4 personality types based on new data
Researchers from Northwestern University sifted through data from more than 1.5 million questionnaire respondents to find at least four distinct clusters of personality types exist — average, reserved, self-centered, and role model — challenging existing paradigms in psychology. Read more here:https://news.northwestern.edu/stories/2018/september/are-you-average-reserved-self-centered-or-a-role-model/The personality types are based on 5 widely-accepted basic character traits - you can run a simple test created by Jordan Peterson for Dr Oz here:https://www.doctoroz.com/quiz/quiz-whats-your-personality-type?quiz=trueThe s...
Source: Clinical Cases and Images - Blog - October 11, 2018 Category: Universities & Medical Training Tags: Psychology Source Type: blogs

fNIRS brain scans could identify novice from experienced surgeons
From WSJ:Researchers studied surgeons as they performed surgical simulations and found they could identify novice from experienced surgeons by analyzing brain scans taken as the physicians worked.Prefrontal cortex, the part of the brain involved in planning complex behaviors was more active in the novices. Skilled surgeons had more activity in the motor cortex, which is important for movement. The researchers, who developed a machine-learning system to analyze the scans, also showed that training resulted in a shift toward higher activity in the motor cortex.Simple mnemonic:Prefrontal cortexPlanningPre-proficient levelMoto...
Source: Clinical Cases and Images - Blog - October 4, 2018 Category: Universities & Medical Training Tags: Psychology WSJ Source Type: blogs

Eagerness to use an immature technology: Humans have a habit of trusting algorithms without troubling themselves to think about consequences
From WSJ:Don ’t Believe the Algorithm: Blind faith in machines (and machine learning) has left us vulnerable to biased and incoherent AI. The solution? A healthy dose of skepticism and human oversight.The mathematican who wrote the WSJ artucle had the following suggestion:"USE ‘MAGIC’ TO SPOT BOGUS ALGORITHMS -- Whenever you see a story about an algorithm, replace buzzwords like “machine learning,” “artificial intelligence” and “neural network” with the word “magic.” Does everything still make grammatical sense? Is any of the meaning lost? If not, I’ d be worried that something smells like bull—. ...
Source: Clinical Cases and Images - Blog - September 7, 2018 Category: Universities & Medical Training Tags: Technology WSJ Source Type: blogs

"All Americans are just one bad tweet away from being fired"
From MarketWatch:"If you use Twitter, you too are a public figure. And one egregious tweet could blow up your life.The political climate puts all employers on high alert when it comes to the words and behavior of their employees.Many people are plugged into the news cycle all day long. One in five employers think staff is productive fewer than five hours a day, with most citing smartphone use as the culprit.The First Amendment protects free speech, but it may not protect your job if you do or say anything that is contrary to the company ’s values, even if it’s a joke.Anyone with a public Twitter account is a de facto p...
Source: Clinical Cases and Images - Blog - June 5, 2018 Category: Universities & Medical Training Tags: Social Media Twitter Source Type: blogs

When advertising your physician practice: Google and Facebook dominate 73% of U.S. digital advertising market
The WSJ expressed concerns about monopoly: Tech ’s Titans Tiptoe Toward Monopolyhttps://buff.ly/2H5SHAh"Imagine a not-too-distant future in which trustbusters force Facebook FB to sell off Instagram and WhatsApp. Imagine a time when Amazon ’s cloud and delivery services are so dominant the company is broken up like AT&T. Imagine Google ’s search or YouTube becoming regulated monopolies, like electricity and water.Facebook Inc., Google parent Alphabet Inc. and Amazon.com Inc. are enjoying profit margins, market dominance and clout that, according to economists and historians, suggest they ’re developing into a n...
Source: Clinical Cases and Images - Blog - June 4, 2018 Category: Universities & Medical Training Tags: Practice Source Type: blogs

Exercise does not have to be prolonged to be beneficial. It just has to be frequent. Several times per day
FromNYTimes:"Walk for two minutes. Repeat 15 times. Or walk for 10 minutes, thrice. The benefits for longevity appear to be almost exactly the same, according to an inspiring new study of physical activity patterns and life spans.It finds that exercise does not have to be prolonged in order to be beneficial. It just has to be frequent."The scientists found that moving strongly influenced longevity. The more often you move, the longer you live.References:Those 2-Minute Walk Breaks? They Add Up. NYTimes.https://www.nytimes.com/2018/03/28/well/move/walking-exercise-minutes-death-longevity.html Posted atClinical Cases and Ima...
Source: Clinical Cases and Images - Blog - March 29, 2018 Category: Universities & Medical Training Tags: Exercise Source Type: blogs

JAMA: Mentoring in the Era of #MeToo
Julie Story Byerley, MD, MPH wrote in JAMA on what specific behaviors her male mentors have demonstrated that have always made her feel safe:1. They demonstrate exemplary professional behavior during and outside of the work day, never compromised by alcohol consumption or flirtatious interactions.2. They always behave comfortably but as if others are watching, demonstrating integrity.3. Though they have warm personalities, they refrain from physical touch except in larger social settings where they may give hugs in greeting.4. They never mention anything about my appearance or the appearance of others, and they avoid gener...
Source: Clinical Cases and Images - Blog - March 28, 2018 Category: Universities & Medical Training Tags: Professionalism Source Type: blogs

