This is my first question for hospitalized patients: Tell me what you understand. Let me explain. I’m a pediatric specialist. I help hospitalists and pediatricians care for children. Actually, I’m typically one of several providers helping families care for a medically complex children in the hospital. And for better or worse communication can sometimes be ... Continue Reading about Tell Me What You Understand: My First Question for Hospitalized Patients
This brief essay from the British Medical Journal is worth thinking about. Here’s the quote about overutilization that pulled me in: There is a hidden curriculum in medicine that encourages trainees to do extensive workups to demonstrate their knowledge and curiosity. As a resident I rotated through one consult service where I was encouraged to strive for 10 ... Continue Reading about Overutilization and Clinical Exhibitionism
Not long ago I went to my dentist for a major bit of dental work. When my dentist greeted me chair side she remarked, “So this is your big day.” And it was actually. A problem that had been an issue for some weeks was coming to a resolution. We chatted for a bit and she got to work. This idea of recognizing the magnitude of my visit stuck with me. It was ... Continue Reading about Your Big Day | Conveying Empathy in a Greeting
A digital health colleague recently declared that she didn’t like listicles. As you hopefully know, a listicle is a chunk of writing shaped as a list. Wikipedia sums it up: In journalism and blogging, a listicle is a short-form of writing that uses a list as its thematic structure, but is fleshed out with sufficient copy to be published as an article. A typical ... Continue Reading about Listicles as the Next Health Education Tool
Medicine is increasingly about outcomes, data and numbers. But while evidence helps us provide care, how does it apply to individual patients? Victor Montori from The Mayo Clinic addresses this question in a beautiful 19 minute talk from Oxford University. I’ve watched it over an over. What stuck with me: Evidence creates work for patients. Education and ... Continue Reading about How Do We Make Evidence Care?
I have a friend who works at a small hospital in the Midwest. In the pursuit of improved patient experience, the administration studied what made patients happy during clinical encounters. One of strategies they discovered was the concept of forward-leaning posture. Evidence supports the idea that leaning in is associated with concern and attentiveness. So the ... Continue Reading about Leaning In to Patient Experience