October 7th, 2011 by admin in Opinion, Research
Tags: Amanda Godall, CEO, Diario Medico, Doctors, Experience, Henry Mintzberg, Hospital, IHQ, Knowledge, M.D., Management, Managerial Position, Managers Not MBAs, Master in Business Administration, Physican, Research, Social Science and Medicine
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It’s been more than five years since Henry Mintzberg released the enlightening book ‘Managers, not MBAs’, a well-reasoned criticism of prevailing management education that basically revolves around Master in Business Administration (MBA) programs. Financial crisis was not even in sight but Mintzberg, a professor at McGill University in Montreal and one of the most important guiding lights in the questionable field of management, already pointed out that it was a serious danger for modern organizations to rely on professionals that had just finished their MBAs as the prime source for senior managerial positions.
Mintzberg focused his criticism on two essential aspects. First, most programs are aimed at people with no previous experience or knowledge about organizations and how they look like from the inside… and these same people then storm into companies believing that the real world works exactly as business school taught them it does. The second point is that many of these business schools spread a perverted set of values, such as the hunt for short-term profit, the belief that a good aim justifies any means and the urge to translate all human behaviors into accountable figures (the ‘countophrenia’ depicted by Vincent de Gaulejac in his must-read ‘La Société Malade de la Gestion’).
Then the crisis rose, and many CEOs of the biggest organizations had their share of responsibility for it, as they were enjoying multi-million dollar bonuses while taking their companies to the edge of bankrupcy. Most of them came from the most famous business schools in the world. I have outlined in the past the outrageous conflict of interests of many of these institutions, starting with Harvard, as Charles Ferguson perfectly displayed in his brilliant documentary ‘Inside Job’.
‘Social Science and Medicine’ published in its August issue a very interesting work by Amanda Godall, professor at the IZA Institute for the Study of Labor in Bonn, Germany. Godall’s is the first empirical research on the correlation between hospital results and having MDs in their top managerial positions. Read more »
*This blog post was originally published at Diario Medico*
October 6th, 2011 by GarySchwitzer in News, Opinion
Tags: Awareness, Breast Cancer, Cancer, Death, Diagnosis, Disease, Katherine O'Brien, MBC, Metastasis, Metastatic, Month, October, Recurrence Rate, Screening, Spread of Cancer, Stage IV, Treatable
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Some breast cancer voices raise questions about simply raising “awareness” about breast cancer in October.
Some of them believe that raising awareness about screening, for example, should not be the only message or even the main message of the month.
Katherine O’Brien, who has metastatic breast cancer (MBC), and who publishes the ihatebreastcancer blog refers to being caught in “October’s pink undertow.”
Plunked down in the middle of breast cancer awareness month is National Metastatic Breast Cancer Awareness Day on October 13.
O’Brien says that people like her with MBC have different concerns from those with early stage cancer. She wrote to me: “The day is not about general cancer awareness; it’s about acknowledging the distinct needs of people who have the advanced, incurable form of breast cancer.
She quotes Ellen Moskowitz, past president of the Metastatic Breast Cancer Network (MBCN): Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
October 6th, 2011 by Elaine Schattner, M.D. in Opinion
Tags: Assessment, Atul Gawande, CME, Coach, Continuing Medical Education, Knowledge, Learning, Licensing Exam, Medical Education, New Yorker, Physicians, Speciality Board Exam, Surgery
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Monday’s New Yorker has a story, Personal Best, by Atul Gawande. It’s about coaching, and the seemingly novel idea that doctors might engage coaches – individuals with relevant expertise and experience — to help them improve their usual work, i.e. how they practice medicine.
Dr. Gawande is a surgeon, now of eight years according to his article. His specialty is endocrine surgery – when he operates it’s most often on problematic glands like the thyroid, parathyroid or appendix. Results, and complications, are tracked. For a while after he completed his training he got better and better, in comparison to nation stats, by his accounting. And then things leveled off.
The surgeon-writer considered how coaches can help individuals get better at whatever they do, like playing a sport or singing. He writes:
The coaching model is different from the traditional conception of pedagogy, where there’s a presumption that, after a certain point, the student no longer needs instruction. You graduate. You’re done. You can go the rest of the way yourself…
He wonders about how this might apply in medicine: Read more »
*This blog post was originally published at Medical Lessons*
October 6th, 2011 by KerriSparling in Opinion
Tags: Animas, Chronic Illness, conference, Connections, Diabetes, Discussion, E-Patients, Empowered, Health, Industry, Informed, Kru Research, Maintaining health, Panel, Patient Advocates, Patients, SXSH
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Two weeks ago, I attended my third year at Kru Research’s ePatient Connections conference, and every year, I’m amazed at how many different industry people show up and showcase their impressive efforts … but how few patients. But this year, there were a lot of patients. Lots as in “more than five.”
For a conference with “ePatient” in the title, it was good to finally see more than just a handful of ePatients in the audience. (And this is thanks, largely in part, to the ePatient Bill of Rights project that took place on September 19th, across the hall from the SXSH event). And it wasn’t just a handful of diabetes patients – there were many health conditions well-represented at these events. For me, it was nice to talk about the universal issues that people with chronic illnesses face, instead of drifting around in the bubble of diabetes. I like stepping outside of our comfortable space and learning about what others are living with. I need that exposure to other types of patients … keeps me thinking globally.
Part of the panel discussion Read more »
*This blog post was originally published at Six Until Me.*
October 6th, 2011 by StevenWilkinsMPH in Opinion
Tags: Choices, Decisions, Disagreement, Doctor-Patient Communication, E-Patient, Empowered, Empowered Patients, Health Care Consumer, Health Questions, Information, Internet, Myths, Patient-Centered Medical Home, PCMH, Personal Health Record, PHR, Self-Care, Shared Decision-Making, Time Constraints
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Irrational exuberance was a term once used to describe the stock market before the last crash. It also seems an apt description for much of the talk these days about empowered health consumers.
To be sure, patients today have unprecedented access to health information. Patient decision-support tool can be found on just about every provider, payer and self-insured employer website. Consumers can go to any number of websites to find quality data about hospitals, physicians and health plans. Personal health records (PHRs) promise to make our personal health data portable for meaning that all our treating physicians will be “singing off the same song sheet.”
That’s what the industry experts tell us. But what’s really going on? Here I will describe what I see as the top 5 myths about empowered health consumers. Read more »
*This blog post was originally published at Mind The Gap*
