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Archive for March, 2016
6f93abcabb876160ec550bfd5d4ee48d-huge-joIn honor of Social Work Month, we're reposting this piece from our archives written by a social worker looking at primary care as total responsibility—not only for the physical health of the patient, but for the betterment of their life.

By Joe Tobias

Earlier this year I heard Jack Geiger deliver Grand Rounds in the Social Medicine Department of Montefiore Medical Center. A physician well into his 80s, Geiger still travels the country promoting medicine as social rehabilitation—a model he has championed for the past fifty years. In the Mississippi Delta, in the racially divided South of the 1960s, Geiger started the nation’s first community health center. Not only did the center treat North Bolivar County residents’ acute medical problems, it also empowered them to lead better lives: to learn the skills they needed to stay healthy, to obtain the education that poverty had unjustly denied them and to realize their potential.
Posted by Nate Leskovic on Mar 31, 2016 12:58 PM EDT
6f067015fcfe71c26f5f06b99a3c547a-huge-54Last week, you read about the experiences of medical and pharmacy students who applied for this year's Match. Here on Progress Notes, we've covered The Match for many years, and we've seen that many factors go into students' choices for where they'd like to match. Here's a list of ten of the most common factors Progress Notes contributors say that they looked for in a residency.
Posted by Sonya Collins on Mar 22, 2016 1:08 PM EDT
9056132d346281d43d79c387bfde678b-huge-chIt's Match Day! One of the most important days in the lives of soon-to-be doctors and pharmacists, they'll learn which residency program they “matched” into and whether the Match will lead them to a clinic down the street or a hospital across the country. Match Day is the culmination of an entire season of applications and interviews. This week on the blog, read about the experiences of some class of 2016 doctors and pharmacists who will be matching today.

By Michael Chen

Interview season was fantastic. Before my fourth year of medical school, I had always heard of the “Great Fourth Year” filled with time off to relax and maybe even pick up a new hobby. While that part of my year has been much needed, going on interviews has been one of my favorite parts of this final year.

Posted by Sonya Collins on Mar 18, 2016 12:07 PM EDT
ed5f8c97ccae371a0db18677a53d27f9-huge-kaBy Katie Daniels

Pharmacy residency is becoming an increasingly desirable career path for graduating pharmacists. It offers the opportunity to build on clinical knowledge and skills during an additional one to two years of training in a hospital setting. Much like the residencies of our physician counterparts, pharmacy residencies involve a series of rotations in different clinical settings, which may include critical care, cardiology, pediatrics, oncology, primary care, and others, depending on the resident’s interests and the program’s requirements. Responsibilities of pharmacy residents also often include staffing, research, teaching, projects, and precepting pharmacy students. Going into pharmacy residency is not for everyone, but it does provide alternative career paths for pharmacists interested in clinical care. It can also offer a competitive edge in the job market. more...
Posted by Sonya Collins on Mar 17, 2016 11:10 AM EDT
3a6e82129a1c059884070025b4c9320d-huge-98This Friday, March 18, is Match Day for soon-to-be docs and pharmacists. One of the most important days in the lives of these health care professionals, they'll learn which residency program they “matched” into and whether the Match will lead them to a clinic down the street or a hospital across the country. Match Day is the culmination of an entire season of applications and interviews. This week on the blog, read about the experiences of some class of 2016 doctors and pharmacists who will be matching this Friday.

By Diana Wohler

There are over 400 family medicine residency training programs in the United States, which is absolutely exhilarating (so many possibilities!) and daunting (so MANY possibilities). To tackle this, my husband and I first made some strategic geographical decisions – key for anyone entering the couples match. As my husband is from the Midwest and my family lives in southern New England, we narrowed down our potential programs to those two areas. 
Posted by Sonya Collins on Mar 16, 2016 11:04 AM EDT
dbac56b594c8c78953086b6688ee60d5-huge-brThis Friday, March 18, is Match Day for soon-to-be docs and pharmacists. One of the most important days in the lives of these health care professionals, they'll learn which residency program they “matched” into and whether the Match will lead them to a clinic down the street or a hospital across the country. Match Day is the culmination of an entire season of applications and interviews. This week on the blog, read about the experiences of some class of 2016 doctors and pharmacists who will be matching this Friday.

