Tips for IM attendings – Chapter 21 – make rounds a conversation
Recently I observed rounds someone else’s rounds. During those rounds, interns or students reported to the attending physician who took notes. Interaction was minimal, and other members of the team totally ignored the interactions.
This week I realized that our rounds were conversations. We take cues from each other, and use these cues to improve understanding. We involved the entire team in decision making and learning. I teach some things, but the resident and intern also do some teaching. Everyone on the team understands what our plan is for each patient.
The secret is an ongoing conversation. Studen...
Source: DB's Medical Rants - January 20, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
5 Effective Tips to Get the Job You Want Without Experience
You're reading 5 Effective Tips to Get the Job You Want Without Experience, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles.
You might think that because you don’t have any experience in a field, the jobs there are out of reach. You’ll be glad to hear that’s not necessarily the case. As plenty of fresh graduates discover every year, there are ways around the no experience barrier. You just have to learn how to play your cards right (and learn what cards to play, of course).
Here we’re going to cover some of the be...
Source: PickTheBrain | Motivation and Self Improvement - January 18, 2018 Category: Consumer Health News Authors: dianadeville Tags: career motivation productivity tips success career advice career success experience how to be successful how to get a job Source Type: blogs
The Price of Progress
By ANISH KOKA, MD
No one knows who Bennie Solis is anymore.
He had the misfortune of being born in the early 1960s marked for death. He had a rare peculiar condition called biliary atresia – a disease defined by the absence of a conduit for bile to travel from his liver to his intestinal tract. Bile acid produced in the liver normally travels to the intestines much like water from a spring travels via ever larger channels to eventually empty into the ocean. Bile produced in the liver with no where to go dams up in the liver and starts to destroy it.
That the liver is a hardy organ was a fact known to the ancient Gree...
Source: The Health Care Blog - January 4, 2018 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Source Type: blogs
I'll retire to bedlam
The minus signs in the above might confuse you so let me make this clear -- a negative number means you pay less in taxes, a positive number means youpay more --except for the poor, for whom the calculus also accounts for reduced federal subsidies for health care. The Cut Cut Cut! act also adds $1.4 trillion to the deficit over the next ten years. So if you make less than $75,000 a year, the Republicans -- the party of small government and fiscal responsibility -- want toraise your taxes to partially pay for a massive tax cut for rich people.Why do they want to do this? They claim that it will boost economic growth and wag...
Source: Stayin' Alive - November 27, 2017 Category: American Health Source Type: blogs
Is physician shadowing immoral?
Countless times as a patient both at Memorial Sloan Kettering and Weill Cornell in New York City, I have witnessed doctors arrogantly waltzing into an examination room and arriving not alone but with an entourage. Like Greeks bearing gifts, they arrived with something unwanted and threatening: medical students, interns, residents, and fellows. And not once, in all the many times that I have been subjected to this ignominious practice, was my consent ever obtained prior to the doctor’s arrival.
Some would argue that this practice is perfectly acceptable provided high school students and college students are not doing the ...
Source: Kevin, M.D. - Medical Weblog - November 6, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/david-penner" rel="tag" > David Penner < /a > Tags: Patient Hospital-Based Medicine Patients Primary Care Source Type: blogs
12 Cases of Use of 3- and 4-variable formulas to differentiate normal STE from subtle LAD occlusion
Here are 12 Cases using the 3- and 4-variable formulas, which help to distinguish normal ST elevation in leads V2-V4 from that of subtle LAD occlusion.Instructions for using free subtleSTEMI iPhone app for the 3-variable formula. 4-variable version still to come.Here is a video lecture of subtle LAD occlusion: One hour lecture on Subtle ECG Findings of Coronary OcclusionThe 3-variable formula comes from this paper:Smith SW et al. Electrocardiographic Differentiation of Early Repolarization FromSubtle Anterior ST-Segment Elevation Myocardial Infarction. Annals of Emergency Medicine 2012;60:45-56....
Source: Dr. Smith's ECG Blog - November 3, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs
Physicians die from a death by a thousand messages
There are a couple of times a year when there are no house staff to be found anywhere in the hospital or the outpatient practices. These include the holiday and end-of-year parties, resident retreats, and the annual house staff picnic.
The house staff picnic is a particular favorite among the interns and residents, a full day away from the hospital, dressed like civilians, fun in the sun, barbecue, softball with their colleagues, and an extra day off work.
In our practice, what happens on those days is that those of us left behind, who were scheduled originally to supervise residents, end up handling all of the phone calls...
Source: Kevin, M.D. - Medical Weblog - October 31, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Practice Management Primary Care Source Type: blogs
Population Health & the Missing Specialist
By VIKRAM REDDY, MD
I attended a Population Health conference this summer where a number of representatives from large health systems and physician organizations convened to discuss common challenges. Many of my healthcare colleagues assume that anything that carries the label “Population Health” must relate to health disparities and food deserts. While we do address these topics, the vast majority of sessions and conversations had one underlying theme: lowering the total cost of care.
In rebuttal to any charges that our group is far too corporate to be considered a fair example of Population Health advocates, even the...
