Organized Medicine and the Response to Dobbs: Seeking Crucial and Constructive Conversations

On June 24, 2022, the U.S. Supreme Court handed down its decision in Dobbs v. Jackson Women’s Health Organization, a landmark decision in which the court held that the U.S. Constitution does not confer a right to abortion.[1] A number of medical professional organizations responded to the decision with public statements. These responses were framed around themes including affirmation of patient autonomy, protection of the doctor-patient relationship, preservation of abortion experience in the training environment and protection of disparately affected populations.

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Doctors as gods (and What to Do About It)

A group of colleagues and myself met recently to discuss episode 16 of CMDA’s Faith Prescriptions video series at a Christian clinic in Yorktown, Virginia. Episode leader Dr. Farr Curlin states regarding the practice of medicine, “We should make use of it, it’s a gift of God, but don’t put our hope in it, as if it is the physician who saves.”

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Volunteering: It’s a Lifestyle

When you first begin considering the idea of volunteering, the simple thought might be overwhelming for a busy healthcare professional who’s trying to balance obligations at work, at home, at church, in the clinic, on campus and across a host of other areas. It’s no surprise that many of us in healthcare would steer far away from volunteering because there are just not enough hours in the day, not to mention enough margin in our schedules.

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Commit and Engage – Letter from the President

I came to know Christ my first week in college at University of California, Davis (UC Davis). I wasn’t in a bad place or even seeking out spiritual fulfillment, but I was intrigued by my next-door dorm neighbor who was definitely high on something. It happened to be Jesus.

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The Season of Light Around the World

As the trappings of the Thanksgiving and Christmas seasons emerge around us in North America, things look and feel quite different for our colleagues serving around the world. For cross-cultural missionaries serving far from home, this time of year is complicated.

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Your Body Will Be Whole: Meditations on Heaven

During my surgical training, I helped care for an aging professor who bemoaned his declining health. His mind still moved in academic circles, pondering the high points of chemistry and physics, but arthritis had so fused the bones in his neck that he couldn’t nestle into a pillow anymore.

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A Time to EMBRACE Recovery

As those called to the healing profession, we have all lived and practiced through old and unprecedented new challenges in our careers. We can all agree the last few years have surely been unlike any we have ever experienced before in our lives.

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God Sightings

Sent home, shut in isolation, studying in our bedrooms, trying to survive our first year of medical school, and we weren’t even at school! When the four of us entered medical school in the Detroit, Michigan area in fall of 2020, it certainly trumped any expectations we had.

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When Our Patients Pray for Us

As a Christian who’s been practicing periodontics for 29 years, I’ve had numerous opportunities to share my faith and pray with my patients. A number of my patients have expressed their appreciation for having a fellow Christian responsible for their care.

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All You Need is F.A.I.T.H. – Mentoring

My freshman year of college brought a multitude of surprises. Certainly, there was the increased study load and the idea that I alone had to manage myself, my time and my schedule, yet the biggest surprise I experienced was when the God of the universe radically changed my life and the trajectory of my future.

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CMDA Ethics Statement on Transgender Identification

In this ethical statement, CMDA provides biblical, biological, social, and medical support for an understanding of gender dysphoria that aligns with Scripture and includes an extensive glossary of terms. While gender dysphoria is not addressed directly in the Bible, Christians affirm the biblical understanding that humankind was created male and female. After detailing the biological, social, and medical evidence, recommendations are made for the Christian community in general as well as for Christian healthcare professionals regarding their interactions with individuals suffering from gender dysphoria. The statement concludes with recommendations that Christian healthcare professionals should not refuse care to patients with gender dysphoria but should also not be forced to assist patients in gender transition.

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The Dr. John Patrick Bioethics Column: Medicine in Times of Public Crisis

Public health and traditional medicine have a serious logical conflict. Public policy decisions must be made in utilitarian terms, unlike medicine, for populations and not individuals. Decisions are made according to which action saves the most lives. All public health policies are tradeoffs in the context of having incomplete data and finite resources. In contrast, patient-based medicine asks, “What is best for this patient?”

