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Primary Care Physicians in U.S. Struggle More to Coordinate Care and Communicate with Other Providers But Offer Patients More Health IT Tools

Fewer than half of U.S. primary care providers receive information from specialists about changes to their patients’ care plans or medications, compared with at least seven of 10 in Norway, France, and New Zealand. Overall, U.S. physicians are among the most likely to offer health IT tools to better communicate with patients, but problems of interoperability have led to challenges. More

Ignored, threatened, berated: After difficult childbirth experiences, new parents seek healing by speaking up

A 2019 study of more than 2,100 U.S. mothers found that 1 in 6 reported “mistreatment” during childbirth, including being ignored, threatened or berated, or losing their autonomy. Women of color were even more likely to report such experiences. It can be hard for parents to speak up after a difficult childbirth. But a small number of health care providers and others are beginning to encourage them to speak up — and to provide feedback about their experiences. In some cases, the process is helping give parents closure, and may even bring about change. In other cases, looking forward may prove better than looking back. More

Burnout is rampant among doctors and nurses. Can the arts help?

Some 20 years ago, pulmonologist Marc Moss was working in the intensive care unit when a patient went into cardiac arrest. Moss and others tried to revive the man, but he did not survive. As doctors often are, Moss was pressed for time and he asked several medical students to stay with the deceased patient and fill out the necessary paperwork so that Moss could return to another patient he’d been seeing. Not long after, he noticed one of the students crying. More

The EMR has changed the doctor-patient duet into a ménage-à-trois

It’s not so much whether one EMR is better than another — they all have their breathtaking assets and their snarling annoyances. What is really becoming clear to me is the uncomfortable realization that there are actually three of us in the room now: the patient, me, and Epic. What started out as a tool — a database to store information more efficiently than the paper chart — has inserted itself as a member of the medical team. What used to be a tango between the doctor and patient is now a troika. More

A Gender Divide on Microaggressions in Medicine

Many microaggressions are gaffes where the perpetrator is making a misguided attempt at humor. I vividly recall the time I was in training many years ago, and I told my supervising physician about my pregnancy. He responded good-naturedly: “Pregnant? How did you even find the time? We must not be working you hard enough!” I remember mustering a feeble smile, not quite knowing how to respond to his misplaced humor. More