Goodhart’s law suggests that when a measure becomes a target, it ceases to be a good measure. When I first read this I couldn’t help but think of healthcare and the quest for the perfect patient satisfaction score. The problem is that as soon as we steer physician behavior and teach to the test, patient satisfaction scores stop being a valid measure. Essentially, ... Continue Reading about Goodhart’s law and patient satisfaction
This past weekend the storied medical meeting DotMD sold out in two days. How did this happen and what does DotMD deliver that no other meeting does? Experiences. People are desperate for experiences. And the future of meetings is about the creation of human experiences. Sound, sensory, and emotion. These define DotMD.Like minds. Beyond the power of the ... Continue Reading about Why DotMD Sold Out in Two Days
This sounds like a crazy question. But it really isn’t. What does a doctor do? What's my job with my patients. What is a doctor's role? Some of what I do is transactional. Simple stuff with clear end-points. Some of it involves critical conversations and deeper kinds of thinking, planning, and translating. Breaking my job down into different roles I got to ... Continue Reading about What is a Doctor’s Role?
Medicine is facing a crisis of information. Beyond the increase of biomedical information are rising demands for physician response to portal messaging (MyChart messages) and review of wearable generated data. More recently health professionals have seen a rise in MyChart messages coming in through the Epic patient portal. According to Epic, the number of ... Continue Reading about MyChart Messages the Wild West of Patient Communication
Since the pandemic healthcare has undergone a remarkable transformation. Before COVID dropped in as our latest wicked problem, technology was upending everything we do. I’ve been thinking a lot about the burnout, confusion, uncertainty, and exhaustion that we’re facing. I've been thinking about the conditions that define healthcare. When we talk about these ... Continue Reading about Three Conditions That Define Healthcare
I’m big on eye contact with patients. It’s how we show ourselves as humans. The eyes are the windows to the soul. Through them, we build trust, empathy and reciprocity. When I’m with a patient face-to-face it isn’t always possible but I do my best. Like the IRL experience I try to achieve some level of eye contact during telemedicine encounters. But care through ... Continue Reading about The Illusion of Eye Contact with Telemedicine