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First Fruits and Capstone

The healthcare mission field stands at an important crossroads. Around the world, opportunities abound for fruitful ministry through healthcare missions. Healthcare professionals are desperately needed, and they can serve in places non-medical missionaries can’t serve. All too often, needs and opportunities go unmet. The doors will not remain open forever. As health systems around the world modernize, healthcare missions and missionaries become less necessary in the eyes of the host community, and the missionary’s witness and scope of influence are curtailed significantly.

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How to De-stress in Your Distress

I picked up the phone to return a call from a message I had received on my office voicemail earlier that day. The call was from a doctor. I called the doctor back and said, “Hello, this is Pastor Bert from CMDA returning your phone call, how can I help you?” After a pause, he responded, “Thank you for calling me back; I don’t know how much longer I can continue to practice in this environment.” As he continued to download the heavy burden he was carrying, I realized the doctor on the other end of the call was in distress. It was a 911 call for spiritual help. Unfortunately, that phone call is becoming all too common and frequent in my office.

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Professional, Not Provider—Please!

“You have to prescribe some penicillin for my sore throat.”
“When I feel like this my real doctor always gives me…”
Phrases like these were extremely common in my daily practice when I served as a physician at a university student health center early in my career. Those words were often a result of simple naivete, but consumer-driven patient attitudes have intensified dramatically through the years. Here in Canada, where euthanasia/assisted suicide is legal, I currently face more serious and sinister demands in my palliative care practice.

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CMDA Ethics Statement on Homosexuality

In this position statement, CMDA provides biblical, social and medical support for a biblical view of sexuality defined as sexual activity within the confines of a marriage between a man and a woman. After detailing that support, the statement makes recommendations for the Christian community regarding how to respond to individuals struggling with same-sex attraction. The statement also provides recommendations regarding compassionate medical care for individuals struggling with homosexuality to Christian healthcare professionals. The statement concludes with recommendations regarding the importance of nondiscrimination.

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Street Medicine: Running a Free Clinic in the Era of COVID

When I contracted COVID-19 on March 18, 2020, it was so early in the outbreak of the pandemic that my illness sent shock waves of fear through Inland Vineyard Medical Mission and Free Clinic where I serve as director. Everyone on our team was worried, including our student workers. How would we keep our team safe? And how would we still treat our patients? For most of our patients, we are their main source for both food and medical care. Where would they go if we suddenly shut our doors?

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Christ with Us: Practicing Christ-like Presence in an Age of Burnout

One week into a rotation in the Surgical Intensive Care Unit (SICU), I found myself dreaming about the hospital. I was not dreaming about saying the wrong thing on rounds, but I was dreaming about our patients: Mr. Brown’s wife when she’d been told he may not survive his third surgery this admission; Mr. Thomas’s mom crying because she felt responsible for how he’d “turned out.” I told an attending I trusted that I was distressed by how much I was carrying patients’ stories with me, and she graciously admitted to me she’d struggled with the same thing early on in training. The solution, she said, is to not get so attached. “That’s how you burn out,” she said.

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CMDA Ethics Statement on Abortion

The active termination of pregnancy has existed since 1550 BCE, with the first documented abortion occurring in Egypt. The School of Hippocrates included the following prohibition against abortion in the oath named for him in approximately 400 BCE: “I will not give to a woman a pessary to cause abortion.” The attitude toward abortion throughout its 3,500-year history has varied from general acceptance to criminalization of the act, including the death penalty in certain circumstances. That range of perspective, except for the death penalty, remains today with the overall trend worldwide toward increasing cultural acceptance of abortion. The Christian Church from its earliest recorded Patristic writings outside of the New Testament condemned abortion as murder. This statement outlines and supports CMDA’s affirmation of the historical prohibition against abortion.

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CMDA Ethics Statement on Persons with Acquired Cognitive Impairment

This ethical statement outlines CMDA’s affirmation of the value of all persons with cognitive impairment, recognizing their inherent dignity. CMDA believes that in spite of their cognitive impairment, they can lead meaningful lives with the help of caregivers, who deserve our help support and prayers.

