The moment my passion for clinical care was reaffirmed
“Medicine Purple is now rounding at Room 202.” The announcement rang throughout the hallways on the lower pavilion. It was an announcement I had heard many times before, but this time it was quite different. As I glanced in the upper right-hand corner of the electronic medical record of my first patient, the following glared back at me in all capital letters: “ATTENDING: COOPER, JOSEPH DAVID.” I had imagined the transition from resident to attending would be quite easy. I was in for a shock.
The first month of my chief residency had been primarily administrative, and I found myself becoming more frustrated a...
Source: Kevin, M.D. - Medical Weblog - November 18, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/joseph-cooper" rel="tag" > Joseph Cooper, MD < /a > Tags: Education Residency Source Type: blogs
Online symptom checkers: You ’ ll still want to call a doctor when something ’ s wrong with you
Doctors make mistakes. I strongly believe in being open about this, and I have written about my own missed or delayed diagnoses on this and other blogs. But guess what? Research supports what I’ve long suspected: when it comes to making the correct diagnosis, doctors are waaaay better than computers.
A recent study compared the diagnostic accuracy of 234 physicians with 23 different computer programs. The authors gave mystery clinical cases of varying severity and difficulty to doctors, and ran the same cases through various online “symptom-checker” programs. The cases came from The Human Diagnosis Project, which...
Source: Harvard Health Blog - November 14, 2016 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Health Health care Managing your health care Source Type: blogs
Prescription For Patient Safety With Health IT: More Time With the Patient, and Less Distraction
By TOM LANG, MD
Recent government incentives have gone a long way toward bringing digitization to healthcare, with particular benefits seen in the PACS/ digital radiology areas and digitally archiving data for better access. A 2016 AMA survey (1) has shown that the biggest desires for physicians from digital health are increasing patient safety and improving work efficiency.
I would like to propose that the most important aspects of patient safety are as follows:
clinical workers (that is, doctors, nurses and other members of the caregiving team) need to maximize their time ‘at the bedside’
clinical worke...
Source: The Health Care Blog - November 7, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
What ’s New and In the Queue for Academic Medicine
Conclusions
Medical students’ narrative reflections are increasingly being used as a rich source of information about the lived experience of medical education. Our findings suggest that medical students understand the “good doctor” as a relational being, with an enduring emphasis on the doctor-patient relationship. Medical education would benefit from including an emphasis on the relational aspects of and ways of being in medicine. Future research should focus on relational learning as a pedagogical approach that may support the formation of caring, effective physicians embedded in a complex array of relationships w...
Source: Academic Medicine Blog - October 4, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview Affordable Care Act assessment Choosing Wisely entrustment good doctor narratives Project ECHO validity Source Type: blogs
Being ashamed to acquire knowledge is a tragedy
I began one of my medical oncology rotations alongside my co-resident: an MD/PhD, fast-track (pre-matched into fellowship) future oncologist. Among my three interns that rotation, two were “Harvard kids.” Needless to say, I was intimidated. My colleague and counterpart not only had the entire catalogue of genomic alterations at the tip of his tongue, he knew and understood their implications on disease. I saw my intern having a long conversation with a nurse at our patient’s door, and when I approached to see if there was anything I could do, I observed him giving a flawless lecture on the approach to an abnormal uri...
Source: Kevin, M.D. - Medical Weblog - September 28, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/jamie-riches" rel="tag" > Jamie Riches, DO < /a > Tags: Education Cancer Residency Source Type: blogs
Differences Between Pediatrics and Adults
I am making a comprehensive list of excuses perfectly good reasons for why I, a senior pediatric resident (fearless leader of interns! attending in the making! resident of the month x 3! winner of a multitude of teaching awards given by med students!) – make a terrible adult neurology intern.
1: Adults with normal potasasium.. need more potassium. In peds, we are pretty much cool with anything over 3.2, and super scared of any number that starts with 5.
So in adult medicine this year, it wasn’t until the 3rd time I got a sign-out of “His K was 3.6, so we repleted IV” and reacted incredulously an...
Source: Action Potential - September 16, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs
The battle against medical student and new-doctor burnout
As the audience of medical students decried the experiences that defined their academic lives, my cohort of middle-aged doctors started to squirm. We knew these stories: Doctors mistreating medical students, nurses, and other doctors; learning to cope with brutally long work hours; the struggle to grasp vague and ever-changing expectations while quickly bouncing from one clinical rotation to the next.
The four of us had eagerly agreed to participate on the student-organized panel designed to discuss effective strategies for avoiding burnout. Having gone to medical school in the 1990s, when these concerns were not openly di...
