Has this scenario ever happened to either you or somebody you know? You get a raving endorsement from a friend or family member about the doctor they saw, and how they’re the best thing ever, and how you absolutely MUST go see them immediately? How many times has somebody actually gone to see a doctor based on that recommendation, only to be underwhelmed and confused about the beaming review?

These are cases where people fell victim to the cult of personality. The doctor-patient relationship, just like any other relationship, takes on many forms. What works for one person may not jive for another. Read more →

I’ve been thinking about sleeping a lot lately. Not in the sense of curling up under the blankets for hours on end, but in the sense of thinking about the topic of sleeping. As the program director of an internal medicine residency program, one of my jobs is to make sure that my residents are rested enough to provide appropriate patient care. I was under the impression that they were. But recently, the Institute of Medicine (IOM) came to the conclusion that many residents are still sleep-deprived, posing a threat to the safety of patients under their care across the United States. Based on this conclusion, the IOM made the bold recommendation that after 16 hours of continuous work, residents must be allowed an uninterrupted five hour block of time for sleep, preferably between the hours of 10pm and 8am. Read more →

On December 2nd, the Institute of Medicine (IOM) released a report suggesting that resident physicians have further limits on work hours than those enacted in 2003 by the Accreditation Council for Graduate Medical Education (ACGME). While the number of hours per week would remain at the ACGME maximum of 80, the IOM recommends on 30-hour shifts that a “protected sleep period” of 5 hours occurs between 10pm-8am. These measures are aimed at reducing physician fatigue and the number of resultant medical mistakes. Read more →

Personal health records or PHRs are becoming more and more popular these days as health information technology capabilities become more wide-spread. Look at Google Health as one example. The federal government has picked Google Health as one of four components of a Medicare pilot program in Arizona. The other three companies were HealthTrio, NoMoreClipboard.com, and PassportMD. Should all our health information be uploaded to the internet? What types of implications does such a PHR have on public health, disease management, and individual privacy? Read more →

The time was June 2000. Scientists with the Celera Genomics Corporation, in conjunction with the international Human Genome Project, announced that they had successfully derived the entire sequence of the human genome. Furthermore, they noted that humans share 99.9% of their genetic code with one another. This discovery served as the platform for the medical community to declare that there was no genetic foundation for the notion of race, and we were all just human beings. Read more →

Alcohol use by underage college students has increasingly grown as a large issue across the United States. Excessive, or binge drinking among college students is associated with a variety of negative consequences, such as a decrease in academic productivity, unwanted sexual encounters and an increase in violent behavior.

Many colleges have made an attempt to examine the root cause of such extreme drinking by students, and have developed programs to deter students from consuming alcohol. Read more →