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The Medical Profession: Is It Devolving?

I had lunch with a group of physicians recently, and along for the ride was a college student thinking of applying to medical school. When talking about the future, I suggested that the work of a physician 30 years from now will be hardly recognizable to today’s physician. Everybody disagreed and the student was confused. There was a lot of denial and myopic rationalization.

But I can’t blame them, really. Most of us see what’s immediately changing in our day-to-day work and the bigger picture gets lost. For most of us, the role of the physician is hard to see for anything other than it always has been. Most live and work as the self-determined independent care coordinator, reactively working to treat disease just as its been done for over a century. But change is happening around us. Read more »

*This blog post was originally published at 33 Charts*

Should Doctors Be Socially Anonymous?

I don’t think doctors should be socially anonymous. We need to be seen. Here’s why going underground isn’t good policy for physicians:

Anonymity makes you say stupid things. When you’re shouting from the crowd it’s easy to talk smack.  Come up to the podium, clear your throat, and say something intelligent. You’re a physician, not a hooligan.

It’s 2010: Anonymity died a long time ago. You think anonymity offers shelter? You’re funny, you are. Anonymity is a myth. You can create a cockamamie pseudonym, but you can’t hide.  And if I don’t find you, the plaintiff attorneys will. They found Flea.

Being a weanie is no excuse. Just as you’re unlikely to consult a lawyer before speaking at a cocktail party, commenting as Dr. You is unlikely to kill you or land you in court. Just a few pointers: Don’t talk about patients, help people out, and be nice. Trust me, I’m a doctor. Read more »

*This blog post was originally published at 33 Charts*

Social Media And Lazy Doctors

When it comes to the social media landscape, doctors are scarce. Few on Twitter and fewer with blogs. Maybe we’re socially lazy. Or maybe we’re just taking it all in.

Mitch Joel of Six Pixels of Separation caught my eye last week with his article “In Praise of Lazy” and reminded me that despite the how we may want to see things, most of us aren’t interested in creating content. In fact, he describes a 1 percent rule — only 1 percent of the audience will take time to actually create content.

I suspect that if we were to take the time and do the survey properly, we would find that physicians too are largely new media consumers — or spectators, joiners or collectors in the Forrester sense of the word. Physicians, in fact, might adhere to something of a 0.1 percent rule. Like Peter Sellers as “Chance the Gardner” in the 1979 classic, Being There, we “like to watch.” Read more »

*This blog post was originally published at 33 Charts*

“E-Visits” With Patients: For Greedy Doctors Or Not?

Dr. Wes (a cardiology blogger whom all should read) wrote a very compelling post about technology and the bondage it can create for doctors:

The devaluation of doctors’ time continues unabated.

As we move into our new era of health care delivery with millions more needing physician time (and other health care provider’s time, for that matter) –- we’re seeing a powerful force emerge –- a subtle marketing of limitless physician availability facilitated by the advance of the electronic medical record, social media, and smartphones.

Doctors, you see, must be always present, always available, always giving.

These sound like dire words, but the degree to which it has resonated around the Web among doctors is telling. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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