Our Spring 2016 Interns!
Jenelle Bloom Hello there! Born and raised in the California bay area, I am a homebody at heart; I mean that in every sense of the word - my heart will always be in San Francisco. Moving to DC in the Fall 2014 to attend Gallaudet University I am a declared HUG Communication Studies major.
read more (Source: National Association of the Deaf blogs)
Source: National Association of the Deaf blogs - June 2, 2016 Category: Audiology Authors: admin Source Type: blogs
I will make a concerted effort every day to do my job with love
Since beginning my medical education, I had been on one side of the curtain; the side where the doctors confer and discuss before telling the patient his or her fate, going from room to room giving updates and prognoses. I interacted with patients for the purpose of getting their histories and physical examinations, collecting all the data so that I could present the case to my attending. I was engrossed in learning medicine, and in the challenge of being the best I could be at my job.
The day I walked into the CCU, I was about to start my last rotation of medical school. I had matched into residency and was eager to gra...
Source: Kevin, M.D. - Medical Weblog - May 27, 2016 Category: Journals (General) Authors: Angelina Somoracki, DO Tags: Physician Heart Intensive care Source Type: blogs
Tip for those getting ready to start internship – focus on poopology
You read that right. Hospitalized patients often develop constipation. Almost every day on rounds, patients complain about their lack of movement. The best interns have a systematic approach towards helping these patients.
The word poop has increased in usage since this century started. I cannot recall when it became popular, but I do know that patients do not find poop jokes vulgar or inappropriate.
I often use the term poopology (probably not a real word, but perhaps it should be), and patients instantly understand and smile.
So if you are an impending intern, learn about laxatives, and develop a systematic appr...
Source: DB's Medical Rants - May 17, 2016 Category: Internal Medicine Authors: rcentor Tags: Attending Rounds Source Type: blogs
The Tangled Hospital-Physician Relationship
By GOLDSMITH, KAUFMAN and BURNS
Together, hospital and physician services account for more than half of national health spending. In its 2014 National Health Expenditures estimates, the Centers for Medicare and Medicaid Services’ actuaries make the hospital (nearly $1 trillion) and physician practice (nearly $600 billion) sectors appear to be independent and non-overlapping. This is an optical illusion. Hospitals and physicians are, in day-to-day practice, hopelessly intertwined.
And while power appears to be shifting from physicians to hospitals with the increasing salaried employment of physicians, appearances can be d...
Source: The Health Care Blog - May 12, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
The Tangled Hospital-Physician Relationship
Together, hospital and physician services account for more than half of national health spending. In its 2014 National Health Expenditures estimates, the Centers for Medicare and Medicaid Services’ actuaries make the hospital (nearly $1 trillion) and physician practice (nearly $600 billion) sectors appear to be independent and non-overlapping. This is an optical illusion. Hospitals and physicians are, in day-to-day practice, hopelessly intertwined.
And while power appears to be shifting from physicians to hospitals with the increasing salaried employment of physicians, appearances can be deceiving. This post discusses th...
Source: Health Affairs Blog - May 9, 2016 Category: Health Management Authors: Jeff Goldsmith, Nathan Kaufman and Lawton Burns Tags: Costs and Spending Featured Health Professionals Hospitals Medicare Payment Policy Population Health Quality ACOs Bundled Payments EMTALA MACRA Medicare Part B Physicians Source Type: blogs
What’s New and In the Queue for Academic Medicine
Conclusions
The authors provided initial evidence for the reliability and validity of a measure of moral courage for physicians. The MCSP may help researchers and educators to tangibly measure physician moral courage as a concept, and track progress on a set of desired behaviors in response to curricular interventions. (Source: Academic Medicine Blog)
Source: Academic Medicine Blog - May 3, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview behavioral sciences competencies global health moral courage patient-centered social medicine social science time pressure Source Type: blogs
How duty hour restrictions are hurting residency training
As I get near the completion of an intense 5-year orthopedic surgery residency program, I had an interesting interaction with our hospitals sub-committee specifically tasked to address duty hour and resident fatigue issues.
As they gave examples from other departments about changes made to their programs regarding duty hours, a clear-as-mud connection was continually made. They spoke of “improvements” made as the result of residents stepping up to serve as whistleblowers in identifying duty hour violations within various programs. I quickly chimed in to get clarification. They were assuming that increasing compliance w...
Source: Kevin, M.D. - Medical Weblog - April 10, 2016 Category: Journals (General) Authors: Anonymous Tags: Education Orthopedics Residency Source Type: blogs
Women surgeons can do it all
“Beautiful girl, you can do hard things.”
I saw that quote on my favorite Facebook group recently, called Physician Moms Group (or PMG). This is a group of women who, like all of us, are just trying to “do” life every day. Because of our integrity and intellect, we are trying to do it better than anyone else. I think that’s from a Type A personality, combined with leadership and wanting to be perfect at absolutely everything. Make sure the kids are happy, our finances are in order, our trip to Disney World is fun, the house is clean, the co-workers aren’t mad we’re on maternity leave, ensure we ...
