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Maximizing physician potential: How coaching can aid in conflict resolution, enhance health care leadership and build stronger teams
Every day, in my job as an anesthesiologist, I am called upon to manage conflict. Sometimes, it’s between two members of my team, sometimes it’s between coworkers, and many times it is a conflict I may have with my own co-worker or peer. Whether it’s because someone I supervise is chronically late or underprepared, I Read more… Maximizing physician potential: How coaching can aid in conflict resolution, enhance health care leadership and build stronger teams originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 30, 2023 Category: General Medicine Authors: Tags: Physician Anesthesiology Surgery Source Type: blogs

ChatGPT in conversation with a language scientist (Hickok)
Some interesting failures in this conversation with ChatGPT, not just about the facts of language& brain but some glaring logical failures, like that people with complete damage to Wernicke ' s area would perform significantly worse than chance on a test of word comprehension. On questioning, it impressively " recognized " the error but then the bug re-emerged on the very last question.---------------------Which of the following is true about the neural basis of speech perception? a) it ' s bilateral in the STG. b) it ' s strongly left hemisphere dominant. c) it is dependent on Broca ' s area. d) it is the ability to p...
Source: Talking Brains - March 17, 2023 Category: Neuroscience Authors: Greg Hickok Source Type: blogs

Regulating healthcare professionals, protecting the public: consultation response
Department of Health and Social Care - Between 24 March and 16 June 2021, the government sought views on proposals to reform the regulation of healthcare professionals and to introduce statutory regulation for anaesthesia associates (AAs) and physician associates (PAs). In response to the feedback received and following an extended period of stakeholder engagement and policy development, the government has set out their finalised policy positions. These positions underpin the draft legislation that will give the General Medical Council the power to effectively regulate AAs and PAs and provide a template for subsequen...
Source: Health Management Specialist Library - February 20, 2023 Category: UK Health Authors: The King ' s Fund Library Tags: Workforce and employment Source Type: blogs

Earning trust in anesthesia: How recognizing limitations can improve patient safety
Working with and supervising residents takes a certain degree of trust. Empowering residents with trust can be a difficult proposition for educators. There’s a moment early in the career and education of an anesthesia resident where they earn the trust of their faculty and supervising attendings. This moment is not contingent upon the memorization of Read more… Earning trust in anesthesia: How recognizing limitations can improve patient safety originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 16, 2023 Category: General Medicine Authors: Tags: Physician Anesthesiology Surgery Source Type: blogs

The Iron Law of Prohibition: Introducing “Tranq”
Jeffrey A. SingerTheWall Street Journalreports that the veterinary tranquilizer xylazine, which users calltranq, has been increasingly reported among drug overdose victims, particularly on the East Coast. This very potent tranquilizer has been mixed in with illicit fentanyl which, in turn, is often mixed in with other illegal drugs such as cocaine and methamphetamine. The sedative properties of the drug greatly enhance the narcotic effects of opioids. Therefore, the drug cartels have been adding it to opioids to reduce the dose of opioids necessary to create a high. The enhanced potency allows the cartels to smuggle i...
Source: Cato-at-liberty - February 13, 2023 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Addressing health disparities to improve patient safety
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Health disparities affecting minority and vulnerable populations are increasingly well-recognized after the disproportionate impacts of the COVID-19 pandemic. Across a large number of quality metrics, the Agency for Healthcare Research and Quality’s latest National Healthcare Quality and Disparities Report found that Blacks, American Indians, Alaskan Read more… Addressing health disparities to improve patient safety originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 13, 2023 Category: General Medicine Authors: Tags: Physician Anesthesiology Source Type: blogs

Got Calcium?
Someone’s hand moving to scroll through this blog post is possible because of a mineral that both gives bones their strength and allows muscles to move: calcium. As the most abundant mineral in our bodies, it’s essential for lots of important functions. It’s found in many foods, medicines, and dietary supplements. Calcium keeps your bones strong, allows your muscles to move, and is important for many other bodily functions. The element is found in foods, medicines, and the world around us. Credit: Compound Interest CC BY-NC-ND 4.0. Click to enlarge. Committed to Critical Duties For athletes, calc...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - February 1, 2023 Category: Research Authors: Chrissa Chverchko Tags: Chemistry, Biochemistry and Pharmacology Molecular Structures Cellular Processes Diseases Proteins Source Type: blogs

