season is upon us and I can’t wait. It’s my favorite time of year. The CVs pile into the database and we sift through the resume’s, searching for candidates that would make a great fit for our organization. Next, I get on the phone and assess their level of interest and try to sell them on everything we have to offer. We fly them out for a live interview and the negotiations begin.

Last year was a great year for us. I’m hoping this year will be better. Graduating from residency is a huge accomplishment, but walking into the unknown of a new job is unsettling. It is estimated that over 50% of newly minted doctors leave their first job within 2 years. Having personally witnessed the naiveté of new graduates on the interview trail, this comes as no surprise.

Continue reading Tips for your Perfect Job: Reflections of a Physician Leader

Nurse Respect: Confessions of an OB/GYN Physician

Sometimes I’m not the nicest. Sometimes I don’t say “thank you” or “please”. Sometimes I seem gruff or insensitive. Sometimes my tone does not put you at ease.

It’s not because I disrespect you. I value our interactions each and every day. It’s not because I don’t like you. Some of it is just the way I was trained. Continue reading Nurse Respect: Confessions of an OB/GYN Physician

Advice to my medical student self…

“I start my first clinical clerkship in medical school tomorrow. Any last minute advice?”

I stared at the text message from my cousin as I rolled my first patient of the day back to the operating room. I chuckled to myself.

What fun?

Continue reading Advice to my medical student self…

Excellence: Reflections of a Physician Leader

What is excellence?

I guess the first question we should ask ourselves is, why excellence?

If mediocrity is the acceptable norm, why strive for excellence?

If excellence slows you down in the operating room and makes you less efficient, why excellence?

Continue reading Excellence: Reflections of a Physician Leader

Midwives Rock: Confessions of an OB/GYN Physician

midwifeI am an OB/GYN physician and…

I love midwives. In fact, I think MIDWIVES ROCK. Midwives deliver over 50% of the babies in our birth unit. When it comes to normal birth, they are the experts. Let me explain.

As OB/GYN physicians, we endure a very extreme four-year residency training program. We learn how to deliver babies in the most intense environments and difficult situations. We take care of very sick women while they are pregnant. We learn the art of intervention. We fix things. We come to the rescue. We save the day. We have many tools – vacuum, forceps, versions, cesarean. If things aren’t going well, we can make it better. Continue reading Midwives Rock: Confessions of an OB/GYN Physician

Lactation Fanaticism: Confessions of an OB/GYN Physician

Lactation Fanaticism

366410707_fd2df38edb  Th e truth is … I am a victim of Lactation Fanaticism.

I get it. Baby friendly. Breast is best. Nursing is bonding. It’s supposed to be easy and natural, right?

I’ve seen the data. Yes, I support breastfeeding. I support breastfeeding to a fault. Let me explain. Continue reading Lactation Fanaticism: Confessions of an OB/GYN Physician

“But, I want YOU to deliver my baby ….”

2939246041_43018ab09d_n“I want you to be there when I have my baby…”

The words sting every time I hear them. The guilt flows like a broken dam and pulls at my heartstrings, making me feel so heavy inside…

But, I can’t make that promise. I can’t make that commitment.

Why? I probably shouldn’t explain to my patient the real reason. Continue reading “But, I want YOU to deliver my baby ….”