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A Strategic Plan to Succeed

I had spent more than four years wishing and praying for a CT scanner at Tenwek Hospital, a 300-bed referral center in rural southwest Kenya where I was serving as a missionary surgeon in Africa. For years, every patient who came to us with a closed head injury, an abdominal mass or recurrent abdominal pain had to be referred to a larger hospital in Nairobi, the capital city of Kenya. But more often than not, patients wouldn’t or couldn’t go to Nairobi, regularly due to the high cost of travel and treatment.

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But God: Finding the Silver Lining

I remember early on hearing in the news about a virus causing problems in China. It wasn’t long before we heard news of it spreading. As it began to spread, we were busy planning for March, our busiest month of mission trips. We send the most teams in the month of March, which gives mission opportunities for various schools during the annual spring break period. We sent our first two teams out before countries began closing their borders. While these two teams were still out of the country, we began cancelling our remaining trips. First it was for the month, then it became two and on through the summer. Before we knew it, we had cancelled every single remaining mission trip scheduled throughout the remainder of 2020—all as a result of COVID-19.

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Facing the Virus Overseas

When COVID-19 began sweeping around the globe in early 2020, career healthcare missionaries were faced with the option of staying in their countries of service to weather the storm or evacuating back to the United States before the borders closed. Without sufficient quantities of protective equipment for staff members, would rural mission hospitals be able to survive the pandemic? In countries where the medical infrastructure is limited at best, would there be enough resources? What about food and other supplies to help to meet the day-to-day needs if the airports closed?

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Courage through the Crisis: Stories from the Frontlines

More than a year ago, we watched as New York City and the surrounding area became the epicenter of the COVID-19 crisis when the pandemic initially broke out in the United States. At this year’s CMDA Virtual National Convention, we shared stories from several CMDA members from the area whose lives and work in healthcare were impacted by the virus.

As we consider how COVID-19 has changed our world and our profession in healthcare, these stories share how God has worked in and through our members during this crisis.

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HUMAN TRAFFICKING: Common Psychiatric Consequences of Human Trafficking on Children and Adolescents and Their Medical Management

Human Trafficking affects numerous children and teens throughout the world. One of the significant health consequences of this are mental health problems. Of note are high rates of anxiety, depression, and Post-Traumatic Stress Disorder (PTSD) identified in multiple studies of trafficked children. Full medical care of these individuals therefore will entail screening for the symptoms of mental health disorders. Treatment should involve therapy as much is available in the areas where they are recovering and learning to return to normal life. Medications can be considered for these mental health diagnoses as well with care taken in prescribing for children and teenagers. This article gives a framework for primary care professionals to establish mental healthcare as part of their management of children and adolescents who have been through human trafficking.

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ETHICAL VACCINES: Ready for a shot in the arm?

With millions of COVID-19 vaccine doses already plunged into American arms and hundreds of million more doses on the way, can healthcare professionals confidently receive the vaccines themselves and also recommend them for patients?

While responses to this question often involve important emotional factors that need to be addressed, this article focuses on three rational considerations: safety, efficacy and ethics.

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First Fridays at the Mortons

My husband and I had just moved from Michigan to Texas for my first year of medical school at the University Health Science Center San Antonio. We walked up to the door of a house we had never visited, hand-in-hand wondering what the evening ahead would hold, with unfamiliar people, in this unfamiliar part of the country. As we arrived at the front door, we could hear the sounds of conversation mixed with laughter inside, along with the delicious aroma of cooking pizza tantalizing our taste buds. Another couple our age greeted us warmly while handing us an apron, sending us toward a buzzing kitchen to begin creating our “couple pizza” for the pizza bake-off contest! Wow! It was a Texas size welcome.

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My Hour Has Come!

“Jesus replied, ‘The hour has come for the Son of Man to be glorified.’”
—John 12:23

Jesus’ birth, death and resurrection were the fulfillment of multiple Old Testament prophecies, and they coincided with a time period of unbridled harshness and brutality. Death by crucifixion, as described by Martin Hengel, was “a barbaric form of execution of the utmost cruelty” and as “the supreme Roman penalty.”

