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Clinical Knowledge Versus Clinical Judgment

Read Seth Godin’s most recent post, The Amateur Scientist. In a way that only Seth can do he tells how our culture has turned us all into authorities. Important stuff.

I couldn’t help but think how this applies to the Internet and our health. Unrestrained access to information has got us all thinking we know more than we do.  Godin wasn’t writing about the amateur physician but he might as well have been.

Missing from the black bag of the amateur physician is a tool called clinical judgment – the pivotal substrate necessary to tie together objective clinical information. Clinical judgment is the foundation of good medical decision-making. But you won’t find it on the Internet. It can’t be found in the cloud or the hive. It isn’t free and it’s tough to get. Read more »

Physicians And Open Source Health Advice

Last week someone posted on Twitter that they had swallowed a plastic toothpick. What to do? So they turned to the hive for help. “What should I do?” I thought as I read my Twitter feed. I was paralyzed in a way. I wanted to share my experience with hundreds of patients had swallowed pins, toothpicks and other pointy things. I specialize in just this sort of thing. But short of a random comment about gastric emptying, I kept to myself. Why? Because once I lend a hand I’m all in.

The simple offer of patient-specific advice constitutes a relationship in the eyes of the law. Once involved, I potentially share responsibility in whatever happens to someone. Crazy but true. It’s just a matter of time before slip-and-fall lawyers hold physicians accountable for helping out in the social sphere.

Doctors aren’t the only ones wearing targets. Read more »

*This blog post was originally published at 33 Charts*

Dr. Val Uses Limerick To Warn Internet Users To Consider The Source Of Their Health Information

httpv://www.youtube.com/watch?v=9ebdGR3IZp8

For more information about this lecture, check out:

Meredith Gould’s blog post, A Tale of One Presentation

Science-Based Medicine’s, Mainstreaming Science-Based Medicine: A Novel Approach

How To Relate To E-Patients Like A Rock Star

Part 1 in a series on the e-patient and participatory medicine

There’s no question that today’s patients are savvy.  Today’s patients are e-patients. Surrounded by technology, researching health information on the Internet has never been easier.  Patients are engaging in communities and social networking sites and the exchange of information between patients has proven invaluable to some.

When patients visit their doctor and other health care professionals, many are armed with questions and they are not satisfied until they get answers.   Patients are empowered and they want to be engaged in a relationship with their doctors and other health care professionals.  They want respect, collaboration and connection. Read more »

*This blog post was originally published at Health in 30*

If I Could Fix One Thing About U.S. Healthcare…

In my post yesterday about lessons we can learn from Israel’s health care system I wrote:

So, yes, the focus on health insurance reform will lead to many changes, and more complexity.  And some day, years from now, someone will be explaining the American system to an audience, and people will wonder, how did anyone ever create a system such as this?

In response, a friend of mine challenged me:  if the system is too complicated, how should we simplify it?

I wish more policy-makers were asking this question.

For me, the answer is clear: Primary care.  Time was, your primary care doctor was able to serve as the hub of your medical activity.  He or she could spend all the time needed to figure out what was wrong and to coordinate with your specialists.  It’s not true anymore.  Patients are left on their own trying to navigate the system.  In many ways they end up acting  almost as their own primary care doctors.  Patients try to pick their specialists, find out what to do about their condition, decide on good treatment choices. Read more »

*This blog post was originally published at See First Blog*

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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