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    Perspective

    Explore this JAMA Internal Medicine series devoted to telling stories about the joys and challenges of practicing general medicine and truths discovered along the way.

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    • Images of Illness—Sharing Patient Photographs in a Pandemic
      JAMA Internal Medicine
      Opinion
      May 16, 2022

      This essay discusses the sharing of patient photographs by clinicians on social media during the COVID-19 pandemic.

      Humanities Narrative Medicine Coronavirus (COVID-19)
      Full Text | pdf link PDF
    • Medical Mentoring—Critique Me, Please
      JAMA Internal Medicine
      Opinion
      January 1, 2022

      This essay describes a medical student’s former training as a musician and his pursuit for the same level of professional evaluation as a physician in training.

      Humanities Narrative Medicine Medical Education and Training
      Full Text | pdf link PDF
    • Reassessing the Role of Routine Urine Drug Screening in Opioid Use Disorder Treatment
      JAMA Internal Medicine
      Opinion
      October 1, 2021

      This essay considers how routine drug screening for opioids can threaten the trust between patient and physician, transforming a partnership aimed at improving health into a dynamic of judge and accused.

      Humanities Narrative Medicine Addiction Medicine Opioids Pain Medicine
      Full Text | pdf link PDF
    • Finding a Voice for the Accidentally Unbefriended
      JAMA Internal Medicine
      Opinion
      September 1, 2021

      This essay describes the challenges that older adults faced during shelter-in-place orders during the beginning of the COVID-19 pandemic.

      Humanities Geriatrics Narrative Medicine Coronavirus (COVID-19)
      Full Text | pdf link PDF free
    • We Can Heal From Hate Crimes by Practicing Solidarity
      JAMA Internal Medicine
      Opinion
      August 1, 2021

      This essay describes the author’s experience of systemic racism in medicine.

      Humanities Health Care Workforce Narrative Medicine Diversity, Equity, and Inclusion
      Full Text | pdf link PDF
    • Screening for Traumatic Experiences in Health Care Settings: A Personal Perspective From a Trauma Survivor
      JAMA Internal Medicine
      Opinion
      July 1, 2021

      This physician perspective describes failings in the trauma disclosure system currently in place in the new patient intake process of most health care facilities.

      Humanities Narrative Medicine Trauma and Injury
      Full Text | pdf link PDF
    • A Tale of 2 Viruses and 2 Vaccines—Perspectives From 2 Stages of Life
      JAMA Internal Medicine
      Opinion
      June 1, 2021

      This essay by a geriatrician reflects on his pediatric years and compares the vaccine jab he got during a polio epidemic to the one he got now, as a man of a certain age, during the coronavirus pandemic.

      Narrative Medicine Humanities Vaccination Infectious Diseases Neurology
      Full Text | pdf link PDF free
    • Alien J-1 Physicians in a Pandemic
      JAMA Internal Medicine
      Opinion
      June 1, 2021

      This article describes the unique difficulties faced by non-US citizen physicians during the COVID-19 pandemic.

      Humanities Narrative Medicine Coronavirus (COVID-19) Medical Education and Training
      Full Text | pdf link PDF free
    • Outpatient Dietary Management of Electrolyte Disorders During COVID-19: Food as Medicine
      JAMA Internal Medicine
      Opinion
      May 1, 2021

      This essay discusses the use of food substitutes rather than medications as a treatment for electrolyte repletion.

      Humanities Geriatrics Narrative Medicine Acid Base, Electrolytes, Fluids Diet
      Full Text | pdf link PDF free
    • Testimony of the Beirut Explosion—A White Coat Soaked in Blood and Tears
      JAMA Internal Medicine
      Opinion
      April 1, 2021

      This article provides the perspective of a first-line responder after an explosion in Beirut, Lebanon, on August 4, 2020.

      Humanities Global Health Narrative Medicine Trauma and Injury Medical Education and Training
      Full Text | pdf link PDF
    • Eastern Kentucky’s Lost Generation and the Echoes That Remain—The Aftermath of the Opioid Epidemic
      JAMA Internal Medicine
      Opinion
      February 1, 2021

      This essay describes the author’s personal experiences witnessing the opioid epidemic and its devastation in Kentucky.