Creative tension and different personalities
The WSJ on the creative tension between Keith Richards and Mick Jagger :“They’re two really different guys, and that’s what makes it so powerful. It’s like a rubber band pulled really tight. When you release it, it goes flying—that creative tension is what makes it so enduring. They understand that something special happens when the two of them get together. T he cognizance of that magic that only comes from the two of them can be frustrating, but also really powerful.”I wish Ritchie Blackmore and Ian Gillan of Deep Purple had recognized this years ago. We would have gotten a few other brilliant albums in the 1...
Source: Clinical Cases and Images - Blog - March 10, 2018 Category: Universities & Medical Training Tags: Music Source Type: blogs

New blood pressure guideline creates a new level of disease affecting people previously deemed healthy
FromNEJM:The guideline defines normal blood pressure as below 120/80 mm Hg and elevated blood pressure as 120 to 129. What is now called stage 1 hypertension was previously labeled “prehypertension” — a term meant to alert patients and to prompt physicians to provide lifestyle educationBy reclassifying people formerly considered to have prehypertension as having hypertension, the guideline creates a new level of disease affecting people previously deemed healthy. According to this definition, about 46% of U.S. adults have hypertension, as compared with about 32% under the previous definition.The guideline recommends ...
Source: Clinical Cases and Images - Blog - February 12, 2018 Category: Universities & Medical Training Tags: Cardiology Source Type: blogs

Your choice of social media service/website/app may reveal your personality
This study from Germany included 633 students.Use of computer games was found to be negatively related to all personality and mental health variables: self-esteem, extraversion, narcissism, life satisfaction, social support and resilience.The use of platforms that focus more on written interaction (Twitter, Tumblr) was linked to depression, anxiety, and stress symptoms.In contrast, Instagram use, which focuses more on photo-sharing, was linked to positive mental health variables.References:What does media use reveal about personality and mental health? An exploratory investigation among German studentshttp://bit....
Source: Clinical Cases and Images - Blog - February 6, 2018 Category: Universities & Medical Training Tags: Psychology Social Media Twitter Source Type: blogs

The key to successful ageing is to be a master of 3 domains: physical health, mental wellbeing, and social connectedness
From The Lancet:Life expectancy in the UK continues to increase by 2 years per decade. Unfortunately, these extra years do not seem to be spent in better health, with morbidity and dependency increasing over the past 20 years. So what can be done to develop resilience with increasing age? Seize control of your health and be better prepared —physically, mentally, and socially—for our later years. This a recurring theme covering3 domains: physical, mental and social.The Lancet reviewed the bookEnlightened Aging: Building Resilience for a Long, Active Life, by Eric B Larson and Joan DeClaire. One of the most memorable vig...
Source: Clinical Cases and Images - Blog - February 5, 2018 Category: Universities & Medical Training Tags: Age Geriatrics Lancet Source Type: blogs

Snap judgments about other people are formed in milliseconds but are often wrong: here is what to do about it
FromWSJ:Snap judgments people make about others ’ trustworthiness are wrong more often than most people think. These first impressions are formed in milliseconds, based on instinctive responses in the brain’s emotion-processing center, the amygdala.Some people conclude a stranger is reliable because he or she looks like someone trustworthy the person already knows. Or they make judgments based on stereotypes, such as an unconscious belief that older or more feminine-looking people are more trustworthy.This poses a challenge to anyone who must gain others ’ trust to perform well in meetings, interviews or other gather...
Source: Clinical Cases and Images - Blog - February 2, 2018 Category: Universities & Medical Training Tags: Psychology WSJ Source Type: blogs

Adolescents' circadian clock and the vicious circle of media use, exposure to light at night, sleep loss and risk behaviors
Sleep is a key element in adolescent development. However, teens are spending increasing amounts of time online with health risks related to excessive use of electronic media (computers, smartphones, tablets, consoles, etc.). This excessive use is negatively associated with daytime functioning and sleep outcomes.Adolescent sleep becomes irregular, shortened and delayed in relation with later sleep onset and early waking time due to early school starting times on weekdays which results in rhythm desynchronization and sleep loss.In addition, exposure of adolescents to the numerous electronic devices prior to bedtime has beco...
Source: Clinical Cases and Images - Blog - February 1, 2018 Category: Universities & Medical Training Tags: Internet Pediatrics Psychology Social Media Source Type: blogs

"The health system cannot sustain current rates of clinician burnout and continue to deliver safe, high-quality care". What to do?
From the NEJM:More than half of U.S. physicians report significant symptoms of burnout — a rate more than twice that among professionals in other fields. Medical students and residents have higher rates of burnout and depression than their peers who are pursuing nonmedical careers. Physicians with symptoms of burnout are twice as likely to leave an organization as those without such symptoms"The health system cannot sustain current rates of clinician burnout and continue to deliver safe, high-quality care". What to do?Here are some examples (more reading available at the reference links below):- To prevent burnout, Mayo ...
Source: Clinical Cases and Images - Blog - January 31, 2018 Category: Universities & Medical Training Tags: Physician Psychology Source Type: blogs

The key to digital media use and happiness is limited use: less than 1 hour per day plus exercise and real-life interaction
In a recent study, playing computer games, using social media, texting and video chatting were all associated with less happiness.“The advent of the smartphone is the most plausible explanation for the sudden decrease in teens’ psychological well-being.”The happiest teenagers were those who used digital media a little less than an hour a day.The key to digital media use and happiness is limited use.Here is the 2-step solution:1. Aim to spend no more than one hour a day on digital media2. Increase the amount of time you spend seeing friends face-to-face and exercising – two activities reliably linked to greater happ...
Source: Clinical Cases and Images - Blog - January 22, 2018 Category: Universities & Medical Training Tags: Happiness Pediatrics Psychology Social Media Source Type: blogs