New Year, New Professional Goals to Attain
During my early years as an SLP, I remember the countless hours I put into making materials and taking continuing-education (CE) courses. Years later, I found myself more confident and ready to pull out a student lesson plan at any time thanks to experience. I still received the CEs I needed, but was I growing the way I wanted to as a professional?
When I reflect back on that time, the moments that helped me grow the most professionally were experiences I created for myself. When I saw all the SLPs struggling in a school setting—including myself—trying to balance caseloads, testing, planning and meetings, I kne...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - January 14, 2016 Category: Speech Therapy Authors: Annick Tumolo Tags: Speech-Language Pathology Professional Development Schools Source Type: blogs
How Managerialists Turned Housestaff Training into a Zero-Sum Game: the Continuing Saga of the FIRST and iCompare Studies
Conclusion: the Problem is Managerialism While the ongoing trials of housestaff sleep deprivation have been largely anechoic, the recent Washington Post commentary by Clark and Harari make questions about why in the world medical academics would have set up such trials and continue to defend them even more stark.But it seems that medical academics are boxed in, playing a zero-sum game. They may know that there housestaff are overworked and sleep deprived, a situation that endangers the housestaff and their patients. Yet every reasonable way one could imagined improving the situation would require s...
Source: Health Care Renewal - December 22, 2015 Category: Health Management Tags: academic medical centers amphetamines clinical trials generic managers managerialism medical ethics post-graduate medical education resident sleep deprivation Source Type: blogs
On becoming a better educator
Readers are slowly learning about my admiration for the Farnam Street Blog. The “about” page describes the blog in this way:
My goal is to help you go to bed each night smarter than when you woke up. I’ll do this by giving you tools, ideas, and frameworks for thinking.
I’m not smart enough to figure all of this out myself. I try to master the best of what other people have already figured out. Sounds simple, doesn’t it?
The best way to do this is to read a lot. And so I make friends with the eminent dead.
Along the way I write about what I’m learning. I’d encourage you to look around and decide for ...
Source: DB's Medical Rants - December 17, 2015 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Humility is key for physician educators
Clinician educators have the opportunity and responsibility to influence students, interns and residents. While we can have some hubris in our education skills, we must always demonstrate humility in our patient care role modeling.
Dr. Orhan Muren, one of my early role models, often told us to never be “cocky” when taking care of patients. As I recall his admonition, I realize that he was urging us to have true humility.
But what does humility really mean? John Ruskin once wrote:
The first test of a truly great man is his humility. By humility, I don’t mean doubt of his powers or hesitation in speaking his opin...
Source: Kevin, M.D. - Medical Weblog - December 16, 2015 Category: Journals (General) Authors: Robert Centor, MD Tags: Physician Medical school Source Type: blogs
“Some of our Teva interns working hard during #hourofcode....
"Some of our Teva interns working hard during #hourofcode. We have many outreach and education programs, managed by @cepidirector_at_mutter. This includes out of school time programs for Philadelphia high school students, Out4STEM for #lgbtq youth, Mütter lessons and more. Want to learn more? Visit muttermuseum.org/education! #stem #medical #science #cepi #muttermuseum #philadelphia #education #outreach" By muttermuseum on Instagram. Posted on infosnack. (Source: Kidney Notes)
Source: Kidney Notes - December 15, 2015 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
"Pimping": Not About Sex-- About Medical Education"
The objective of pimping is to teach, motivate, and involve the learner in clinical rounds while maintaining a dominant hierarchy and cultivating humility by ridding the learner of egotism."So what we must decide is whether this "pimping" is an effective and benign form of Socratic teaching or in most cases really a form of medical student "mistreatment"To learn more about "pimping" in medical education, read this outline of the practice in eTalk.The cartoon also brings up another issue as to whether "pimping" medical students, interns and medical residents not only may intimidate and emotionally "harm" them but could...
Source: Bioethics Discussion Blog - December 14, 2015 Category: Medical Ethics Source Type: blogs
" Pimping " : Not About Sex-- About Medical Education "
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Source: Bioethics Discussion Blog - December 14, 2015 Category: Medical Ethics Source Type: blogs
Drinking the Managerialists' Kool-Aid? - Why Did Medical Educators Launch Trials of Increased Sleep Deprivation of Physician Trainees Apparently in Violation of the Nuremberg Code?
It all seemed so bizarre. In 2014, with little fanfare, two large trials that imposed longer work hours and sleep deprivation on physician-trainees (interns and residents), ostensibly to combat the problem of excess hand-offs of patients among physicians. Both trials involved multiple academic medical centers, including some of the most prestigious in the US. Within a year, the American Medical Student Association (AMSA) and Public Citizen called for a federal investigation of the trials, calling them "highly unethical."This unprecented conflict between prestigious academic medical institutions and the la...