Source: The Health Care Blog - October 28, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized ACO Medicare Population Health Source Type: blogs
To Achieve Its Goals, Population Health Needs More Specialists
By VIKRAM REDDY, MD
I attended a Population Health conference this summer where a number of representatives from large health systems and physician organizations convened to discuss common challenges. Many of my healthcare colleagues assume that anything that carries the label “Population Health” must relate to health disparities and food deserts. While we do address these topics, the vast majority of sessions and conversations had one underlying theme: lowering the total cost of care.
In rebuttal to any charges that our group is far too corporate to be considered a fair example of Population Health advocates, even the...
Source: The Health Care Blog - October 28, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized ACO Medicare Population Health Source Type: blogs
A question to ask physicians: How much is tough enough?
“You folks have it easy.”
As a resident, it is not uncommon to hear these words on the wards from older physicians.
After all, this new generation is spoiled, one could say.
At the time when I trained, we had hour limitations and “caps” on the number of cases we could handle as interns on our shifts. Now, that seems to have reversed.
Second year was tougher in a sense that there were almost no limitations on workload. I remember pushing through exhaustion quite frequently.
Continue reading ...
Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how....
Source: Kevin, M.D. - Medical Weblog - October 10, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/drizzlemd" rel="tag" > DrizzleMD < /a > Tags: Education Critical Care Hospital-Based Medicine Medical school Psychiatry Source Type: blogs
It Really Is Very Hard To Change Human Nature It Seems. Relevant To All State Health Systems With Hospital EHRs As Well As Many Practices!
This appeared last week:73 Percent of Medical Professionals Share Passwords for EHR AccessA vast majority of surveyed medical professionals and students report having used another staff member ’s password for EHR access.By Kate MonicaSeptember 26, 2017 - A recent study examined the prevalence of password sharing among healthcare providers and found nearly three-quarters of surveyed medical professionals have used another staff member ’s password to obtain EHR access at work.The study by Hassidim et al. was published in Healthcare Informatics Research and assessed survey responses from 299 healthcare professionals ...
Source: Australian Health Information Technology - October 1, 2017 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
A 50-something with chest pain and minimal precordial ST elevation
A 50-something with diabetes presented with 3 hours of sharp chest pain radiating to the left hand, with dyspnea and diaphoresis; it was worse with exertion and with lying flat.He had this second ECG, which was texted to me and I looked at it on my iPhone. At the time of this ECG, the patient had received NTG and the pain was decreasing.ECG-1:There is 1 mm of ST elevation at the J-point in both V2 and V3 (within normal limits).Computer interpretation is normalCardiologist overread is normalWhat do you think?More description: There is also poor R wave progression, with small R waves in V4. The T waves are sli...
Source: Dr. Smith's ECG Blog - September 26, 2017 Category: Cardiology Authors: Steve Smith Source Type: blogs
Happy Birthday, BioBeat
This month, our blog that highlights NIGMS-funded research turns four years old! For each candle, we thought we’d illuminate an aspect of the blog to offer you, our reader, an insider’s view.
Who are we?
Over the years, the editorial team has included onsite science writers, office interns, staff scientists and guest authors from universities. Kathryn, who’s a regular contributor, writes entirely from her home office. Chris, who has a Ph.D. in neuroscience and now manages the blog, used to do research in a lab. Alisa has worked in NIGMS’ Bethesda-based office the longest: 22 years! She and I remember when we first ...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - August 25, 2017 Category: Research Authors: Emily Carlson Tags: Being a Scientist Cell Biology Chemistry and Biochemistry Computers in Biology Cool Images Field Focus Genetics Pharmacology Physical Trauma and Sepsis Profiles Scientist Profiles Structural Biology Source Type: blogs
Results from the 2017 Libertarianism vs. Conservatism Post-Debate Attendee Survey
As part of a yearly tradition, the Cato Institute and Heritage Foundation co-host a debate in which interns of both think tanks debate whether conservatism or libertarianism is a better ideology. Following this year ’s debate, the Cato Institute conducted a post-debate survey of attendees to ask who they thought won the debate and what they believe about a variety of public policy and social issues.The survey finds that millennial conservative and libertarian attendees agree on matters of free speech and religious liberty, the size and scope of government, regulation, health care and what to do about climate change. Howe...
Source: Cato-at-liberty - August 25, 2017 Category: American Health Authors: Emily Ekins Source Type: blogs
Stop the abuse of hierarchy with these 5 tips
When I was a medical student, trying to forge my path on the clinical wards as a third year, there was a lot to turn me off the idea of a career in medicine entirely — sleep deprivation, early mornings, late nights, standing for hours on rounds, subsisting on diets of hospital graham crackers and off-brand peanut butter. However, what frosted me the most was constantly playing 6 degrees of separation from the attending.
As a student, you reported to the intern who reported to the junior resident who reported to the senior resident who reported to the fellow who then discussed with the attending. After all that work, ...
Source: Kevin, M.D. - Medical Weblog - August 20, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/amy-ho" rel="tag" > Amy Ho, MD < /a > Tags: Physician Emergency Medicine Neurology Surgery Source Type: blogs
