If you’re considering primary care medicine as a career someday and want some great insights into what it takes to become a good one, Dr. Rob clarifies the personality type and tolerances required.
So what does it take to be a specialist? Exactly the same. Except the part where he describes a possible need for outward social status and only working on left fingers.
Just realize that those extra years of training that we not-so-specialists endure are really there just so we can completely forget most of what we once knew and how to fill out discharge paperwork.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
Why are so many stories so unquestioning about these runaway surgical Twitter practices? Just look at this frame grab from a Google search showing all of the stories (so far) on one hospital team’s surgical Twitter exploits. One story stated:
“Senior hand fellows…when not actively involved in the surgery, sat at a laptop just outside the operating suite and tweeted real-time updates during the procedure, according to a hospital press release. According to the Twitter feed, expert teams of hand surgeons rotated in and out of the operating room throughout the surgery.”
Oh, phew, their hands were tweeting when their hands weren’t operating! I might rather that my surgeons — even when not actively involved in the operation and when rotating out of the OR — would just rest their digits and not flex them digitally. But what an old-fashioned guy I am.
Maybe not according to this report from the CDC. They studied Internet use with respect to adherence behavior and a number of health-related outcomes. It suggests that folks who diss the doc in favor of the Internet may not do as well as we think.
This quote caught me:
The data also revealed that personal determinants such as neuroticism (reflects anxiety and emotionality) and health-related poorer quality of life differentiated internet-instigated non-adherent respondents from their counterparts.
More plainly put: If you trust your life to an anonymous guy on Twitter with the handle @YourHealthGuru, you might not do as well as if you partnered with a trained professional. Or perhaps I’m reading too much into the study. Read more »
*This blog post was originally published at 33 Charts*
Peer review has been the cornerstone of quality control in academia, including science and medicine, for the past century. The process is slow and laborious, but a necessary filter in order to maintain a certain standard within the literature. Yet more and more scholars are recognizing the speed, immediacy, and openness of the Internet as a tool for exchanging ideas and information, and this is causing some to question the methods of peer review. A recent New York Times article discusses this issue.
This issue is very relevant to Science-Based Medicine (SBM) as this is in part an experiment –- an attempt to produce a high quality, editorially filtered, but not peer-reviewed, online journal. Our process here is simple. Outside submissions are reviewed by two or more editors and typically are either accepted with minor revisions or rejected. In addition we have a staff of regular contributors –- those who have a proven track record of producing high quality articles. There is no pre-publication review for their submissions, and they are able to post directly to SBM. Read more »
Well, here’s a treat: Dr. Charles Smith, a founder of the Society for Participatory Medicine, recently gave a lecture at Duke entitled, “How to Become a More Effective e-Patient.” Here it is, in four video segments.
“Charlie” (as we all call him) is a wonderful guy. He’s co-editor-in-chief of the Journal of Participatory Medicine and was Doc Tom Ferguson’s physician. He’s been walking this walk for many years, and here he shares his personal advice –- not just for patients, but for health professionals who want to learn this participatory thing.
(The “Joe & Terry” he mentions are our founders Joe and Terry Graedon of People’s Pharmacy, longtime Duke associates.)
PART 1
An audio-only version is also available (see below). Read more »
*This blog post was originally published at e-Patients.net*
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