Physicians are under increasing demand to achieve the Clinical Trifecta of productivity, quality and satisfaction. As pressure for scaling efficiency mounts, a growing number of stakeholders are charged with keeping doctors compliant and productive. Each stakeholder is typically only with their task - their spreadsheet, graph, email query, documentation correction, ... Continue Reading about The Zero-Sum Medical Day
Human Experience of Disease and Patient Expectations
Running an algorithm for the management of a well-typed tumor or a child with a septic joint is relatively easy. But managing the expectations of that cancer patient or nervous mother is something more involved. Expectations are how we imagine the future given what we currently know and understand. Patient expectations are part of the human experience of ... Continue Reading about Human Experience of Disease and Patient Expectations
Artificial Intelligence in Medicine – Are You For or Against?
Are you for or against artificial intelligence in medicine? With the rise of machine learning in healthcare this is becoming more common question. When confronted with this question, MIT’s Max Tegmark responds, “Are you for or against fire?” Fire of course can keep us warm but can also be mishandled by arsonists and others with nefarious intent. The problem is our ... Continue Reading about Artificial Intelligence in Medicine – Are You For or Against?
How to Manage Patient Expectations
One of the most important roles I play as a physician is the management of patient expectations. The reason it’s so important stems from the nature of my work. As a gastroenterologist to small people I work in a grey-zone. I live in the space between intestinal pathology and the complicated lives of growing children and families. And if you know anything about ... Continue Reading about How to Manage Patient Expectations
Clinical Interview Question: What Do You Think is Going On?
When I evaluate a new patient, I work to compress data collection and screen time on the front end of the visit so I can free up the remainder of the visit for face-to-face discussion and shared decision making. This intentional visit design is necessary because of the realities of modern clinic schedules. And so the questions I ask and their sequence is important to ... Continue Reading about Clinical Interview Question: What Do You Think is Going On?
Touch | Beyond the Physical Examination
I read recently about a patient who spent 4 hours in an ER but was never experienced touch by a human. Not surprising, really. Technology is doing a lot of what we used to do with our eyes, ears and hands. For better or worse. While physicians often associate touch with the physical exam, it can facilitate more powerful things. Here are a few things the hand can ... Continue Reading about Touch | Beyond the Physical Examination