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The Business Of Medicine: Critical To Medical Education?

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Most medical schools do a reasonably good job clinically preparing medical students to be future physicians.

But they can do better, especially in our fragmented health system where millions of Americans have to contend with costs as much as they have to with their medical conditions.

In her recent New York Times column, Pauline Chen cites a study showing that students exposed to more non-clinical topics, like medical economics, health policy, and the “business” of medicine, were more satisfied with their education. Read more »

*This blog post was originally published at KevinMD.com*

Killer Dogs And US Dog Bite Statistics

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Dog attacks are a major public health concern worldwide. In the United States, dogs bite more than 4 million people each year, occasionally resulting in fatalities. In an issue of Wilderness and Environmental Medicine (2009;20:19-25), Ricky Langley from the Division of Public Health in Raleigh, North Carolina published an article entitled, “Human Fatalities Resulting From Dog Attacks in the United States, 1979-2005.”

The statistics are instructive. In the years studied, there was an average of 19 deaths each year from dog attacks. Not surprisingly, males and children less than 10 years of age had the highest rate of death from dog attacks, with Alaska reporting the highest death rate. The number of deaths and death rate from dog attacks appear to be on the rise, perhaps for no other reason than there are more people and more dogs, in both absolute numbers and in proximity.

I am a dog lover (of friendly dogs), but am aware both as an owner and as an emergency physician that dogs will sometimes bite people, sometimes with serious consequences. Read more »

This post, Killer Dogs And US Dog Bite Statistics, was originally published on Healthine.com by Paul Auerbach, M.D..

A South African Surgeon Flees The Twilight Zone

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We can sometimes look good in our jobs. I suppose it comes with the territory. But sometimes this is not a good thing.

Danville is an interesting place. Actually the place itself is drab but it is full of interesting people. To say it is populated by the lower echelons of the gene pool is an understatement of note. For some reason every reprobate and inbreed seems to have found their way there. Throw a few generations of fetal alcohol syndrome into the mix and you have the average Danville resident. Then add a strong predilection to grandpa (a local aspirin caffeine headache powder) to round off with. Usually when they presented to the hospital it is with a bleeding peptic ulcer or a perforated peptic ulcer. In fact they seldom present to us with anything else. Read more »

*This blog post was originally published at other things amanzi*

Confidence And Doubt: The Language Of Clinician Versus Researcher

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There’s an adage I often think about: “A physician’s job requires the expression of confidence. The researcher’s role is to express doubt.”

This was never more apparent than when I transitioned from the research environment into the clerkships of medical school. The language of decision-making had abruptly changed — in the lab, a year’s worth of experiments is summarized with “seems” and “suggests,” and every assertion is carefully calibrated to acknowledge uncertainty and a high standard for proof.

As a student on clerkships, I couldn’t quite wrap my head around the residents’ ambitious plans for patients: Read more »

*This blog post was originally published at Blogborygmi*

People With A Certain Kind Of Brain Damage Don’t Care If They Lose Money

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Have Caltech scientists discovered an area of the brain evolved since the development of currency? The headline effectively suggests that, but the truth is probably a bit more nuanced.

The research team responsible for these findings consists of Benedetto de Martino, a Caltech visiting researcher from University College London and first author on the study, along with Caltech scientists Colin Camerer, the Robert Kirby Professor of Behavioral Economics, and Ralph Adolphs, the Bren Professor of Psychology and Neuroscience and professor of biology.

The study involved an examination of two patients whose amygdalae had been destroyed due to a very rare genetic disease; those patients, along with individuals without amygdala damage, volunteered to participate in a simple experimental economics task. Read more »

*This blog post was originally published at Medgadget*

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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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