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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...

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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,...

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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...

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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...

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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...

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Lessons from My First Six Months at the Crossroads of Healthcare and Social...

In the very early part of January I made the decision to start blogging.  Little did I know what was in store for me when I did.  Even though I’ve had my own “personal” Facebook account since 2008, it...

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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...

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Your Job Interview Begins Now

A few days ago I was sitting in the endoscopy unit working on some notes, when one of my fellows walked into the physician’s room to speak to one of her patients over the phone.  The patient evidently...

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My Med 2.0 (#med2) Experience

This weekend I attended my first “med-tech” conference (Medicine 2.0). What an eye-opening experience it was for me! I got to meet some phenomenal people whom I never would have otherwise met just by...

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An empirical scientific viewpoint about gun control

For just a moment, let’s take a scientific viewpoint about gun control here and try to leave emotions (and the Constitutional argument) out. The best type of study to determine whether gun control...

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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...

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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...

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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”...

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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...

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