Education

Recertification doesn’t help doctors improve patient care

I’m due to recertify in Internal Medicine soon, so a recent perspective from the New England Journal of Medicine caught my eye.

Of the many criticisms of the Maintenance of Certification Exam, one that stands out is whether the format and questions were relevant to modern clinical practice.

It’s not.

Two contrasting opinions were written, and I’m inclined to agree with the dissenting commentary. There is little data correlating those who …

Read more…

Medicine residency survival tips during pregnancy

by Dr. Whoo, MD

Q. I just found out last week that I’ll be a new mom in November, making me an official mother in medicine! I’ve been reading the blog for a while, because I love hearing what all of you have to say about your lives. Here’s my question: What tips would you give for surviving residency while pregnant, especially 30-hour calls (without caffeine)?

— From a future mom and …

Read more…

Patient safety requires changing the culture of medicine

Patient safety has become more pronounced in hospitals today. But for the movement to have its full impact, doctors have to buy into it wholeheartedly.

And that’s where the progress is slower.

In her recent New York Times column, surgeon Pauline Chen discusses the “culture of fear” that pervades medical training. She cites a report from the Lucian Leape Institute of the National Patient Safety Foundation, which concluded that …

Read more…

Diet Coke and the AHA red dress endorsement

Originally published in MedPage Today

by Peggy Peck, MedPage Today Executive Editor

A red dress jauntily displayed on cans of Diet Coke has become the latest symbol in the ongoing debate about pharmaceutical company support of research or CME.

But whose dress is it? The American Heart Association says it’s “not our red dress,” even as leading pharma critic Steven Nissen, MD, …

Read more…

ACP: To whom are physicians accountable?

The following is part of a series of original guest columns by the American College of Physicians.

by Steven Weinberger, MD, FACP

The New England Journal of Medicine‘s March 11 issue included an interesting “Clinical Decisions” article. Looking at a hypothetical case of an endocrinologist with time-unlimited board certification, the editors posed the question of whether he should voluntarily …

Read more…

Pelvic exam simulators do medical students a disservice

Learning how to do a pelvic exam can be uncomfortable for medical students doing it for the first time.

There’s a trend in medical schools to use “simulators” and mannequins, rather than model patients, to teach students.

At the University of Minnesota medical school, tabletop anatomical models have largely replaced humans. Although the school denies costs are an issue, the savings are significant — currently it costs $150,000 to hire …

Read more…

Match Day and how each medical school celebrates

by Brian Eule

While the debate continues to rage over the health care reform bill in Washington D.C., today at Noon Eastern time, the newest class of 15,000-plus graduating medical students will get their marching orders, beginning their lives working in medicine.

It’s called Match Day and each year, on the third Thursday of March, the nation’s graduating medical school students gather with their classmates and wait for an envelope with their …

Read more…

Nursing needs to confront a culture of bullying

Who knew nursing could be so abusive?

Nurse Theresa Brown, in a blog post from the New York Times’ Well, reveals the ugly side of nursing.

It’s known within hospital walls that “nurses eat their young.” Indeed, as Brown writes, “the expression is standard lore among nurses, and it means bullying, harassment, whatever you want to call it. It’s that harsh, sometimes abusive treatment of new nurses that is entrenched …

Read more…

Young doctors gathered around the beer machine

Originally published in MedPage Today

by Charles Bankhead

From time to time, I hear a “mature” person lament the sad state of affairs of the “next generation.” Sometimes I wonder whether the same concern should apply to the next generation of doctors.

I was at a cardiology meeting, and my schedule included a breakfast program. As I headed toward the meeting, I …

Read more…

Forcing residents to nap may not improve patient care

Originally published in MedPage Today

by Emily P. Walker, MedPage Today Washington Correspondent

More that a year after the Institute of Medicine (IOM) issued a report calling for mandatory naps for medical residents, the organization responsible for implementing — or rejecting — the IOM’s controversial recommendation has yet to make a decision.

The Accreditation Council for Graduate Medical Education (ACGME), which has …

Read more…

ACP: Resident work hours – Managing a precarious balance

The following is part of a series of original guest columns by the American College of Physicians.

by Steven Weinberger, MD, FACP

In December 2008 the Institute of Medicine (IOM) released its report entitled “Resident Duty Hours: Enhancing Sleep, Supervision, and Safety,” in which it proposed a number of changes to the current regulations developed and enforced by the …

Read more…

Should students take a personality test before entering medical school?

Currently, the most important test prospective medical students take is the Medical College Admission Test, or MCAT.

Despite what schools say, an MCAT score holds tremendous weight, more so than a brilliant essay or a stellar recommendation letter.

In an interesting New York Times piece, Pauline Chen wonders whether that score itself leads to a great physician. She discusses an article showing that students’ cognitive traits may be equally important.

Although students …

Read more…

ACP: 10 major challenges that confront medical education over the next decade

The following is part of a series of original guest columns by the American College of Physicians.

by Steven Weinberger, MD, FACP

At times of calendar transitions, e.g., at the onset of a new year or a new decade, the popular press often takes a broad view in looking retrospectively at the outstanding or defining events and people of the past …

Read more…

Why simply adding more doctors won’t save our health system

It’s no secret that without a stronger primary care foundation, the current reform efforts are unlikely to be successful. If anything, it will only delay the inevitable.

I wrote last month that one discussed solution, adding more residency slots, won’t help: it would simply perpetuate the disproportionate specialist:primary care ratio.

A recent op-ed in The New York Times expands on that theme. The authors suggest that not only does …

Read more…

Medical student needlestick injuries

Originally posted in MedPage Today

by Kristina Fiore, MedPage Today Staff Writer

Medical students are frequently stuck by needles, and few report their accidents, researchers say.

In a survey, about 60% of surgery residents reported being stuck with a needle while they were in medical school, Martin A. Makary, MD, MPH, of Johns Hopkins, and colleagues reported in the December issue of …

Read more…

94
pages

✓ Join 150,000+ subscribers
✓ Get KevinMD's most popular stories