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An Emergency Medicine Myth?

Eyebrow lacerationI’ve internalized all the dogma of medicine, for good and bad.

When I was an EMT, green as a twig in an ER, I learned the basics: For any wound with hair employ the razor, and get the hair away from the laceration so the doc could do a good closure.

So, employment week #3: Eyebrow laceration? Shaved that sucker clean off. ER doc freaked out, and I learned some medical dogma: Don’t shave eyebrows, they don’t grow back. Heard it later, too — all the way through training, in fact. Read more »

*This blog post was originally published at GruntDoc*

Defining Family Practice

Family DoctorI like Dr. Rob, the one with the “distractible mind.” And although I thoroughly agree with the stance he takes in his recent post against cholesterol screening in kids, I must take issue with his opening statement:

I have a unique vantage point when it comes to the issue universal cholesterol screening in children, when compared to most pediatricians. My unique view stems from the fact that I am also an internist who deals with those children after they grow up on KFC Double Downs.

From Dictionary.com:

“Unique: existing as the only one or as the sole example; single; solitary in type or characteristics.”

Your med-peds training allows you to follow patients from birth to death (but no obstetrics or gynecology). You can care for all organ systems and all stages of disease (but without as much training in psychiatry). Congratulations! You’ve just (re)invented family practice (except for the above shortcomings). Oh, wait — that’s already a recognized specialty with its own residency programs, boards and everything like that, forty years now.

This misuse of the word “unique” is one of my pet peeves. “Unique?” I don’t think that word means what you think it means. After twenty years in practice, I agree that there probably isn’t much difference between what Dr. Rob does and what I do. After twenty years, I’m not even sure how much relevance remains from our “training.” Still, there remains a great deal of confusion about the very real differences between family practice and med-peds residencies. Read more »

*This blog post was originally published at Musings of a Dinosaur*

When A Medical School Changes Its Name

They are changing the name of my med school alma mater and I am upset about it. But not for the reasons you may think.

I am a proud graduate of the Northeastern Ohio Universities College of Medicine (NEOUCOM). This has been the name of the school since it opened its doors in 1973. Last week, the Board of Trustees unanimously voted to change the name of the school to the Northeast Ohio Medical University (NEOMU). In a press release from the school, the new president and dean, Dr. Jay Gershen, said this:

“The current name no longer reflects who we are as a University. In addition to a College of Medicine and a College of Pharmacy, we also added a College of Graduate Studies last year,” said Gershen. “We are a strong institution with a health sciences curriculum, and we want a strong name that reflects who we are and who we serve.”

I have talked with many alumni who are upset about this change. Read more »

*This blog post was originally published at Doctor Anonymous*

A Tough Route To Becoming A Doctor

This occurred after a liver, heart, lung, and kidney transplant:

Allison John, 32, made medical history in 2006 after she received her fourth organ transplant — a kidney from her father, 61-year-old David John, to add to her previous heart, lung and liver transplants.

A life plagued by illness and frequent hospital visits has not deterred John from her dream of becoming a doctor, however. After 14 years of interrupted study, she finally received her medical degree from Cardiff University last month, according to the U.K. press.

Wow.

-WesMusings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

iPads For All First-Year Medical Students?

Stanford plans to provide all first-year medical students with a 32 GB WiFi iPad. The students are already familiar with them, the tablet enhances how they view course content and take notes, it allows better access to textbooks, and it’s environmentally friendly.

Good thing they’ll become doctors, because one blogger says the iPad is an ergonomic nightmare. It’s too heavy to use for long stretches, and even Steve Jobs has to be a contortionist to balance it while reading. (Scope-Stanford School of Medicine, Suite101.com)

*This blog post was originally published at ACP Internist*

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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