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All Posts by David Beran, DO

About David Beran, DO

I am a practicing emergency physician with academic and administrative roles. I work full time as a medical director but am exploring multiple non-clinical avenues for my medical and public health degrees. Aside from blogging on www.theprescientdoc.com, I work in file review, consulting, research and expert witnessing.

Five Ways Medical Culture Harms the Doctor-Patient Relationship

Current medical culture has evolved over thousands of years. It dictates how we treat each other and ourselves. It’s an insidious culture of self-neglect, unspoken hierarchies, jousting, and undervalued humanity.

As physicians, we are expected to establish rapport and trust with our patients while enmeshed in medical culture. Our “values, norms, and practices” are to care for patients as we would our own family members. The success we’re striving for is to have best possible outcome for all of our patients.

But our goals and culture are antagonistic; good patient outcomes will occur despite medical culture, not because of it.

The following are just five ways medical culture undermines the efforts to establish a successful doctor-patient relationship.

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Tips for Surviving Shift Work in Medicine

Surviving Shift Work as a Physician

Flipping between night and day shifts is like being perpetually jet lagged. You’re irritable, tired, hungry, and confused. But if you’re a physician, it’s a feeling you’re accustomed to…

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What Emergency Medicine Physicians Want From Recruiters

What ER Doctors Want from Recruiters

It’s time to get over the antagonistic relationship a lot of doctors have with recruiters and get to a point where we can help each other.

Ultimately, it can only benefit us both to have higher quality interactions…

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Dealing with Bad Patient Outcomes

How Physicians Can Cope with Bad Patient Outcomes

Working in a high-liability specialty for the past nine years, I have received the news of bad outcomes several times. It never gets easier—and frankly I think that if it does, it’s a good sign that I should probably quit clinical medicine.
Below is the process I go through and a few tips I wish I knew earlier on…

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