What makes a great surgeon or doctor? Or for that matter, a great violinist? As many psychologists suggest (regardless of whether one is talking about sports, music, painting, astronomy, physics, etc), it entails:

  • Focused practice (at least 10,000 hours according to many)
  • Good coaching
  • Great role model to provide motivation
Does this apply to surgeons or doctors? I believe it absolutely does. Any person who puts in enough ...

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by Henry Dorn, MD In 1974, the noted obstetrician Marcus Filshie published a review of the relatively new electronic fetal monitoring in the British Journal of Hospital Medicine. He stated, somewhat fatefully:

Now that the appropriate technology is available, the obstetrician may virtually eliminate intrapartum stillbirths and reduce morbidity to a minimum.
Similar statements were made in the United States by leaders in the obstetrical ...

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by Tayson DeLengocky, DO The landscape of healthcare delivery has changed so drastically over the past three decades with the proliferation of allied health professions, increased in medical specialization, managed health care, and technology advancement. The direct doctor-patient relations have been relegated to the relations between healthcare providers and patients, in which doctors are only participants among other healthcare givers. A healthcare consumer, patient, can be ...

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Why do my patients with cancer get better care than my patients in primary care? As the senior resident on my hospital’s inpatient leukemia service recently, this question troubled and intrigued me daily. Despite the sheer complexity of treating leukemia (administration of chemotherapy, bone marrow biopsies, stem cell transplantation), the resources required (transplantation routinely costs $1 million), and the severity of the illness ...

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Before I had even begun medical school, I already knew that I would enter primary care when I finished.  I had successfully applied for and received a scholarship from the National Health Service Corps Scholars program.  By the time I graduated, I knew that after my three years of residency training, I would practice in an underserved area for at least four years, one year of service to America for ...

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by Dawn Barker, MD Until recently, it was easy to reply when an inquisitive acquaintance asked, “What do you do?” I would answer that I was a child and adolescent psychiatrist. Easy. The most difficult part was trying to explain that yes, a psychiatrist is a medical doctor, and no, I’m not a psychologist and there is a difference. But when ...

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I think that I am missing a gene from one of my X chromosomes. I attended my sister-in-law's baby shower recently.  I love my sister-in-law dearly and was happy to be there to support her.  If only I could have supported her in another way. I detest showers.  Once I was engaged, I stated clearly to everyone I knew that I did not, under any circumstances, want a bridal shower.  Naturally, everyone ...

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fatigue |fəˈtēg| noun 1 extreme tiredness, typically resulting from mental or physical exertion or illness : he was nearly dead with fatigue. • a reduction in the efficiency of a muscle or organ after prolonged activity. No, this post is not a part of my twenty six installment Psychiatry A to Z series. You'll have to wait for the next one in that group, which by the way will be looking at a "T" word. ...

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It is hard to imagine that someone can emerge from intern year – 12 months of chaos, little sleep, and hours upon hours spent responding to pages and putting orders in a computer – and know something, anything, about medicine. I did not believe in this training system until now, after my first night as a supervising resident. The knowledge I have absorbed over the ...

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What is the physician's most precious possession?  Some might answer that it is his patients. Others might respond it is the training and education that the physician has obtained to practice his (or her's) craft. But the real answer is that it's the physician's reputation. Doctors live and die by their reputations.  Reputations take years to ...

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