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
During its revered white coat ceremony last week The University of California Irvine School of Medicine gave Butterfly iQ pocket ultrasound devices to its medical students. The future, it seems, belongs to POCUS (point of care ultrasound). Twitter lit up. Social sentiment pinned the Butterfly iQ as the new stethoscope. Every armchair futurist was over the ... Continue Reading about Butterfly iQ Moments – Should Med Students Have a POCUS?
Every year that physicians have used social media, we’ve been offering advice for medical graduates. Tips for surviving the unsurvivable are almost too numerous to follow on Twitter. They take the shape of a virtual Little Engine That Could. “I think you can. I think you can,” we tell them. But the reality that few of us ever like to disclose is that change ... Continue Reading about Advice for Medical Graduates
You don’t have to spend too much time on Twitter to find ideas about what people think medical students need to know. From health economics and climate change to value-based care and informatics, it seems there’s no shortage of new competencies. And every person with a new suggestion about what doctors need to master believes their idea would be transformative. ... Continue Reading about What Medical Students Need to Know – The Zero-Sum Curriculum
Medical life in the future will be a series of real-time upgrades. We will all be endless newbies. That bears repeating. All of us—every one of us—will be endless newbies in the future simply trying to keep up. Here’s why: First, most of the important technologies that will dominate life 30 years from now have not yet been invented, so naturally you’ll be a newbie to ... Continue Reading about Medicine’s Endless Newbies
When I was a medical student I had an attending who would fail medical students who failed to universally perform the rectal examination. He would gloat on rounds when reviewing admissions with the trainees. Stopping dramatically during the middle of the presentation of the physical exam, he would smile broadly, look around at the team and ask, “So what did the ... Continue Reading about What Did the Rectal Examination Show?