Source: Kevin, M.D. - Medical Weblog - September 10, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/damon-tweedy" rel="tag" > Damon Tweedy, MD < /a > Tags: Physician Psychiatry Source Type: blogs
LITFL Review 247
Welcome to the 247th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Simulationists, join Ben Symon’s Simulcast Journal Club discussion, reviewing recently published reporting guidelines for simulation research. [JS]
The Best of #FOAMed Emergency Medicine
Uterine inversion is rare and life-threatening, the per...
Source: Life in the Fast Lane - September 4, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Supporter of the Month: Nick Colinear
Our supporter of the month initiative is an opportunity to thank the special people who have shown incredible commitment to LIVESTRONG. It also serves as a chance to introduce LIVESTRONG staff, interns, clients and community to the powerful stories behind some of our biggest supporters.September Supporter of the Month: Nick ColinearBackground: Nick lives in Pittsburgh, Pennsylvania with his wife, Janine and their three children: Kenzie, Nic and Nolan. Nick became involved with LIVESTRONG in 2011, and recently became a part of our Sustaining Donor program in May of 2016. Our Sustaining Donor program allows people to give on...
Source: LIVESTRONG Blog - September 1, 2016 Category: Cancer & Oncology Authors: LIVESTRONG Staff Source Type: blogs
What ’s New and In the Queue for Academic Medicine
This article illustrates how health care utilization data, readily available from the National Center for Health Statistics (NCHS), can be incorporated into an educational needs assessment to identify medical problems physicians are likely to encounter in clinical practice. The NCHS survey data summarize patient demographics, diagnoses, and interventions for tens of thousands of patients seen in various settings, including emergency departments, clinics, and hospitals.
Selected data from the National Hospital Ambulatory Medical Care Survey: Emergency Department illustrate how instructional materials can be derived from the...
Source: Academic Medicine Blog - September 1, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview big data burnout curriculum development facial expressions resilience wellness Source Type: blogs
Worst day, or worst day ever?
So we have this new thing at Sunnydale: the nurses from the neurocritical care unit charge for both the NCCU and an overflow surgical/med-surg/ortho unit on a different floor.Right now we have our usual nine beds in NCCU and eleven beds on the other floor. (I ' ll call it " ortho, " because it ' s mostly post-op and pre-op orthopedic cases, but there are important exceptions, one detailed below.) Once the NCCU expands to include epilepsy patients and an epilepsy monitoring unit, we ' ll have a total of twenty-six rooms to charge: thirteen on each floor, with the possibility of two of those rooms on each floor being double-...
Source: Head Nurse - August 30, 2016 Category: Nursing Authors: Jo Source Type: blogs
Results from the 2016 Post-Libertarianism v. Conservatism Debate Survey
The Cato Institute and Heritage Foundation recentlyco-hosted a debate in which interns from both organizations debated whether conservatism or libertarianism is the better philosophy. At the conclusion of the debate, the Cato Institute conducted a post-debate survey of attendees finding important similarities between millennial conservative and libertarian attendees on skepticism toward government economic intervention and business regulation, but also striking differences in attitudes toward immigration, LGBT issues, national security, privacy, foreign policy, and perceptions of bias in the justice system.Full LvCDebate A...
Source: Cato-at-liberty - August 17, 2016 Category: American Health Authors: Emily Ekins Source Type: blogs
Tips for IM Attendings – Chapter 15 – Teaching the HPI
Students (and interns and residents) provide important insights into their skills and understanding with their oral presentation of the history of present illness (HPI). The history of present illness provides the key to diagnosis in a great majority of patients. A recitation of the history of present illness shows us how the learner has thought through the patient’s problem and their skill at asking the best followup questions.
Several years ago I heard this great description of the process of reporting the HPI. The first paragraph recounts the patient’s story in depth. This includes the patient’s chief comp...
Source: DB's Medical Rants - August 14, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
An Interview with Noted Pancreas Surgeon Dr. Charles J. Yeo
Recently, InsideSurgery had a chance to speak with Dr. Charles J. Yeo about his career as a top Whipple and pancreas surgeon and his ongoing role as a surgical leader and educator.
As the Samuel D. Gross Professor of Surgery and Chair of the Department of Surgery, you welcomed your second intern class to Thomas Jefferson University in Philadelphia, Pennsylvania last month. What one piece advice do you have for your new trainees?
One piece of advice….that’s tough! Several pieces of advice….enjoy the challenges and experiences of internship; read and increase your knowledge base outside of that 80 hours; ...
Source: Inside Surgery - August 12, 2016 Category: Surgery Authors: Editor Tags: Interviews Source Type: blogs