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Membership Survey Results

Every five years, the CMDA Board of Trustees goes through a cycle of comprehensive strategic planning. This well-thought out process has guided and directed the organization throughout the last 25 years, as it focuses on better meeting the needs of our members and providing ministry to those we serve around the world.

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Growth Spurt

Sometimes reality is far more awe-inspiring than anything even the most imaginative of writers could dream up. Decades ago, the idea that a woman could become pregnant with her adopted child seemed like science fiction. However, reproductive medicine has long since crossed biological boundaries in ways that once seemed impossible, creating complex problems that require morally sound, technology-driven solutions. Since 2003, the Knoxville, Tennessee-based National Embryo Donation Center (NEDC) has been the national leader for one such solution: embryo donation/embryo adoption (ED/EA). The NEDC specializes in honoring life in its very earliest stages and facilitating pregnancies for women who want to carry their adopted children. And these days, the ministry is busier than ever, adding new initiatives and team members to expand the quality and scope of its life-affirming work.

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I Got My Joy Back…Now What? A Deeper Understanding of Joy Through a Trip to Israel

In the fall 2017 edition of Today’s Christian Doctor, I wrote an article about burnout stealing joy in my personal and professional life. I am thankful the Lord brought me out of that low place. He has continued to work on helping me understand what I initially wrote:

“Joy is not a feeling of happiness; it is a daily commitment. According to Psalm 51:12, joy stems from understanding our worth in Christ and what we receive through His salvation. Joy starts with having the humility of a child that Jesus talks about in Matthew 18:4. Joy continues through an obedient life and trials that lead to perseverance according to James 1:2-3.”

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Feed My Sheep

As Christians in healthcare, we are called to take our faith into the workplace, whether it be in a clinic, in a hospital or in academia. My journey in medicine led me from the clinic into academia. I actually consider myself an accidental academician who never meant to end up in charge of training a portion of the physician assistant workforce. This, however, is exactly why I am writing this story, to encourage my colleagues and help them understand who the sheep are, why they need feeding, how to feed them and when to stop feeding them.

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Everything That Has Breath

Bubbles billowed heavenward with every measured breath as I adjusted my mask, cleared my ears, checked my depth gauge, and glanced down at my Luminox Navy Seal dive watch. Kneeling on the silt floor of the Red Sea, 41 feet below the water surface, we watched and waited, hoping to spot a dolphin.

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Dentally Impacting the World for Christ

Over the last two years, CMDA’s dental outreach has developed into a two-pronged approach, ministering to traditional private dental professionals and also those seeking to serve the underserved, both domestically and internationally. Vice President for Dental Ministries Dr. William “Griff” Griffin focuses primarily on engaging with our dental members, while Vice President for Dental Education Dr. Jeff Amstutz is developing general practice dental residency programs to equip dentists in ministering to the poor in the name of Jesus. Both aspects of CMDA’s Dental Ministries have been made possible by the generosity of the late Dr. Pete Dawson, who we seek to honor in this article, as we trace the Lord’s guiding hand over the last decade.

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At the Heart of the Crisis: Personal Reflections on COVID-19

It is no exaggeration for me to say CMDA has had an influential impact on my adult spiritual life. Since 1999, I have been active with CMDA in one way or another. In 2017, my work with the New York City chapter was significantly increasing, and I found myself more interested in ministry activities than even my own private practice in surgery. After a couple years of praying and planning, I officially began my full-time ministry as the NYC Area Director on March 1, 2020. There was no way humanly possible we could have foreseen what would occur in NYC that same month.

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Racism in Healthcare: No One is Immune

“Create in me a clean heart, O God, and renew a right spirit within me.”
—Psalm 51:10, ESV

It must start with us.

Many things have been laid bare this year. In late 2019, a novel Coronavirus referred to as SARS-CoV-2 originating in Wuhan, Hubei, China spread to the United States becoming a global pandemic. By mid-July of this year, there were close to 13 million confirmed COVID-19 cases worldwide, with around six million active cases affecting more than 200 countries. In the United States, there have been more than three million COVID-19 cases (with more than one million recovered) and more than 500,000 deaths. We would soon learn that African Americans—who make up 13 percent of the U.S. population—disproportionately comprise U.S. COVID-19 fatalities, with many having underlying health conditions such as diabetes, hypertension and asthma. Income and wealth inequalities also tend to create greater disparities within communities of color, making access to adequate healthcare and healthy living an elusive and unaffordable necessity.

