December 24th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Opinion
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Jenni Prokopy (aka Chronicbabe) put us to the challenge for this week’s Grand Rounds by asking for our 2011 clinical resolutions. I have to admit that I’m not one for resolutions because I can never take them seriously. But admittedly there are things that I need to tighten up. So here goes:
1. Clear my chart rack every afternoon. This is key because my creative mind operates better when my charts are done. Of course this means no more tweeting “47 charts” or “33 charts” when I’m behind. Had I made this resolution for 2009, this blog wouldn’t have a name.
2. Cultivate innovative communication channels with my referring docs. While I need to be consistent and compulsive with my referral letters, I want to improve mobile, real-time communications between me and my referring docs. For example I’d like to get my local community on Doximity so that I can launch a quick, HIPAA compliant, encrypted SMS messages on my iPhone the second I see a patient. Read more »
*This blog post was originally published at 33 Charts*
December 20th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Opinion
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The Internet has threatened journalism. Clay Shirky has said that everyone is a media outlet. An Internet connection and blogging platform makes everyone a publisher. Can the mass professionalization of journalism be applied to medicine or health? Can access to a broadband connection outfit a citizen to think and act like a physician?
There are pieces of what physicians do that can be replicated, and other pieces that can’t. The technical things that doctors do can’t be replaced. Removing an appendix or replacing a heart valve, for example. Tough to pull off on CureTogether.
But what about the thinking? After all, patients have access to the same information, references, and literature as physicians. Unfettered access to information can create an illusion. It can give us a false sense of control. Read more »
*This blog post was originally published at 33 Charts*
December 12th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Opinion
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I suspect that in the next couple of years we’ll see the emergence of a viable social network for physicians. It hasn’t happened yet, but I suspect that we’re getting close. Physicians are increasingly dabbling in mainstream social sites.
But maybe that’s a problem. After all, a doctor can only hang in so many places. If you have “The Facebook for Doctors,” do you expect us to spend our time there instead of on Facebook itself? Maybe we will, and maybe we won’t.
Beyond the obvious requirement of a network to deliver value, I think the rate-limiting factor is old-fashioned bandwidth. You can only be one place at a time. If I spend my days on Twitter, I’m not likely to spend my days on said doctor’s network. I will go there for particular things and to talk to certain people about specific issues, but like most doctors I’m not sure I can tell you exactly what I want. I’ll know it when I see it. (Actually I do, but I’m keeping it tip-top secret.) Read more »
*This blog post was originally published at 33 Charts*
December 7th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Opinion
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We all want technology to improve communication between doctors and patients. We fantasize that social tools will open doors and bridge the expanding divide between doctors and patients.
I’m wondering if it’s a case of unicorns and rainbows: Fancy new tools to do the old thing in a less-effective way. I’m guessing that if Facebook was the old platform for doctor-patient dialog and the telephone was invented this year, everyone would be clamoring to use the phone (“Dude, this is amazing…you can hear them talk.”)
I like the telephone. Written copy misses intonation, timing, pitch, and all the other rich elements of human speech. Subtle changes in a parent’s voice tell me if I’ve made my point and exactly how I need to proceed [with caring for their child]. Unspoken words on a screen are so one-dimensional.
Of course, email has a tightly-defined place in patient communication. And real-time social interaction between patient and clinic will evolve to have a clear role in patient care. But for now, the phone remains one of the most effective tools for helping doctor and patient really understand one another.
[Image credit: Cemagraphics]
*This blog post was originally published at 33 Charts*
December 3rd, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Opinion, True Stories
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I just can’t imagine life today as a medical student. Every medical publication in the palm of your hand. The capacity to create an audience and publish at your own will. Real-time dialog between students, faculty, anyone. Global reach from your phone. It’s mind-boggling really.
This is in stark contrast to my experience. My world was centered on index cards, textbooks and pens with different colors. We communicated via Post-it notes on the door of the student lounge. There were no apps and our only game was foozball. As a first year I scheduled time to compose H&Ps on the library’s only Macintosh II computer. This was plugged into the new Apple LaserWriter with WYSIWYG. Hi tech we were. We thought.
Being distractible and restless, I’m going to guess that if I had access to the communication platforms and tools available to today’s students, I might not have made it through. The inputs must be staggering and I imagine that discipline with personal bandwidth has become a critical key to survival. Read more »
*This blog post was originally published at 33 Charts*