Source: Health Care Renewal - December 3, 2015 Category: Health Management Tags: clinical trials informed consent logical fallacies managerialism medical ethics nuremberg code resident sleep deprivation Source Type: blogs
Hubris – the enemy of high quality teaching and care
Hubris – excessive pride or self-confidence – unfortunately infects many who have success. We run the risk of believing all the nice things people say about us. Some start believe their own invincibility. This risk affects politicians, entertainers, athletes and physicians (among many others).
We have a responsibility to avoid hubris. We must continue to second guess ourselves and encourage our learners and even our patients to second guess us. We must remain open to the suggestions of others.
It seems difficult, because too often we see hubris in medicine. We must train our students, interns and r...
Source: DB's Medical Rants - December 1, 2015 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Humility – a key virtue for clinician educators
Clinician educators have the opportunity and responsibility to influence students, interns and residents. While we can have some hubris in our education skills, we must always demonstrate humility in our patient care role modeling.
Dr. Orhan Muren, one of my early role models, often told us to never be “cocky” when taking care of patients. As I recall his admonition, I realize that he was urging us to have true humility.
But what does humility really mean. John Ruskin once wrote:
The first test of a truly great man is his humility. By humility I don’t mean doubt of his powers or hesitation in speaki...
Source: DB's Medical Rants - December 1, 2015 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Elizabeth Blackwell
We read the excellent Judy Moody books to son #1, and now we have started reading the first one in the series to son #2. I can't remember how we first came across the books, but if you are not familiar with them, you can find out more about Judy and the books on her website.You may by now be wondering what Judy has to do with the title of this post. Well, Judy knows about Elizabeth Blackwell, first woman doctor, and wants to be a doctor too. Elizabeth Blackwell was the first woman to be awarded an MD degree in the United States, in 1849. She supported medical education for women, and wrote books abo...
Source: Browsing - November 13, 2015 Category: Databases & Libraries Tags: medical education women in science Source Type: blogs
Presentation and consulting – what is the first sentence?
Today I spoke at the Canadian Rocky Mountain ACP chapters meeting. As usual I spoke on clinical reasoning. A colleague asked me about how learners should start their presentations. The questioner complained about hearing a long PMH prior to knowing the chief complaint.
I almost salivated at the question. This question frames one of my pet peeves.
When did the presentation initiation switch from the chief complain to the PMH? Who made this decision? Why do I care so passionately?
We should use context to interpret the history, physical and tests. The PMH represents a part of the history, but not necessarily th...
Source: DB's Medical Rants - November 13, 2015 Category: Internal Medicine Authors: rcentor Tags: Attending Rounds Source Type: blogs
The geriatrician shortage: The problem isn’t what you think
I’ve read several articles recently reporting on a shortage of geriatricians. The writers have some clear misunderstandings of who actually cares for our elderly and where they come from.
Susan Jaffe writing for Kaiser Health News stated that the American Geriatrics Society (AGS) estimates that the nation will require 30,000 geriatricians by 2030 to serve our aging population. This is probably true, what the AGS believes. She goes on to write, “To meet the needs, the society estimates medical schools would have to train at least 1,500 geriatricians annually …”
Marcy Cottrell Houle writing for the New York Times al...
Source: Kevin, M.D. - Medical Weblog - November 6, 2015 Category: Journals (General) Authors: Richard Young, MD Tags: Physician Geriatrics Source Type: blogs
“Today at @woodlandsphila our Center for Education and...
"Today at @woodlandsphila our Center for Education and Public Initiatives (@cepidirector_at_mutter) created a #MiniMütter! Want to find out more about our education programs, including our #Teva and #Karabots internships for high school students? Follow @cepidirector_at_mutter to discover the amazing work they do to bring STEM to the community, using our collections! P.S watch this space to find out #whatsinthebox with the latest addition to our collection. #STEM #philadelphia #philly #woodlandscemetery #education #medical #medicalhistory #skeleton #publichealth" By muttermuseum on Instagram. Posted on infosnack. (Source: Kidney Notes)
Source: Kidney Notes - October 25, 2015 Category: Urology & Nephrology Authors: Joshua Schwimmer Source Type: blogs
Why did she want to become a doctor? Read her personal statement.
Alright, here you go future medical school applicants. Here it is. My personal statement for medical school, written four years ago.
***
Strolling down busy, student-filled Rue Mouffetard, I was surprised to turn around and see my friend’s swollen eye as he ran off; he had been punched in the face. Thirty seconds later, his cousin was attacked and pushed against a car. Initially confused and terrified, I sprinted across the narrow street, begging for someone to intervene, “S’il vous plaît aidez-lui!” As a couple of large men slowly approached, my friend was able to escape, and the three men attacki...
Source: Kevin, M.D. - Medical Weblog - October 16, 2015 Category: Journals (General) Authors: Jennifer Chevinsky Tags: Education Medical school Source Type: blogs
