Pamela Wible MD

JUNE 20, 2025

(Published 3/18/19, updated 6/20/25) What Is Physician “Burnout”—and Why It Matters Physician “burnout” is a state of emotional, physical, and mental exhaustion caused by prolonged stress in the medical workplace. So why are physicians experiencing physical and mental collapse from overwork?

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Eric’s blog post on Dignity Therapy from 2011.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. Within the VA it’s now at 70 VA hospitals. It started here at Madison at one and it’s also spread outside the VA now to hospitals in Boston, Providence and now starting up actually in California and UCLA and UCSF.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

FEBRUARY 9, 2023

As we’ve written about on GeriPal when we were a blog (a decade ago!) I think the first time I noticed it was, like as a medical student when you would rotate on one service with one attending and they would make decisions about how to treat a case one way. Eric: Yeah. Try to really understand what’s happening.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

SEPTEMBER 22, 2022

So one end of the spectrum is somebody who’s just a total novice, and it’s clearly very awkward and they’re not used to talking to people in a clinical encounter, like a medical student or something like that. Stop thinking the physical exam or the differential diagnose, whatever, and just be there. Josh: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

Pamela Wible MD

JUNE 19, 2025

It’s now so common that more than half of all doctors report symptoms, with medical students , residents , and even senior clinicians feeling pushed to the brink. Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. They blame the medical student.

Clinic 246

Clinic Nurse Practitioner IT Medical 246