This is what makes a good doctor
In the medical field, it is said that July, not April, is the cruelest month. It even has a name, the July Effect. In June, hospitals hum and smoothly operate after a year of working out the kinks. In July, they welcome, or dread, the arrival of new recruits: newly minted physicians and medical students, eager to prove themselves, yet raw and untrained. For me, as a senior resident, it is the best time, when the memories of my intern year meet a desire to teach and to mentor this fledgling group. During a teaching session where the interns are quick to flaunt their knowledge by reciting lists of medical facts, one medical ...
Source: Kevin, M.D. - Medical Weblog - August 2, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/isaac-s-chan" rel="tag" > Isaac S. Chan, MD, PhD < /a > Tags: Physician Cancer Source Type: blogs
Giving Time. Making a Difference.
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.August Supporter of the Month: Lois BanningLois is one of LIVESTRONG’s hardest workingvolunteers. She has been with us since 2009 and her work continues to improve the lives of those we serve. Lois was first introduced to LIVESTRONG through the work of her daughter-in-law, Helen Knost, the Foundation ’s Director of Donor Relations.LS: H...
Source: LIVESTRONG Blog - July 31, 2016 Category: Cancer & Oncology Authors: LIVESTRONG Staff Source Type: blogs
LITFL Review 241
Welcome to the 241st 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
Rob Mac Sweeney’s Critical Care Reviews will showcase upcoming trials of interest in critical care. Its inaugural podcast is on Paul Young and the ICU-ROX trial. [SO]
The Best of #FOAMed Emergency Medicine
The Core EM Podcast reviews t...
Source: Life in the Fast Lane - July 24, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
Tips for IM Attendings – Chapter 10 – Repetition
As a resident, I prepared a number of “chalk talks”. They were (at least in my mind) brilliant. I wowed the students and interns. But I never checked to see if they learned the topic.
As attending physicians our goal should involve learners’ learning the material, which differs from “brilliant teaching”. How do we induce learning?
Repetition helps learners absorb the material. As an educator it may seem boring or a waste of time to focus on repetition. But we teach not to look smart, but rather to transfer understanding. A brief anecdote may help.
Several years ago the house staff presented a patient at morning r...
Source: DB's Medical Rants - July 21, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Tips for IM Attendings – Chapter 10 – Repetition
As a resident, I prepared a number of “chalk talks”. They were (at least in my mind) brilliant. I wowed the students and interns. But I never checked to see if they learned the topic.
As attending physicians our goal should involve learners’ learning the material, which differs from “brilliant teaching”. How do we induce learning?
Repetition helps learners absorb the material. As an educator it may seem boring or a waste of time to focus on repetition. But we teach not to look smart, but rather to transfer understanding. A brief anecdote may help.
Several years ago the house staff presented a patient at morning r...
Source: DB's Medical Rants - July 21, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Tips for IM Attendings – Chapter 9 – Teach the basics
The best attending physicians understand that their learners need to master the basics. Some attending physicians begin their careers believing that they must sparkle with esoteric and arcane knowledge. Our experience suggests that we must stress the basics.
Good clinical care and good diagnostic skill require that we own the basics. We err if we assume that students, interns or even residents know all the basics.
Learning medicine takes time. It takes repetition.
As you start working with your team, ask them basic questions. You will be amazed at what they do not know.
So you should own the basics and make certain that ev...
Source: DB's Medical Rants - July 20, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Tips for IM Attendings – Chapter 9 – Teach the basics
The best attending physicians understand that their learners need to master the basics. Some attending physicians begin their careers believing that they must sparkle with esoteric and arcane knowledge. Our experience suggests that we must stress the basics.
Good clinical care and good diagnostic skill require that we own the basics. We err if we assume that students, interns or even residents know all the basics.
Learning medicine takes time. It takes repetition.
As you start working with your team, ask them basic questions. You will be amazed at what they do not know.
So you should own the basics and make certain that ev...
Source: DB's Medical Rants - July 20, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
When interns fight an enemy they didn’t choose, over a cause they don’t fully understand
I glanced at my watch before responding to the pager. It was almost 2 a.m., with the end of my 24-hour call as the in-house surgery resident still dangerously far away. The page was for a new consult from the medical service, on a patient with necrotizing pancreatitis. Apparently, she had been in the hospital for over a month, in and out of the ICU with multiple drain placements, and had finally started to improve in the last week. Tonight, though, she suddenly developed new left-sided abdominal pain and tachycardia. The medical intern covering her overnight was calling for backup. I could hear the fear in her voice as she...
