See one do one teach one is old school clinical education in a nutshell. Popularized by early 20th century surgical pioneer William Halsted, it captures a medicine-by-the-seat-of-your-pants mindset that defined more than a generation. It’s how I was taught and how I was taught to teach. But even a half-competent clinician knows you can’t teach something you’ve ... Continue Reading about See One Do One Teach One – Halsted’s Paradigm
The Long Visit Fallacy – The Right Attention for the Patient
Many believe that a long visit with the doctor is a good medical visit. This is the long visit fallacy. Years ago I had a partner who related poorly to parents. So after some discussion and counseling he thought he’d fix the problem by spending more time with families. Time, of course, is correlated with compassion. And caring doctors take lots of time, we ... Continue Reading about The Long Visit Fallacy – The Right Attention for the Patient
Robert Califf and the Rise of Medicine’s Peanut Gallery
This Journal of the American College of Cardiology Case Reports editorial, A Perspective on the K-Index, by Dr. Robert Califf has drawn a lot of dialog. Through a critical discussion of the K-Index he questions the value of social commentary on research by non-research physicians. Central to Califf’s thinking is the idea that those not in traditional medical ... Continue Reading about Robert Califf and the Rise of Medicine’s Peanut Gallery
TikTok Health Champions and Skeptics
TikTok health champions and skeptics are haggling on MedTwitter over its worthiness as a platform. It started with some bad physician actors posting stuff that was disrespectful to patients. The disagreement looks something like this: TikTok health skeptics say it’s a place where bad things happen. TikTok health champions argue that pinheads are not platform ... Continue Reading about TikTok Health Champions and Skeptics
Moral Distress and Pet Theories of Burnout
This JAMA editorial, Clarifying the Language of Clinician Distress, offers a look at the complexity of physician burnout. The piece suggests that rather than talking about burnout we need to more precisely describe the problem for what it is: Moral distress. Moral distress, according to the authors, occurs when a doctor believes they know the right thing to do ... Continue Reading about Moral Distress and Pet Theories of Burnout
Practice Fusion Kickback Scheme to Push Opioid Prescriptions
The Department of Justice’s criminal investigation of EHR vendor Practice Fusion showcases medical tech’s latest display of malfeasance. As part of a sweeping DOJ investigation Practice Fusion admits that it solicited and received kickbacks from a major opioid company in exchange for utilizing its EHR software to influence physician prescribing of opioid pain ... Continue Reading about Practice Fusion Kickback Scheme to Push Opioid Prescriptions