For years I have argued that doctors need webspace to park their ideas. A place that is relatively permanent. A place with an address where ideas can live and people can go. A place to call your own. This should be the home base of your digital map. But in 2020 few doctors maintain sites that are their own. Ideas have taken the shape of Twitter threads — long ... Continue Reading about Doctors Need a Webspace to Call Home
Telemedicine Fatigue and the Stress of Remote Care
The first thing I heard from my team after starting full time telehealth was the exhaustion that seemed to set in at the end of the day. I have noticed this myself. After 8 hours of back-to-back virtual engagement with parents I found myself with a kind of telemedicine fatigue that’s hard to describe. Then I started hearing the same sentiment from doctors on ... Continue Reading about Telemedicine Fatigue and the Stress of Remote Care
COVID19 Craziness – 33mail March 28, 2020
This is a sample of this week's 33mail, the 33 charts weekly newsletter. It's a collection of the best stuff I found over the week. Check it out and if you like it please sign up over to the right or click to our 33mail page to learn more. I will be on Facebook Live March 29th at 1PM CST discussing some of these stories and more with Dr. Mark Shapiro, host of the ... Continue Reading about COVID19 Craziness – 33mail March 28, 2020
See One Do One Teach One – Halsted’s Paradigm
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