Problem Solving: Free Your Mind

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Here was a conversation in recent car ride: Daughter: Penny has 5 children, 1st is January, 2nd kid February, 3rd is called March, 4th is April. What is the name of the 5th Me (after considerable, don’t-want-to-be-shown-up-again thought): I don’t know. Tell me. Daughter: What is the name of the 5th child. Me: I don’t know! […]

Physician Competency

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Most physicians are incompetent. There; I said it. If you read howardisms on a regular basis, you might have already suspected this. Lots of evidence indicates that substandard or inappropriate care occurs in most patient-physician encounters (up to 80% of encounters). The wrong diagnoses are made far too often. Suboptimal or incorrect therapies are too […]

Speed in Surgery

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Speed in operating should be rendhe achievement, not the aim, of every surgeon. – Russell John Howard This old school howardism makes an excellent point: speed in surgery is the fruit of good technique, efficiency of motion, and a lack of complications. But the lust for speed may encourage risk taking and shortcut making resulting in […]

The Physician As Teacher

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(Listen instead) Teaching for a good physician is a natural extension of her talents. We teach every day. We teach our patients and their families. We educate our communities. We teach ourselves by reading and synthesizing new information. We cannot be a doctor without being a teacher (it’s what the Latin word doctor means, in […]

A Tale of Two Teachers

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  (Hate reading: Listen instead!) One of the most important experiences in my life occurred when I was a freshman in High School. I was assigned to a rather easy Algebra 1 class. We will call the teacher Mr. Bad. Mr. Bad was late in his career and was uninspired and uninspiring. His pedagogical method […]

Teaching Tool: The Stanford Medicine 25

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Physical exam is struggling more and more to find its place in modern medicine. Numerous contemporary studies have shown limited or no diagnostic value of frequently utilized physical exam components, including breast and pelvic exams, but also many other general exams. There are at least three things occurring simultaneously that produce studies that show poor […]

The One Minute Preceptor

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Here is a link to an overview of The One Minute Preceptor. This is a great quick and easy way of always making sure that a teaching point is made in every interaction with the learners in the clinical setting. As a reminder, here are the steps: Get a Commitment Probe for Supporting Evidence Reinforce […]