“I need you to forgive yourself”: Shame in Medicine and Medical Education
On this episode of the Academic Medicine Podcast, guests Will Bynum, MD, Lara Varpio, PhD, and Ashley Adams, MD, join Toni Gallo and former Academic Medicine editor-in-chief David Sklar, MD, to discuss shame in medicine and medical education, what it is and how it can be studied, and their research and other work in this area.
This episode was originally released in August 2019 and is available through Apple Podcasts, Spotify, and anywhere podcasts are available.
A transcript of this episode is below.
Read the articles discussed in this episode:
Bynum WE IV, Adams AV, Edelman CE, Uijtdehaage S, Arti...
Source: Academic Medicine Blog - February 21, 2022 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript medical education medical students premedical education research shame undergraduate advising Source Type: blogs
Artificial intelligence is worse than the old boss
It seems that each positive story I read about the benefits of artificial intelligence (AI) is countered by a negative story. One internal medicine physician writes:“Someday, with enough computing power and artificial intelligence, we may be able to have systems that can do some basic medical advice and education about health care that could endRead more …Artificial intelligence is worse than the old boss originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 19, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/arthur-lazarus" rel="tag" > Arthur Lazarus, MD, MBA < /a > < /span > Tags: Physician Health IT Source Type: blogs
An unplanned conversation leads to a mentorship opportunity
Charlotte: I initially met Richard at a wedding. Standing near the much-desired sushi buffet, we quickly started talking about the broken infrastructure of the health care system. At the time, I was an exhausted intern in internal medicine, happy to have the right weekend off. I shared big dreams of one day creating a newRead more …An unplanned conversation leads to a mentorship opportunity originally appeared inKevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 18, 2022 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charlotte-grinberg-and-richard-dale" rel="tag" > Charlotte Grinberg, MD and Richard Dale < /a > < /span > Tags: Physician Practice Management Source Type: blogs
AristaMD Acquires Referral Management Solution, Preferral, to Increase Patient Access to Specialty Care
Latest investment to address the growing need to align patient access to timely specialty advice in the appropriate care setting. AristaMD, a leading digital health company that provides eConsult solutions to connect primary care providers (PCPs) with timely, documented specialist insights, announces the acquisition of Preferral, a platform for referral management, analytics and document routing. Combining virtual physician-to-specialist […] (Source: EMR and HIPAA)
Source: EMR and HIPAA - February 11, 2022 Category: Information Technology Authors: Healthcare IT News Tags: Healthcare IT AristaMD Brooke LeVasseur Cool Springs Internal Medicine & Pediatrics eConsult Jim Aylward Jon Gautsch Patient Referral Management Patrick Stearns Preferral SDOH Social Determinants of Health Source Type: blogs
Encouraging Signals from the Justice Department on Safe Consumption Sites
Jeffrey A. SingerThe Associated Pressreports the U.S. Department of Justice announced it is “evaluating supervised consumption sites, including discussions with state and local regulators about appropriate guardrails for such sites, as part of an overall approach to harm reduction and public safety.” This is welcome news.As I explained in a 2019Cato Policy Analysis, safe consumption sites (also called “safe injection sites” and “overdose prevention sites”) have established a track record of saving lives and preventing the spread of HIV, hepatitis, and other infectious diseases since the late 1980...
Source: Cato-at-liberty - February 8, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Enough with the Nazis already
You have no doubt heard about the Nazi rally in Orlando the other day, which Governor DeathSantis never got around to condemning until he was asked about it at a news conference. The protests have been met with disgust fromDemocrats andRepublicans alike. However, DeSantis did not publicly condemn the marchers until Monday during a press conference, and then largely to deflect blame on to his political opponents.“So what I’m going to say is these people, these Democrats who are trying to use this as some type of political issue to try to smear me as if I had something to do with that, we’re not playing their...
Source: Stayin' Alive - February 3, 2022 Category: American Health Source Type: blogs
Safe Consumption Sites Reduce The Stress on Hospitals and Emergency Departments
Jeffrey A. SingerI wrote previously about a secret safe consumption site that has been providing services in an undisclosed location since 2014. The harm reduction organization operating it has agreed to share its data with researchers providing the researchers keep the name and location of the site confidential. This is because the federal “Crack House Statute” makes safe consumption sites illegal in the U.S.The researchers published theirfirst report in 2017. They reported that in the site ’s first 2 years of operation there were 2,574 injections among more than 100 participants, most of whom were injecti...