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Pornography and Interactive Sexual Devices

Pornography is any medium that depicts erotic behavior and is intended to entice sexual imagination. Pornography has no beneficial use but damages human relationships. Mass communication technologies such as the Internet have expanded its reach to an unprecedented degree. Video and virtual reality have intensified its content. The introduction of sex robots that imitate human speech and sexual behaviors and are designed to perform sexual acts with humans are an extreme elaboration of pornography. All of these have dangerous psychological, social, and spiritual consequences.

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Learning from History: The Case Against Assisted Suicide

It has been said that the best way to learn about our future is to look to our past. A historical reflection on the actions of those who have gone before us can both guide us toward monumental successes and deter us from repeating colossal mistakes. A glance to history may reveal progressive social and technological advancements, yet it also affirms that the basic principles of a man’s heart remain unchanged. As Proverbs reminds us, “There is a way that seems right to a man, but in the end it leads to death” (Proverbs 14:12).

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Redefining Essential in the Midst of a Pandemic

Am I essential? As general dental professionals, we do not imagine many of you have asked yourselves this question. By choosing dentistry as a profession, it is safe to assume a certain level of job security and financial stability. Though both of those factors may have been initial lures into the field, what inspires us daily to practice dentistry is the impact we have in the lives of our patients, each created in the image of God. As dentists, all that we work to achieve is essential to the health and well-being of our respective communities. And yet, in the midst of the Coronavirus global pandemic, it feels like oral healthcare was deemed non-essential. States recommended dentists limit their offices to emergency patients only. No handpieces were running. No cavitrons were cleaning. Some dentists were even finding themselves unemployed! Oral healthcare seemed low on the priority list, and any momentum we had made in terms of advocating prevention felt lost.

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Downcast: Suffering, Depression and the Goodness of God

The question of suffering is a big one in depression, since suffering can lead to depression, and depression itself is suffering. We are fortunate to live in a society that is largely insulated from suffering, compared to other places and times where people have had to grapple with the daily reality of illness, death, poverty or war. As a consequence, we are fearful of any kind of suffering.

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Anxious? Me, Too. How To Lean On God When Feelings Don’t Cooperate

I’ve been a family doctor in the same location for 30 years, so many of my patients have been with me a decade…or two…or three. Following people through their life stages has been a joy. We’ve grown older together. I’ve been acutely aware of this in the last two weeks as I’ve called patients to reschedule them. I’ve wanted to call them myself to make sure they don’t need anything, because I’d rather they avoid any medical facility for the next six months.

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Making CMDA Better: Lessons from Basic Life Support

I still remember the first time I donned a whitecoat (one of those half-length coats for students) with a stethoscope in my pocket and walked into a patient room at the big city hospital in Indianapolis, Indiana in 1985. I was a second-year medical student at Indiana University, and I had just received instruction from my clinical instructor on how to perform a thorough history and physical. I don’t remember my first patient’s name, but she was a young woman with a loud systolic heart murmur even I could hear. I also remember three words that were to guide me through each step of a thorough physical exam: “Look, listen and feel.” A couple of years later, those three words became critical again as I took my first basic life support (BLS) course and became certified both in BLS and Advanced cardiac life support (ACLS), prior to becoming a surgical resident. Again, the phrase, “Look, listen and feel,” was the guiding mantra to get my first BLS certification card.

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CMDA Statement: Advance Directives

Whereas modern medicine has made available technologies that can prolong life, medical science alone cannot answer questions of whether life-sustaining technologies should be used in particular circumstances or whether such technologies are consistent with patients’ goals of care, values, and beliefs about health, life, and death.

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The Mountaintop

Burnout is the current buzzword in healthcare, the subject of endless articles and editorial commentaries. Fatigue, depersonalization and cynicism characterize this happiness-ruining and career-destroying disease, which has reached epidemic levels among healthcare professionals across the country.

