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Archive for February, 2016
53d4ed74b9a5d0d8036396b99d55d4bb-huge-drA health-care team will never be as effective as it can be if it doesn't include the patient. Dr. Peter Anderson, president and founder of Team Care Medicine, explains today on the blog.

By Peter B. Anderson, M.D.

In The Boys in the Boat, a masterful account of the University of Washington’s eight-oar crew in the 1936 Olympics in Berlin, author Daniel James Brown offers an insight into what it takes to develop a gold medal-winning team. He also describes the frustration of the university’s rowing coach, who kept trying to put together the best combination of people, a task he finally realized relied on temperament, personality and other intangibles as much as it did on physical strength and rowing skills.


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Posted by Sonya Collins on Mar 1, 2016 12:26 PM EST
a184ba545b575404c7298aceb80ec67c-huge-7fAre you matching this year? Progress Notes wants your story! If you'd like to write a blog post about your experience applying and interviewing for The Match, contact Progress Notes editor Sonya Collins for more details today!
Here's a Match Day post from 2014.

By Jess Hoy

I have a confession to make. I dreaded residency interview season.  I envisioned tense students in dark suits, nodding aggressively, posturing for some judge.  I heard from friends about stressful panel interviews that were more like a trial than a conversation, and about applicant dinners that dragged on for hours.  But I learned early in the process that this foreboding fear was completely unfounded.  My interview days were filled with inspiring encounters with people who were genuinely excited to learn about me and my interests.  The program directors told humble stories about how they serendipitously rose to their prestigious ranks. And the other applicants were passionate about the same issues that had motivated me to go into primary care. 
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Posted by Sonya Collins on Feb 25, 2016 2:00 PM EST
5efce2776f0b55ea2b700ee8a447f0a7-huge-brCamden Coalition of Healthcare Providers has been a longtime collaborator, supporter and friend of PCP. One collaboration of which we are most proud is our work together on the student hotspotting project. Our two organizations share a vision for interprofessional teamwork in health care, and we value communication and innovation. We sat down with Camden Coalition's founder Dr. Jeff Brenner to learn more about these values. See what Dr. Brenner had to say. 

Progress Notes: The student hotspotting program that Camden Coalition runs with PCP and AAMC demonstrates your organization’s emphasis on teamwork. Why does Camden Coalition value team collaboration? Is there a benefit for patients, providers or both?
 
Jeff Brenner: There’s a benefit at every level of the organization and in all the work that we do. When you’re trying to do hard work or solve a hard problem, you can’t do it with one mindset, angle or personality type. You need different voices at the table, and you need to use them in the right way. Teamwork doesn’t always mean that every team member’s voice is equal. Teamwork means we’re harmonizing in a way that’s going to get the job done, get the problem solved, get the patient taken care of, or get the project done.
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Posted by Sonya Collins on Feb 23, 2016 11:46 AM EST
23130dcc8b123091d0052c2b90ed9cd0-huge-afA physician looks back on his early days in residency and the challenge of absorbing everything among all the responsibilities, interruptions and distractions. Now a chief resident himself, he wonders if he is an effective teacher for current residents who face those same challenges.

By Aftab Iqbal, M.D.
 
I remember my typical days as a resident on service for wards. The day starts with group sign-ins at 7 a.m., which can last up to 40 minutes. Then resident report, when a resident presents a case to the other residents and teaches a few points related to the case, takes another hour. Though I enjoyed these sessions, I was always anxious inside. I hadn’t seen any of my new patients and hadn’t had a chance to review overnight events for our existing patients. All I had to triage my patients was the sign-in information from the overnight intern and admitting resident.
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Posted by Sonya Collins on Feb 18, 2016 12:18 PM EST
4e414e908ca2713262c3634f0ffbecce-huge-phDirect primary care (DPC) cuts out the middleman with insurance-free, membership-based primary care that allows doctor and patient to truly get to know each other. We sat down with Mark Turshen, MD, physician and owner of Direct Doctors, to learn a little more about DPC. Here's what he said.