Source: Kevin, M.D. - Medical Weblog - April 9, 2016 Category: Journals (General) Authors: Brittany Bankhead-Kendall, MD Tags: Physician Surgery Source Type: blogs
Should Low-Skill Workers Eat Cake?
Yesterday, the governors of California and New York signed legislation to raise their states’ minimum wage over the next few years to $15 an hour throughout California and for much of New York. Similar proposals are percolating in other state and local governments, and Democratic presidential candidate Bernie Sanders has called for a national minimum wage of $15/hour.
Predictably, critics of raising the minimum wage are arguing that the higher wage floor will hurt employment for low-skill workers, the very people the wage floor is intended to help. A worker will be employed only if the value of his output is greater than...
Source: Cato-at-liberty - April 5, 2016 Category: American Health Authors: Thomas A. Firey Source Type: blogs
What is wrong with medical students today?
This question has been circulating in the academic medical world for years. As an intern and resident, I would hear complaints about how “unready” they seemed. The grievances often include adjectives like ill-prepared, lazy, or uninterested. The complaints have burgeoned over time, and the examples are numerous in my institution: Students show up late to rounds with coffee in their hands; one med student had the gall to go directly to the attending and request early dismissal because he “had nothing to do.” The problem seems to permeate all schools. Beyond the effects of this behavior on s...
Source: Kevin, M.D. - Medical Weblog - March 28, 2016 Category: Journals (General) Authors: Ahmad Yousaf, MD Tags: Education Medical school Source Type: blogs
The importance of a positive culture
This year marks 33 years of administrative positions in academic medicine. When I first started, I suspect I made many major mistakes. I learned through the time tested school of hard knocks. As I reflect on my own career, and those whom I have observed, I have come to believe the famous saying, “Culture eats strategy for breakfast“.
Look at ward attending physicians. The same attendings have “good teams” every time they attend. Their teams get the work done and thrive. The learners learn and progress. The same IM attendings have a greater percentage of students choose internal medicin...
Source: DB's Medical Rants - March 22, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Why this primary care doctor retired early
When I was growing up in the ‘50s and ‘60s, virtually every primary care doctor (pediatrician, internist, GP-there were no FPs) I knew of had his office (women in practice were rare) located in a wing of his home, with the driveway enlarged to accommodate patients. A new physician in practice would simply hang his name on a shingle in front of the house. These doctors were paid in cash, made house calls, and were not quick to refer to specialists.
Emergency rooms were not usually staffed by physicians, although one would likely be on call for each specialty. If you cut your hand, you went to your doctor’s o...
Source: Kevin, M.D. - Medical Weblog - March 22, 2016 Category: Journals (General) Authors: Eugene Rosenberg, MD Tags: Physician Primary care Source Type: blogs
A story of how one physician overcame burnout. He is not alone.
Donald Ross (an obvious pseudonym) has practiced in a medium sized town for around 20 years. I count him as a protege as we worked together during his residency. As a clinician educator, we work with many interns and residents, and sometimes we develop lifelong relationships. Donald Ross and I share a love of golf, ACC basketball (although we root for rival teams), and internal medicine. We periodically communicate through Facebook.
Recently, he posted on Facebook that he was leaving his current group practice to start a retainer practice. I have visited him as a guest lecturer in the past, and we either talk or ...
Source: Kevin, M.D. - Medical Weblog - February 26, 2016 Category: Journals (General) Authors: Robert Centor, MD Tags: Physician Primary care Source Type: blogs
One physician’s journey to direct primary care – a burnout tale
Donald Ross (an obvious pseudonym) has practiced in a medium sized town for around 20 years. I count him as a protege as we worked together during his residency. As a clinician educator, we work with many interns and residents and sometimes we develop lifelong relationships. Donald Ross and I share a love of golf, ACC basketball (although we root for rival teams), and internal medicine. We periodically communicate through Facebook.
Recently, he posted on Facebook that he was leaving his current group practice to start a retainer practice. I have visited him as a guest lecturer in the past, and we either talk or e...
Source: DB's Medical Rants - February 5, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
LITFL Review 215
Discussions. [SR]
In the UK, junior doctors (equivalent of interns/residents) have just staged a walkout due to unfair working conditions. Dr Helgi (@traumagasdoc) sums up some of the issues for anaesthetist/critical care trainees in this blog post. [SO]
The Best of #FOAMed Emergency Medicine
Fantastic podcast on UK Trauma Units from the St Emlyns Team and Tim Coates. [SL]
Cliff Reid discusses prehospital dogma focusing on our resuscitation approach to crush injuries. [AS]
The Best of #FOAMcc Critical Care
Another great SMACC podcast as Manoj Saxena discusses temperature control in TBI. [SO]
The Best of #FOAMtox Toxic...
Source: Life in the Fast Lane - January 17, 2016 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
