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medicine.
CURES ACT FINAL RULE The ONC Cures Act Final Rule (Cures Rule) is the biggest health care law you’ve never heard of. But it’s a law that’s going to fundamentally shift the way we see patients and their information. It will change how physicians talk to patients about information. It will shift the way health professionals connect patients to theirinformation.
NARRATIVE MEDICINE AND THE PARALLEL CHART Narrative medicine and social health would make wonderful partners. Publicly available, privacy-protected parallel charts that allow social dialog might narrow the gap in the doctor-patient disconnect. Perhaps 33 charts is something of a parallel chart. 33 parallel charts. Related Articles. Narrative Medicine and Blood Pressure. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. GETTING RID OF STUPID STUFF If you want to see how the machine of medicine can be changed, read Getting Rid of Stupid Stuff in the New England Journal of Medicine.Under the leadership of Dr. Melinda Ashton at Hawaii Pacific Health, getting rid of stupid stuff was initiated to improve the inefficiencies of health professionals at the ground level.. This program sought nominations for EHR workflows that didn’t SHOULD YOU GIVE YOUR DOCTOR A GIFT? There are many ways to give your doctor a gift. The world of patient care is changing quickly and not for the better. Caring for the chronically ill is stressful, backbreaking work. If you’ve got a relationship that works think about pointing out the value in what you’ve got. G ourmet pears aside, remember that a sincere, heartfeltthank
LINKEDIN PHYSICIAN GUIDE LinkedIn Physician Guide. LinkedIn is the world’s largest professional social network. While there are a lot of resources for using LinkedIn, there are few that help you as a physician. This LinkedIn physician guide, part of The Public Physician, is written to help you get the most out of this important networking tool. WILL THE FUTURE NEED DOCTORS? The physician of 2050 will have workflows and ways of thinking that are critical but unrecognizable to today’s physician. But we’re not prepared for the future. The next generation is not ready for the changes that are coming. We’re seeing digital natives appearing in medical school to be trained with analog tools and a curriculum THREE A’S OF PHYSICIAN SUCCESS: AVAILABILITY, AFFABILITY The three A’s of physician success are availability, affability and ability. In that order. For most patients availability is the most important physician attribute. But waiting for the most able mind is sometimes the best thing. THE TWEETORIAL: BETTER THAN A LETTER TO THE EDITOR BUT AS Recently Dr. Vinay Prasad published a Tweetorial covering why Twitter might be a better place for editorial commentary than a formal letter to the editor. This week Paul Sufka riffed on the ANA. Interesting ideas and a new and interesting use of Twitter. Long-form Twitter is the spawn of its move to 280 character tweets and our ability to daisy chain them in new strings called threads. 33 CHARTS - EXPLORING THE EDGES OF MEDICINE AND TECHNOLOGY What is 33 Charts? With a mashup of curated and original content that crosses the spaces of digital health, media, communication, technology, patient experience, digital culture, and the humanities, 33 charts offers unique insight and analysis on the changing face ofmedicine.
CURES ACT FINAL RULE The ONC Cures Act Final Rule (Cures Rule) is the biggest health care law you’ve never heard of. But it’s a law that’s going to fundamentally shift the way we see patients and their information. It will change how physicians talk to patients about information. It will shift the way health professionals connect patients to theirinformation.
