There was a time when medical textbooks were the ultimate resource for information in the field. The modern age of the U.S. medical textbook began in the 1920s and was fully established by the 1960s. Internal medicine saw the appearance of textbooks by Russell Cecil (1927) and Tinsley Harrison (1950), with specialty textbooks by Goodman…
Resilience. That word has been living rent free in my head for the past three weeks. And rent free is a bit of understatement. It all began at the end of a very productive clinic, when the trainee and I sat down to discuss our reflections on the interactions with patients that we’d had in…
Roughly six years ago, Nigil Haroon, MD, PhD, MBA, division head of rheumatology at the University Health Network, Toronto, traveled almost 9,000 miles from his home to Papua, New Guinea. His plan was to photograph the Raggiana bird-of-paradise, which can only be found in the tropical forests of eastern New Guinea. He spent about two…
My patients ask me almost daily what kind of diet they should be on, or if there are certain supplements they should try. And a growing amount of evidence shows lifestyle and dietary factors may contribute to disease risk and outcomes in rheumatic disease. Thus, rheumatologists and rheumatology professionals are being called upon by patients…
“When you get a good mentor, don’t let ’em be the one that got away.” Richard Brasington Jr., MD, FACP, MACR, told me this about a decade ago when I was a rheumatology fellowship applicant and first met him. It was clear the statement was influenced by his love of fishing. Dr. Brasington’s office was…
When she was 2 years old, Brittany A. Bettendorf, MD, MFA, a rheumatologist at the University of Iowa (UI) Hospitals and Clinics, Iowa City, was introduced to figure skating by her mother, a national roller-skating champion and amateur figure skater. “The first time I stepped on the ice, I loved it,” she says. Dr. Bettendorf…
I am often asked by medical students, resident physicians and—especially—patients, what is rheumatology? When students ask me why I chose to be a rheumatologist, I answer that I have never been in love with pathologies, such as rheumatoid arthritis, spondyloarthritis, gout, osteoporosis, systemic lupus erythematosus or vasculitis. In fact, I chose rheumatology because I love…
The issue of the rheumatology workforce shortage is certainly vexing. Not only does it leave large segments of the population without adequate care for patients with serious rheumatic diseases, but it also increases the burden on the few rheumatologists who serve populous, underserved regions of the country. Solutions suggested in The Rheumatologist (“ACR Workforce Solutions…
Mistakes are a part of life. In fact, they are a large part of my life. Whether uncovering inborn errors of immunity, teaching about diagnostic errors, identifying systemic lapses in high-quality care or correcting spelling errors in manuscripts, my entire being is centered on studying and examining mistakes. To a certain degree, I feel like…
It’s easy for rheumatologists and rheumatology professionals to feel frustrated by burdensome administrative tasks, complicated insurance policies and other healthcare hurdles. Advocacy offers a way to channel those complaints into constructive action, says Belinda Birnbaum, MD.