KevinMD October 31, 2025
The first day I walked into my residency clinic, I realized this was the part of medicine I understood the least. The waiting room was full, and every patient carried not just a diagnosis but the weight of a system already stretched thin. We learned to triage, to document, and to move quickly. But we did not learn how to lead, how to build continuity, or how to see the clinic as the heart of medicine. In training, the hospital was where the “real” work happened. Outpatient care was quieter, smaller, somehow less important. I realize now how wrong that assumption was.
Today, as chair of internal medicine at a large clinic in Georgia, I spend much of my time...
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