Progress Notes: Tell me a little about your direct primary care practice Direct Doctors?
 
MT: Direct Doctors is a combination of a micro-practice -- no staff, low overhead costs, simple business model -- and a direct primary care practice -- monthly membership fee, no insurance billing, high level of access to the doctor.  We've been up and running for a year and a half and have been slowly growing the practice through local marketing, networking, patient referrals, and social media advertising.  Patients ring a bell when they arrive, walk right in to see their doctor -- either my co-physician Lauren Hedde, DO, or me -- spend a minimum of 30 minutes with the physician directly, and follow up with email, text or 24-hour phone access.  They never wait in the waiting room or on hold to make an appointment. We use technology to the fullest to minimize hassles and maximize convenience. 

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Posted by Sonya Collins on Feb 16, 2016 12:10 PM EST
16385bf8cbe5f6544409e96c514537b6-huge-98 Today on the blog, a classic from our archives. When a homeless man who trusted almost no one allowed Diana Wohler to take his blood sugar, a long-term relationship ensued.

By Diana Wohler

No one knew just how long Freddy had been homeless nor what circumstances had brought him to the doorstep of the Baltimore Rescue Mission shelter.  As far as Dr. Dalton – our physician supervisor – and his students knew, Freddy had been there forever.  Residents of the shelter were required to help out, sweeping floors or cooking for the other residents.  Freddy always volunteered for clinic duty and was charged with making the list of patients to be seen that night, assigning patients to student clinicians, keeping the endless folders of medical records in order, and distributing supplies: stethoscopes and blood pressure cuffs to students, socks and toothpaste to patients. 

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Posted by Sonya Collins on Feb 11, 2016 11:41 AM EST
07cb87b9de3bd8806913d596bec9e54c-huge-giLast year, this med student took a leave of absence from medical school to launch a health-care startup. She discussed that decision here on the blog. Back from her time off and on the way to residency, she shares what she learned on the other side. 

By Gina Siddiqui

On this blog last May, I reflected on my path from medical school to starting a health tech company in San Francisco. In an environment that fetishizes the “dropout founder,” I always met perplexed faces when I said I planned to return to medical school. Now that graduation day is around the corner, I thought I’d shed light on my choice to return to clinical practice and what I learned on the other side.
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Posted by Sonya Collins on Feb 9, 2016 2:55 PM EST
ab108b98b6d708508f8e184feb4556d9-huge-un"A year ago, I decided to get off the hamster wheel. I didn't quit practicing medicine -- my passion -- but I decided to practice medicine the way I had envisioned when I graduated from medical school 16 years ago." Read all about that practice today on the blog.

By Jeffrey Gold, MD

Every patient knows this story: Your physician rushes into an exam room, file folder in hand, stares into a computer screen, and then vanishes after spending 10-15 minutes with you. What patients probably don’t realize is that their doctor is thinking, “This is not what I signed up for when I decided to go into primary care medicine.”
 
Framing a new health care model is not for the faint of heart, but this is what we went to medical school to do. Patients and doctors deserve better, but it is up to us to change it. It is obvious we need a course correction when a highly respected medical journal reports “patients want their physicians to look at them — not their computer screens — while in the exam room.”

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Posted by Sonya Collins on Feb 2, 2016 1:50 PM EST
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Most Recent Comments

Dear Penny, You give us another wake-up call. Boundaries can get loose and good habits can get worn down in the nursing home. As you say, the way that things get paid for affects the doctor-patient relationship. In my HMO, there are financial incentives to keep our patients at home. And some of our patients who need long-term care but still value the sociali...
It is a great article to know what patients want. Each medical professional must read this to know more about patients and keep them happy.
This looks intresting one and thanks for sharing. Any decision patient only input ant output important.
Thank you for sharing such ideas...
Thanks for the full summary of events and new leadership directions we need to take in primary care. Student and resident leadership is vital to the future of primary care, especially Family Medicine, where many of our senior leaders are shifting into health system, regional, state and federal roles, thus creating large need for new and emerging leader...

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