Author Archives for admin

Parallel thinking won’t solve problems in healthcare By Paul Pender MD

November 4, 2019 3:41 pm Published by Comments Off on Parallel thinking won’t solve problems in healthcare By Paul Pender MD

A lot of media attention, including television, print and online sources, is focused on various plans to revolutionize the delivery of healthcare in America. Critics point to medical errors, waste of resources and lack of access among the numerous factors requiring the replacement of our healthcare system. To many politicians and think tank experts, the [...]


Quality Talk

August 12, 2019 3:37 pm Published by Comments Off on Quality Talk

I am pleased to share with you a podcast in which I participated with Jodie Jackson, Jr. on his program, “Quality Talk.” Among the issues covered were the challenges physicians face in the new value-based reimbursement system called MIPS and some of the subjects discussed in my blog posts on “Burdens and Burnout” and “A [...]


A Zero-Sum Game

July 31, 2019 2:31 pm Published by Comments Off on A Zero-Sum Game

Some doctors are losers in this zero-sum game Although retired from my practice of ophthalmology, I still keep up with the latest developments from the Centers for Medicare and Medicaid Services (CMS) as they impact my former specialty. A decades-long reimbursement system based upon relative value units for exams and procedures is part of the [...]


A physician writes for catharsis

July 22, 2019 3:55 pm Published by Comments Off on A physician writes for catharsis

After finishing the pitch for my book at a recent Harvard Writers’ Conference in Boston, I felt relieved and encouraged by the judges’ comments. As I waited for my turn at the podium, I glanced above my notes over the faces of 300 of my fellow attendees who had accomplished so much in their respective [...]


Leadership and Teamwork

May 28, 2019 6:44 pm Published by Comments Off on Leadership and Teamwork

I was glad to hear my former chief technician’s son, a recent college graduate, had received multiple job offers. Some would argue that with low unemployment and a strong economy, his odds were good for finding a job. That observation, based upon macroeconomics, ignores the character of the job seeker. While one position was an [...]


The Effect of Mobile Devices on Our Collective Psyche

May 6, 2019 3:56 pm Published by Comments Off on The Effect of Mobile Devices on Our Collective Psyche

Paul Pender, MD published on KevinMD.com May 3, 2019 During a recent walk at Crystal Cove, a splendid California State Park with miles of pristine coastline, I encountered two young women sitting on a bench with a magnificent view of the ocean. Yet their only view of interest was their cell phone screens. One of [...]


Burdens and Burnout

February 5, 2019 8:21 pm Published by Comments Off on Burdens and Burnout

Writing and speaking about the changes in health care that have occurred in the last few decades have spawned a cottage industry online. On the social media website for physicians founded by Kevin Pho MD, we learn about what issues concern doctors and patients. The exchanges posted seem to foster a sense of group therapy—and [...]


Recapturing Our Humanity as Doctors

January 7, 2019 4:13 pm Published by Comments Off on Recapturing Our Humanity as Doctors

So much of what I read from the futurists is the stuff of science fiction without the humanity. We now have cellphones with facial recognition for identification (and to create effective and personal emoji’s). Artificial intelligence is being developed to gauge the emotional state associated with facial expressions, something physicians have developed over years of [...]


Reputation

December 10, 2018 4:02 pm Published by Comments Off on Reputation

It’s NOT about where you studied; it’s about what you do with it. Or is it? See the article in the WSJ from November 27, 2018 by Allan Ripp, “Take It From an Almost-Harvard Man.” Prestigious brands and labels can open doors, but it’s really about what you do after you cross the threshold. As [...]


Prudent Layperson Standard

October 9, 2018 7:56 pm Published by Comments Off on Prudent Layperson Standard

An Emergency Physician, LS, came to me for an eye problem. After diagnosing and treating him, we talked about his current assignments. He covers hospital emergency rooms in two towns and the urgent care centers affiliated with the parent hospital. Lately, he has had to tell patients in an urgent care setting that a study, [...]