      Humanities Narrative Medicine Addiction Medicine Opioids Public Health
      Full Text | pdf link PDF
    • A Nursing Researcher’s Experience in a COVID-19 Vaccine Trial
      JAMA Internal Medicine
      Opinion
      February 1, 2021

      This perspective is that of a nursing researcher turned volunteer in a COVID-19 vaccine trial. She considers the experience of study participants and how clinicians will need to prepare their patients for the vaccine’s possible adverse effects.

      Humanities Narrative Medicine Nursing Vaccination Coronavirus (COVID-19)
      Full Text | pdf link PDF | CME & MOC free is active quiz
    • Watch Your Language!—Misusage and Neologisms in Clinical Communication
      JAMA Internal Medicine
      Opinion
      January 1, 2021

      This essay discusses the prevalence of medical jargon and how clinicians can consciously avoid jargon and work to improve communication with patients and their families.

      Humanities Narrative Medicine Shared Decision Making and Communication
      Full Text | pdf link PDF
    • No Bad Blood—Surviving Severe Anemia Without Transfusion
      JAMA Internal Medicine
      Opinion
      January 1, 2021

      This article describes the care of a Jehovah’s Witness patient to highlight the importance of patient-centered care and shared decision-making when treating underrepresented populations at risk for stigmatization by the medical community.

      Narrative Medicine Bleeding and Transfusion Gynecology Women's Health Obstetrics and Gynecology
      Full Text | pdf link PDF
    • The Incompatibility of Patient-Centered Care With Fee-for-Service Payment
      JAMA Internal Medicine
      Opinion
      December 1, 2020

      This essay details the services provided by primary care clinicians that are not covered by fee-for-service payments but that are more important to patients, especially near the end of life, than many expensive, unwanted tests for which fee-for-service payments are available.

      Humanities Narrative Medicine Health Care Economics, Insurance, Payment Health Policy
      Full Text | pdf link PDF
    • We Need Blood and I Am Not Allowed to Help
      JAMA Internal Medicine
      Opinion
      December 1, 2020

      This Perspective details the unnecessary restrictions on gay men donating blood and the impact of these restrictions on the critical shortages of blood supply during the COVID-19 pandemic.

      Narrative Medicine Bleeding and Transfusion Health Policy Pathology and Laboratory Medicine Coronavirus (COVID-19)
      Full Text | pdf link PDF | CME & MOC free is active quiz
    • Medicine and Grief During the COVID-19 Era: The Art of Losing
      JAMA Internal Medicine
      Opinion
      December 1, 2020

      This essay discusses the difficulties associated with mourning in the time of coronavirus 2019.

      Humanities Narrative Medicine End of Life Coronavirus (COVID-19)
      Full Text | pdf link PDF | CME & MOC free is active quiz
    • The Disappearance of the Primary Care Physical Examination—Losing Touch
      JAMA Internal Medicine
      Opinion
      November 1, 2020

      This article assesses the loss of the physical examination amid telehealth visits during the coronavirus disease 2019 pandemic.

      Humanities Narrative Medicine Patient Care Coronavirus (COVID-19) Mobile Health and Telemedicine
      Full Text | pdf link PDF free
    • The Suffocating State of Physician Workforce Diversity: Why “I Can’t Breathe”
      JAMA Internal Medicine
      Opinion
      November 1, 2020

      This essay discusses the need for more diversity in the physician workforce to benefit patients and society.

      Humanities Narrative Medicine Health Care Workforce
      Full Text | pdf link PDF
    • Dystopian Diary of a Medical Resident
      JAMA Internal Medicine
      Opinion
      October 1, 2020

      This essay describes the author’s adaptations to dystopian changes in hospital procedures and the reverberations throughout her life brought on by the COVID-19 pandemic.

      Humanities Medical Education and Training Narrative Medicine Coronavirus (COVID-19)
      Full Text | pdf link PDF | CME & MOC free is active quiz
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