By Isha Marina Di Bartolo

“What are your values?” During a presentation about the interview process and how to select a residency program, our dean’s call to think about our values left me thinking about what was important to me in the face of all the decisions I would be making over the next few months.

I began the application process knowing only that I wanted to apply in internal medicine. I had just finished a sub-internship in medicine at St. Raphael’s Hospital, which I began full of trepidation. I was certain that I would somehow disappoint my residents and attendings, by stuttering through a presentation at rounds, forgetting an important element of the abdominal exam for an ascitic patient or just generally messing up due to my ignorance or ineptitude. Only some of these fears came true, and overall, I left the rotation feeling ready for my formal residency training. I felt sure that internal medicine was right for me. I didn’t mind the four-hour rounds; I loved the holistic approach to the patient; and I enjoyed collaborating on interdisciplinary teams.
Posted by Sonya Collins on Mar 15, 2016 10:23 AM EDT
a521803d138adce6883e923499c9daa6-huge-imThe Hotspotting Project gives health professional students an unprecedented hands-on opportunity to practice an innovative model of care delivery called hotspotting. Hotspotters identify health care super-utilizers -- people who are admitted to the hospital multiple times a year, frequently for avoidable complications of chronic conditions, and who often have social barriers to adhering to their care plan. The hotspotters proactively bring additional attention, follow-up, resources and care to these patients in their homes and communities to help keep them out of the hospital. Here, one of our hotspotting teams shares their experience.

By Cathlyn Kennedy Samuel (above left), MSW, and Deepa Joshi (right), MD

How does a health care provider talk to a patient who begins the conversation with “I don’t trust hospitals and medical people”? Sickle cell disease had kept our 32-year-old patient S.B. wound up in the revolving door of hospitals for most of her life. Her medical history was complex, with frequent episodes of bone deterioration, UTIs and asthma complications, which had her on more than ten medications. But she was much more than her diagnoses. She was a tenacious mother, who was “couch-surfing” and consequently living apart from her children. Compounding her unstable housing situation was her use of cocaine as therapy for sickle cell pain crises.

Posted by Sonya Collins on Mar 10, 2016 12:26 PM EST
25f84c92a9aeb92517d1b8e46da8816d-huge-f8In honor of International Women's Day, a piece from our archives in which former Progress Notes editor, Ishani Ganguli, makes the case for the value of female doctors, no matter how many hours they put in each week.

By Ishani Ganguli, M.D.

With great power (and taxpayer investment) comes great responsibility. Absolutely. But as a recently inducted physician whose education has been federally subsidized, should I feel guilty that I may want to practice medicine part time? 

In a recent piece in The New York Times, anesthesiologist Karen S. Sibert argued that “With a growing shortage of doctors in America, we can no longer afford to continue training doctors who don’t spend their careers in the full-time practice of medicine.” Female doctors, she adds, bear the brunt of the blame.  more...
Posted by Sonya Collins on Mar 8, 2016 1:27 PM EST
6a8b4d2b2c298aee5c0c7274bab13285-huge-imA first-year pharmacy student learns that even she can play a role in primary care transformation.

By Marielle Galanto

“Pharmacy is changing. The health field is changing. You are the future of health care.”
When I started pharmacy school, these concepts were stressed so frequently that they became the mantra of orientation week. I was excited and inspired to hear this as a newly inducted pharmacy student (Really, who wouldn’t want to hear that they are the key to the future?). However, hearing these phrases over and over again became intimidating. I was still trying to adjust to the rigors of professional school, so how was I supposed to help lead a movement toward a better society?

Posted by Sonya Collins on Mar 3, 2016 1:51 PM EST
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.

Posted by Sonya Collins on Mar 1, 2016 12:26 PM EST
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Just to catch up folks on what is happening in the latest Match (Friday, March 17, 2017) with the Duluth program which has been a Family Medicine leader for decades. Sixty students who began their careers on the Duluth campus matched into their residencies! The day was filled with a great deal of joy, laughter, calls to loved ones, and eager anticipation fo...

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