NARRATIVE MEDICINE AND THE PARALLEL CHART Narrative medicine and social health would make wonderful partners. Publicly available, privacy-protected parallel charts that allow social dialog might narrow the gap in the doctor-patient disconnect. Perhaps 33 charts is something of a parallel chart. 33 parallel charts. Related Articles. Narrative Medicine and Blood Pressure. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. GETTING RID OF STUPID STUFF If you want to see how the machine of medicine can be changed, read Getting Rid of Stupid Stuff in the New England Journal of Medicine.Under the leadership of Dr. Melinda Ashton at Hawaii Pacific Health, getting rid of stupid stuff was initiated to improve the inefficiencies of health professionals at the ground level.. This program sought nominations for EHR workflows that didn’t SHOULD YOU GIVE YOUR DOCTOR A GIFT? There are many ways to give your doctor a gift. The world of patient care is changing quickly and not for the better. Caring for the chronically ill is stressful, backbreaking work. If you’ve got a relationship that works think about pointing out the value in what you’ve got. G ourmet pears aside, remember that a sincere, heartfeltthank
LINKEDIN PHYSICIAN GUIDE LinkedIn Physician Guide. LinkedIn is the world’s largest professional social network. While there are a lot of resources for using LinkedIn, there are few that help you as a physician. This LinkedIn physician guide, part of The Public Physician, is written to help you get the most out of this important networking tool. WILL THE FUTURE NEED DOCTORS? The physician of 2050 will have workflows and ways of thinking that are critical but unrecognizable to today’s physician. But we’re not prepared for the future. The next generation is not ready for the changes that are coming. We’re seeing digital natives appearing in medical school to be trained with analog tools and a curriculum THREE A’S OF PHYSICIAN SUCCESS: AVAILABILITY, AFFABILITY The three A’s of physician success are availability, affability and ability. In that order. For most patients availability is the most important physician attribute. But waiting for the most able mind is sometimes the best thing. THE TWEETORIAL: BETTER THAN A LETTER TO THE EDITOR BUT AS Recently Dr. Vinay Prasad published a Tweetorial covering why Twitter might be a better place for editorial commentary than a formal letter to the editor. This week Paul Sufka riffed on the ANA. Interesting ideas and a new and interesting use of Twitter. Long-form Twitter is the spawn of its move to 280 character tweets and our ability to daisy chain them in new strings called threads. 33 CHARTS - EXPLORING THE EDGES OF MEDICINE AND TECHNOLOGY What is 33 Charts? With a mashup of curated and original content that crosses the spaces of digital health, media, communication, technology, patient experience, digital culture, and the humanities, 33 charts offers unique insight and analysis on the changing face ofmedicine.
HOW I STRUCTURE A PATIENT VISIT Here’s how I structure a patient visit: Introduction ( provider directed ). During the first few minutes I try to connect and find some type of common ground with the child and parents. Basic, human stuff. Landscape of the encounter ( provider directed ). I always outline the course of the visit. THE FUTURE OF MEDICAL MEETINGS The real value proposition for medical meetings. But there may be a really good reason to go to a meeting: to meet. That’s why it’s called a meeting.Despite the fact that we can get information 24/7 and share our ideas in short-form on twitter, there may be real value in real human connection. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. PHYSICIAN NOTES: ACCESS IS ONLY AS GOOD AS THE Clear physician notes are not an EHR problem. Doctors alone take the history, compose the impression, and shape the plan. It’s the part of the EHR that’s all us. There are a million excuses why physicians can’t create clean documentation. We need to beTHE EXAM ROOM DOOR
Doctors have been walking through the exam room door for centuries. But the spaces in which we care are evolving. There are new media through which we can connect with patients. Despite how we connect, I suspect that there will always be the door in some iteration. THE HUMAN QUEST FOR A SINGLE MEASURE OF HEALTH The Human Quest for a Single Measure of Health. Humans are simple creatures. We’re always looking for a way to reduce our condition to one measure. Check out James Hamblin’s latest Atlantic piece, The Power of One Push-up. It details the quest for the best single measure of health. It’s entertaining but maybe better suited for a 20th A SIMPLER LADDER OF SOCIAL ENGAGEMENT I want to make a simpler ladder of social engagement for use in teaching others about social media. Perhaps there could be as few as 4 levels of involvement: Creation. This is the creation and publication of original ideas – text, video, images. Social conversation centers around ideas. Few people make the stuff that others talk about.Curation.