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After Ebola: Confronting the Trauma

In the closing months of 1989, a brutal civil war erupted in Liberia and soon engulfed the small West African country. At the time, T. Abraham Browne was in high school, and the senseless killings forced him and his siblings to flee for their lives to escape the bloodshed. They reached a refugee camp where Abraham would spend the next 10 years.

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The Lure of Money

Most people can do one or two of these things, but very few people can do more than that. I have always found this idea intriguing as my family and I considered how to budget the money we have been given. But it leaves out something very important we can do with our extra money, doesn’t it? We can give it away.

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CMDA Statement on Medical Marijuana

The Christian Medical & Dental Associations (CMDA) has developed this policy on “medical marijuana” with both an inherent belief that the Bible is the Word of God–that it speaks into our time and culture and that God gave us his creation to use to its fullest potential—and with the incorporation of scientific evidence which provides a window into the truths about God’s creation.

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HHS Protects Conscience Freedoms

Supreme Court building in Washington, DC

Conscience-guided healthcare professionals and students received a healthy dose of positive federal policy advances in the last few months. CMDA played a role advocating on behalf of our members in each of the following federal policy reforms that relate to conscience freedom, gender issues and abortion.

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Fanning the Flames of a CMDA Leadership Legacy

Fanning the Flames of a CMDA Leadership Legacy

I attended my first CMDA National Convention in April 2012 and heard devotional speaker Luis Palau make this statement: “Big doors open on small hinges.” He explained how seemingly small events in our lives may serve to open big doors that God intends for us to walk through in order to enjoy incredible blessings that follow. A small hinge in my life was a letter Dr. David Stevens wrote to me after I had served at Tenwek Hospital in Kenya in early 1988 for two months during my fourth year of medical school.

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Backward and Forward

Franklin Graham, my boss, and I had just finished a meeting in the early 1990s when I walked into my office at World Medical Missions and found a letter marked “Personal and Confidential” on my desk from the Christian Medical & Dental Society (CMDS, as the ministry was called at that time). As I opened it, little did I realize it was the first step in a journey that would result in me leading CMDA for 25 years.

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Disciple Making Medicine

We just need someone to help us find our way,” the patient’s wife pleaded as she sat at the head of the table in our procedure room nearly four years ago. She was facing away from the surgical field where I was working meticulously on her husband to suture the vas deferens together using microsurgery under the Zeiss surgical microscope hanging above the table.

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A Second Drug Wave is Coming: Marijuana

The first drug wave was the opioid epidemic. In 2016, more Americans died from drug overdoses (67,000) than during the entirety of the Vietnam War (58,200).1 The second and more insidious wave is coming—it’s the marijuana wave.

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Sexual Harassment in Healthcare

It is tempting to think sexual harassment is a problem that happens to other people in other places. Sadly, that is not the case. According to Medscape’s 2018 survey of 6,200 physicians, 7 percent of physicians have experienced some form of sexual harassment in the last three years.

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Transformed Doctors: Shelby Montgomery

In this article from the Spring 2019 edition of Today’s Christian Doctor, we feature Shelby Montgomery, a third year at LSU School of Medicine in New Orleans, Louisiana. She received my bachelor’s of science in kinesiology at LSU in Baton Rouge, spending her junior year of undergrad at the University of Hawaii at Manoa on the island of Oahu through National Student Exchange. After graduating from LSU, I worked for one year at Pennington Biomedical Research Center in Baton Rouge as a research coordinator for the Heads Up project.

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Facing the Pit of Evil

In this article from the Spring 2019 edition of Today’s Christian Doctor, David Stevens, MD, MA (Ethics) shares when we follow our human nature, we are tempted by a desire to bunker down and protect ourselves from evil. The Bible tells us to flee this temptation, but just as importantly, we should also fight evil.

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CMDA Today

Todays Christian Doctor Main

CMDA Today is a full-color, quarterly magazine devoted to today’s issues in healthcare, including inspirational testimonies from fellow Christian healthcare professionals, public policy updates, glimpses into the future of healthcare and examples of how to integrate your faith into your practice.

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