Why skipping your colonoscopy could be a deadly mistake
I have to respond to and correct the recent article and podcast about a doctor having his first colonoscopy in his late 60s without anesthesia. There were multiple factual errors and misstatements by the doctor author, which may well dissuade doctors and laypeople from colonoscopies in the future. First, he notes the reason he’s thus Read more… Why skipping your colonoscopy could be a deadly mistake originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 31, 2023 Category: General Medicine Authors: Tags: Conditions Gastroenterology Source Type: blogs

Life, death, and the balance in between: a cardiac anesthesiologist ’ s story [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! David Alfery is a cardiac anesthesiologist who shares his experiences in the operating room and intensive care unit. In this discussion, he reflects on the lessons he learned about life, death, and the balance in between through his encounters with patients. He offers a Read more… Life, death, and the balance in between: a cardiac anesthesiologist’s story [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 27, 2023 Category: General Medicine Authors: Tags: Podcast Cardiology Source Type: blogs

The impact of religious-spiritual values on individual lives
A friend of mine recently went into the hospital for a surgical operation. Afterward, she told me about a conversation she had with her doctors. Meeting with her surgeon and her anesthesiologist before surgery, this retired lifelong Sunday school teacher couldn’t resist the temptation to give them both a Bible lesson. “Let me ask you, Read more… The impact of religious-spiritual values on individual lives originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 20, 2023 Category: General Medicine Authors: Tags: Physician Primary Care Source Type: blogs

Breast cancer surgery: Liking my doctor mitigates the feeling of violation
On waking up from anesthesia-induced unconsciousness, I was dressed in an unfamiliar pink surgical bra with multiple Velcro straps. As if I were a doll, someone had clothed my limp body without my knowledge, and I had no idea who. Even then, I had a vague sense, groggy and feeling an odd lack of sensation Read more… Breast cancer surgery: Liking my doctor mitigates the feeling of violation originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 15, 2023 Category: General Medicine Authors: Tags: Conditions Oncology/Hematology Source Type: blogs

If SAMHSA Seriously Wants to Destigmatize People with Substance Use Disorder, It Can Start by Destigmatizing How They Receive Treatment
Jeffrey A. SingerIn 2001, the Food and Drug Administration transferred regulation of methadone treatment programs for opioid use disorder (nowadays called Opioid Treatment Programs or OTPs) to the Drug Enforcement Administration and the Substance Abuse and Mental Health Services Administration. DEA and SAMHSA work together to establish and enforce criteria for treating people with substance use disorder and the regulations that govern how health care practitioners prescribe and administer opioids as medication assisted treatment (MAT) for opioid use disorder. The rules govern the dose and number of drugs clinicians prescri...
Source: Cato-at-liberty - January 3, 2023 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Intraoperative Imaging for Porcelain Aorta
Diffuse calcification of ascending aorta which may extend down is known as “Porcelain aorta”. Intraoperative epiaortic  echocardiography along with manual palpation during surgery has been described as the most sensitive technique for detecting ascending aortic atheroma and calcification [1]. A prospective study evaluated this in hundred consecutive patients undergoing coronary bypass or valve surgery [2]. Ascending aorta was assessed by manual palpation by the operating surgeon, intraoperative transesophageal echocardiography and epiaortic ultrasound using linear and phased-array imaging. No difference was noted...
Source: Cardiophile MD - December 28, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

As Balwani and Holmes Head To Jail …Will Others in Health Tech Follow?
by MIKE MAGEE This week’s headlines seemingly closed a chapter on the story of medical research criminality in America. Ramesh “Sunny” Balwani, former president and COO of Theranos was sentenced to 13 years in prison for fraud. That’s 2 years more than his former business and romantic partner, Elizabeth Holmes. White crime criminal defense attorney for all things science tech, Michael Weinstein, took the opportunity to trumpet out a confident message that crime doesn’t pay in Medicine with these words, “It clearly sends a signal to Silicon Valley that puffery and fraud and misrepresentation will be pr...
Source: The Health Care Blog - December 9, 2022 Category: Consumer Health News Authors: matthew holt Tags: Medical Practice Ethics Henry K. Beecher Medical Ethics Mike Magee Theranos Source Type: blogs

Does your OR case scheduling process need a revamp?
I’ve been in the health care industry for over a decade. Starting a few years ago, I embarked on a new project: building a case scheduling platform specifically for anesthesia staff. I’ll be the first to say that I never envisioned myself becoming a so-called “health care entrepreneur.” From my perspective, I’m just an anesthesiologist Read more… Does your OR case scheduling process need a revamp? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 7, 2022 Category: General Medicine Authors: Tags: Physician Surgery Source Type: blogs