ENT Perspectives » Viewpoint

A Perspective on “The Deal”: Navigating the Complexities of American Medicine’s Social Contract

There is a tacit “deal” in American medicine. The “deal” was necessary because of how our education system evolved. In addition, the “deal” was created in partnership with the federal government as a method of providing healthcare to our population and our society. Social programs were adjunctive to the “deal,” and the costs for these programs have grown exponentially over time. The foundation of the “deal” was a trust that there was a shared mission-based integrity. However, there is also the gritty reality of economics behind the “deal.” How should a profession respond when trust is eroded and components of a long-standing relationship are parsed in such a way as to create an undue burden that ignores tenets of goodwill?

Shifting the Treatment Goalpost Toward Medical Management of Recurrent Respiratory Papillomatosis

Repeat operative or clinic-based procedures to debulk papillomatous disease have been the standard of care to date in the treatment of patients with recurrent respiratory papillomatosis (RRP) caused by chronic infection with human papillomavirus (HPV) type 6 or 11. Treatment of RRP is one of the rare instances in medicine of a chronic infection treated with repeat procedural intervention.

We All Need the Harmony of Diversity, Equity, and Inclusion

Unison expressions with large groups can be very powerful, however, the richness of harmony is unparalleled and can surpass the power of unison work. A creative endeavor marked by everyone doing exactly the same thing will lose the interest of the audience eventually. Harmony, on the other can create interest and excitement. See how this translates for diversity and inclusion in the medical community.

Mentoring Research

Understanding the three phases of research can help principal investigators encourage trainees to successfully complete research projects.