Some Thoughts About Science

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I get frustrated daily with the misuse of science by both scientists and non-scientists. Every good social media argument has someone claiming “science” in a gotcha moment, usually not understanding what science even is. Every medical conference I attend is smattered with folks holding their coffee cups with both hands smattering about “data” while not […]

The Medical Hype Cycle (The Herrell Curve?)

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When a breakthrough innovation, new test, or new treatment is discovered in medicine, its adoption often follows a typical pattern. This pattern is demonstrated graphically on the illustration below. I have adapted this concept from the Hype Cycle used to describe new technologies in business but with some important modifications. A new discovery is made […]

Williams Obstetrics and Male Chauvinism

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As a collector of old Ob/Gyn textbooks, I am absolutely amazed at some of the male chauvinistic gems they contain. Here’s a good one from 1934 (Thorek’s Surgical Errors and Safeguards): He was discussing vaginal repairs, of course. The same author was wise enough to point out a couple of paragraphs later that “Many useless surgeries […]

No More Zero Days

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A man’s life is what his thoughts make it. – Marcus Aurelius Anyone who is a regular on Reddit has probably read the “zero days” post. A redditor posted a comment about his lack of success in life and accompanied despondence, to which redditor ryans01 posted his now famous reply. Ryan’s four step plan to […]

Ten Ways To Reduce The Cost of Healthcare

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The cost of US healthcare is growing at an unsustainable rate. Despite measures that were supposed to lower the rate of growth of healthcare costs (like the Affordable Care Act), the rate of growth in 2015 was 5.8%, the highest in 8 years. The total cost of healthcare in 2015 was $3.2T, with the Federal […]

How Should I Pick a Specialty?

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This time of year is always full of anxious medical students desperately trying to meet deadlines and decide what field of medicine they want to go into for the rest of their lives, even though, so far, they have only been exposed to three or four specialties on their clinical rotations. Sounds stressful. Here’s some […]

The Residency Match

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This time of year is full of nervous medical students burning through a lot of anxiety thinking about their rank order lists for the NRMP Match. It should be a straightforward problem: rank every program in order from most desirable to least desirable and rank every program you could stand working at. If you don’t […]