Gender Bias In Lecture Acoustics

Gender Bias In Lecture Acoustics

Last month, I attended the American College of Chest Physicians annual meeting. At one of the sessions, I realized I could hear the men talking but I had a hard time hearing the women despite the fact that they were all standing in front of the same lectern and all speaking in what seemed to […]

The Total Cost To Train A Physician

The Total Cost To Train A Physician

It costs more than $1.1 million to train a doctor in the United States. The societal investment in creating physicians is enormous and has widespread implications for American health care in everything from acceptance of international medical graduates to the future use of non-physician health care providers. Breaking down the costs Depending on the specialty, […]

ABIM Maintenance Of Certification Points

ABIM Maintenance Of Certification Points

This post falls under the general category of shameless self-promotion. The American Board of Internal Medicine keeps changing the requirements for maintaining board certification. When I completed my internal medicine residency, it was easy – you took a board examination and then you were board certified for life. But after 1989, everything changed and the […]

2017 ACGME Resident Duty Hours 33 Years After Libby Zion

2017 ACGME Resident Duty Hours 33 Years After Libby Zion

The Accreditation Council for Graduate Medical Education (ACGME) has released new resident duty hour restrictions that will go into effect July 1, 2017. Resident work hour restrictions all started with the case of Libby Zion. In March 1984, Libby Zion was admitted to New York Hospital with a flu-like illness, fever to 103.5 F, and tremors. […]

Paying Doctors To Teach

I am on a committee to provide recommendations to our Dean on how to compensate physicians for teaching. This turns out to be a lot more complicated than it might first appear. One way of approaching it is to calculate the cost to a physician for teaching – from there you can work back to […]

The Anachronism Of Tenure

Tenure [ten-yer] noun:  Guaranteed permanent employment, especially as a teacher or lecturer, after a probationary period. In academic medicine, the ultimate professional achievement is tenure. But what, exactly, is tenure? Historically, it meant that if you proved yourself, you got tenured and you were given academic freedom to do whatever research you wanted and the freedom […]