Source: Kevin, M.D. - Medical Weblog - July 11, 2016 Category: Journals (General) Authors: Laura Mazer, MD Tags: Physician Primary care Surgery Source Type: blogs
Tips for IM attendings – Chapter 4 – The managerial domain
Most newly minted ward attending physicians seem to worry about their knowledge and clinical expertise. They often believe that they have good information to teach. But do they think about the importance of the managerial function?
In our study learners rated these statements most highly as part of the managerial domain:
1. Conduct rounds in an organized, efficient, & timely fashion (17)
2. Having a consistent, coherent plan of care (10)
3. Address appropriate discharge plans for & with each patient (26)
4. Allow time on rounds for residents to meet other responsibilities (21)
For the newly minted ward attending...
Source: DB's Medical Rants - July 6, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Tips for IM attendings – Chapter 4 – The managerial domain
Most newly minted ward attending physicians seem to worry about their knowledge and clinical expertise. They often believe that they have good information to teach. But do they think about the importance of the managerial function?
In our study learners rated these statements most highly as part of the managerial domain:
1. Conduct rounds in an organized, efficient, & timely fashion (17)
2. Having a consistent, coherent plan of care (10)
3. Address appropriate discharge plans for & with each patient (26)
4. Allow time on rounds for residents to meet other responsibilities (21)
For the newly minted ward attending...
Source: DB's Medical Rants - July 6, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Tips for IM ward attendings – Chapter One – servant leadership
The best attending physicians, at least in my opinion, embody servant leadership. Unfortunately, we all have had attending physicians do not understand or live this philosophy.
A servant-leader focuses primarily on the growth and well-being of people and the communities to which they belong. While traditional leadership generally involves the accumulation and exercise of power by one at the “top of the pyramid,” servant leadership is different. The servant-leader shares power, puts the needs of others first and helps people develop and perform as highly as possible.
While the concept seems simple, the execution req...
Source: DB's Medical Rants - July 2, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Making Our Mission Possible: CJ Walsh
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.
July Supporter of the Month: CJ Walsh
Background: CJ is from Philadelphia, Pennsylvania. CJ got involved with LIVESTRONG when he started Team I Hate Cancer with his brother, Michael Walsh, to honor friends and family members they lost to cancer. Since, they’ve grown their involvement with LIVESTRONG because of the incredibl...
Source: LIVESTRONG Blog - June 30, 2016 Category: Cancer & Oncology Authors: LIVESTRONG Staff Source Type: blogs
On June 30th, I hope we remember the intern within us
Much is made of the date July 1st in the medical profession. Freshly graduated physicians begin their training career in medicine as interns. Although technically physicians, these interns are new to the clinical practice of medicine and all that comes with that. Much has been made of the experience of the new intern. Samuel Shem’s House of God is a renowned novel about medical training. Countless television series, chronicle the experience of newly minted physicians. It is common knowledge that July first is a huge date in one’s medical career.
However, there is a date in one’s career that is overloo...
Source: Kevin, M.D. - Medical Weblog - June 30, 2016 Category: Journals (General) Authors: Fatima Z. Syed, MD Tags: Education Medical school Residency Source Type: blogs
How Tylenol may relieve both physical and emotional pain
Last week, when I stubbed my toe on our family room coffee table, a throbbing pain ensued. Over the next two to three days, as the bruise turned pink and then purple, the pain persisted.
During the same time, I had a case of the blues. I am overstressed at work with several staff on vacation, my college-age children had come home and then left to start their internships, and my father’s asthma was out of control.
When the toe pain became unbearable, I took a Tylenol or acetaminophen. Within hours, the pain subsided. But the funny thing was I also felt better overall, not just less physical pain.
Continue reading ...
You...
Source: Kevin, M.D. - Medical Weblog - June 26, 2016 Category: Journals (General) Authors: Manoj Jain, MD, MPH Tags: Meds Medications Source Type: blogs
Dropping Out is NOT the Answer
I like Dr. Pamela Wible. I think she’s doing fantastic work bringing attention to the tragedy of physician and medical student suicide. We also have similar practice styles (solo, unhurried visits, total communication) although hers is a subscription practice and I still make do with insurance. Also, she’s monetized it with the title Ideal Micropractice, an organization which costs $250 a year to join. After 26+ years, I’m pretty comfortable with my version, which is ideal for me, and can’t see paying for the privilege of sharing what I’ve learned. (I just offer it for free to anyone who asks....
Source: Musings of a Dinosaur - June 8, 2016 Category: Primary Care Authors: notdeaddinosaur Tags: Medical Source Type: blogs