Source: Cato-at-liberty - January 15, 2022 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
It Is Good To See There Is Some Evidence That Telehealth Works Well And Is Safe.
This appeared last week: January 3, 2022 Telemedicine as Good as In-Person for Many Health Conditions: Review Dennis Thompson MONDAY, Jan. 3, 2022 (HealthDay News) -- Chatting with your doctor via video about your health issues works just as well as an in-person office visit, at least when it comes to managing chronic illnesses, a new review suggests. Replacing office visits with video checkups delivered results that were just as effective for patients being treated for conditions like diabetes, respiratory illnesses, chronic pain, heart problems and neurological disorders, researchers reported recently in the Annals of In...
Source: Australian Health Information Technology - January 13, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Cloaked Suffering
by Lyle Fettig (@FettigLyle)The suffering in our hospital is cloaked by tinted windows and shiny new steel, a serene architectural specimen which betrays the internal chaos of each person who experiences illness behind each door.Even for people who work there, it is sometimes surreal to approach the building in its beauty with the dissonant knowledge of what can happen in all manner of disease in between the walls. It ’s the perfect place to hide the devastation of a pandemic.Were the death and agony in the streets for all to see, perhaps the choices that are obvious to you and me would be obvious to all. How could a per...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 3, 2022 Category: Palliative Care Tags: covid fettig Source Type: blogs
The Danger and Hypocrisy of Physician Censorship
In late July
2021, the Federation of State Medical Boards (FSMB), a non-profit self-selected
lobbying organization for US state medical boards, issued a press release
threatening suspension or revocation of medical licenses for physicians that
“generate and spread COVID-19 vaccine misinformation or disinformation.” The
American Board of Internal Medicine, American Board of Pediatrics, and (Source: Dr. Wes)
Source: Dr. Wes - December 6, 2021 Category: American Health Authors: DrWes Source Type: blogs
Transcript for Growing Trust in Patient-Physician Relationships
Below is a transcript of the following Academic Medicine Podcast episode:
Growing Trust in Patient-Physician RelationshipsNovember 1, 2021
Read more about this episode and listen here.
Toni Gallo:
Hi everyone, I’m Toni Gallo. I’m a staff editor with the journal. And my cohost for today’s episode is Dr. Colin West, one of Academic Medicine’s deputy editors. And we’ll be talking to Dr. Richard Baron about his article entitled, “A Trust Initiative in Health Care: Why and Why Now.” That article was published in the April 2019 issue of the journal, and it’s available to read for fre...
Source: Academic Medicine Blog - November 1, 2021 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast Transcript Audio COVID-19 doctor-patient relationship health care health disparities health equity patient centered care trust Source Type: blogs
Roger Chou ’s Undisclosed Conflicts of Interest: How the CDC’s 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie Judy“I ' m present. Uh … I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh … update.”- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, He...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs
Roger Chou s Undisclosed Conflicts of Interest: How the CDCs 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie JudyI ' m present. Uh I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh update.- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, Health Pro...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs
Recommendations From the Coalition for Physician Accountability ’s UME-to-GME Review Committee: Winners & Losers Edition
This article originally appeared on The Sheriff of Sodium here. (Source: The Health Care Blog)
Source: The Health Care Blog - September 17, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Education Medical Practice Bryan Carmody coalition for physician accountability Residency Source Type: blogs
As Doctor Burnout Climbs, Can We Save Primary Care?
By RONALD DIXON
Week after week, I hear from colleagues in diverse specialties about how exhausted they are from practicing medicine.
It’s no surprise that they are looking for careers outside of medicine. The demands and strain are unsustainable.
So it’s also no surprise that a recent survey showed 40% of primary care clinicians are worried that their field won’t exist in five years and that 21% expect to leave primary care in three years as a result of COVID-19-related burnout.
While COVID-19 is the tipping point, this burnout is the result of the relentless and mounting administrative burden ...
Source: The Health Care Blog - September 10, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Primary Care Burnout physician burnout Ronald Dixon Source Type: blogs
