Tag Archives: academic medicine

Let’s stop using adjectives to identify patients

We have all heard it, we have probably all said it: “My diabetics never follow my instructions” “That schizophrenic is back in the hospital again” “How should I screen cirrhotics?” “Did you hear about my CHF-er?” It might be easy to … Continue reading

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Are we really training learners to manage diseases?

If you pay close attention to medical education and training, you have surely read something like this as an goal or learning objective: “Manage inflammatory bowel disease and its complications” However, this is not exactly what our goals should be. One push in the … Continue reading

Posted in cancer, gastroenterology, GERD, Heartburn, IBD, medical education, patient care | Tagged , , , , , , , , , , , | 3 Comments

In The Absence of Evidence…

In this week’s JAMA, Scott Braithwaite, MD, MS wrote a Piece of My Mind editorial, “EBM’s Six Dangerous Words,” which made me think back to a former blog post of mine from 2011, “Doc, can I use this natural supplement?” What … Continue reading

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Presenting on a consult service: Rule number four

A while back, I posted three “rules” of presenting on a consult service. I’d now like to add a fourth rule. Rule Number 4: In patients with chronic disorders, consider more than simply a “disease flare” in your differential diagnosis. … Continue reading

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“Thank you for your consult…”

Until recently, there was a financial difference between performing a “Consultation” and a “New Patient Visit” for office visits (Medicare stopped paying for Consultations at a higher rate than New Patient Visits in 2010).  I won’t get into the ins-and-outs … Continue reading

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Announcing the new #meded chat

In the last few weeks, several #meded tweeps have been bouncing the idea around about starting a Twitter chat dedicated to discussing issues related to medical education.  One night, Vinny Arora (@FutureDocs) made the proclamation that she thought we had now reached … Continue reading

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Anonymity and Professionalism on Twitter: Room to Educate

A well-established medical blogger Dr. Bryan Vartabedian (aka @Doctor_V, a fellow gastroenterologist whom I recently had the pleasure of meeting at DDW 2011 #DDW11) seemed to ignite a firestorm this week amongst #hcsm tweeps with his post about a specific … Continue reading

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Presenting on a consult service: Rule number three

In my most recent post, I discussed the first 2 rules of presenting on a consult service.  In this post, we’ll take the next step.  Actually, this rule could go for any type of presentation, even in the clinic. Rule … Continue reading

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Presenting on a consult service: Rules number one and two

As an attending gastroenterology consultant, I have heard many a presentation from medical students, residents, and fellows that start something like this: This is a 64-year old woman with Afib, hypertension, diabetes, congestive heart failure, osteoarthritis, cholelithiasis, and depression, whom … Continue reading

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How much credit do you get for teaching?

I feel fortunate.  I work at a Medical School where the educators are superior.  Excellence in Medical Education is rewarded. However I cannot help but feel that we are far from equality in Academic Medicine.  The Clinician has the RVU; … Continue reading

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