PHYSICIAN AUTHORITY AND INFLUENCE ONLINE Authority – These are the true leaders in medicine with deep knowledge, experience and credibility in their domain. These are the leaders among physicians. The power hitters. And not necessarily academics. Influence – Those with lots of followers or influence as determined by social media metrics. Some influencers have authority. THE FRIGHTENING REALITY OF A CHILD’S DIGITAL The Frightening Reality of a Child’s Digital Footprint. Former Google CEO Eric Schmidt had this chilling prediction about a child’s digital footprint in The New Digital Age in 2013 (required reading for everyone): Near-permanent data storage will have a big impact on how citizens operate in virtual space. There will be a record of all 33 CHARTS - EXPLORING THE EDGES OF MEDICINE AND TECHNOLOGY A mashup of curated and original thinking that crosses medicine, technology and culture. 33 charts offers unique insight and analysis on the changing face of medicine. CURES ACT FINAL RULE The ONC Cures Act Final Rule (Cures Rule) is the biggest health care law you’ve never heard of. But it’s a law that’s going to fundamentally shift the way we see patients and their information. It will change how physicians talk to patients about information. It will shift the way health professionals connect patients to theirinformation.
NARRATIVE MEDICINE AND THE PARALLEL CHART Narrative medicine and social health would make wonderful partners. Publicly available, privacy-protected parallel charts that allow social dialog might narrow the gap in the doctor-patient disconnect. Perhaps 33 charts is something of a parallel chart. 33 parallel charts. Related Articles. Narrative Medicine and Blood Pressure. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. SHOULD YOU GIVE YOUR DOCTOR A GIFT? There are many ways to give your doctor a gift. The world of patient care is changing quickly and not for the better. Caring for the chronically ill is stressful, backbreaking work. If you’ve got a relationship that works think about pointing out the value in what you’ve got. G ourmet pears aside, remember that a sincere, heartfeltthank
WILL THE FUTURE NEED DOCTORS? The physician of 2050 will have workflows and ways of thinking that are critical but unrecognizable to today’s physician. But we’re not prepared for the future. The next generation is not ready for the changes that are coming. We’re seeing digital natives appearing in medical school to be trained with analog tools and a curriculum GETTING RID OF STUPID STUFF If you want to see how the machine of medicine can be changed, read Getting Rid of Stupid Stuff in the New England Journal of Medicine.Under the leadership of Dr. Melinda Ashton at Hawaii Pacific Health, getting rid of stupid stuff was initiated to improve the inefficiencies of health professionals at the ground level.. This program sought nominations for EHR workflows that didn’t THREE A’S OF PHYSICIAN SUCCESS: AVAILABILITY, AFFABILITY The three A’s of physician success are availability, affability and ability. In that order. For most patients availability is the most important physician attribute. But waiting for the most able mind is sometimes the best thing. LINKEDIN PHYSICIAN GUIDE LinkedIn Physician Guide. LinkedIn is the world’s largest professional social network. While there are a lot of resources for using LinkedIn, there are few that help you as a physician. This LinkedIn physician guide, part of The Public Physician, is written to help you get the most out of this important networking tool. THE TWEETORIAL: BETTER THAN A LETTER TO THE EDITOR BUT AS Recently Dr. Vinay Prasad published a Tweetorial covering why Twitter might be a better place for editorial commentary than a formal letter to the editor. This week Paul Sufka riffed on the ANA. Interesting ideas and a new and interesting use of Twitter. Long-form Twitter is the spawn of its move to 280 character tweets and our ability to daisy chain them in new strings called threads. 33 CHARTS - EXPLORING THE EDGES OF MEDICINE AND TECHNOLOGY A mashup of curated and original thinking that crosses medicine, technology and culture. 33 charts offers unique insight and analysis on the changing face of medicine. CURES ACT FINAL RULE The ONC Cures Act Final Rule (Cures Rule) is the biggest health care law you’ve never heard of. But it’s a law that’s going to fundamentally shift the way we see patients and their information. It will change how physicians talk to patients about information. It will shift the way health professionals connect patients to theirinformation.
NARRATIVE MEDICINE AND THE PARALLEL CHART Narrative medicine and social health would make wonderful partners. Publicly available, privacy-protected parallel charts that allow social dialog might narrow the gap in the doctor-patient disconnect. Perhaps 33 charts is something of a parallel chart. 33 parallel charts. Related Articles. Narrative Medicine and Blood Pressure. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. SHOULD YOU GIVE YOUR DOCTOR A GIFT? There are many ways to give your doctor a gift. The world of patient care is changing quickly and not for the better. Caring for the chronically ill is stressful, backbreaking work. If you’ve got a relationship that works think about pointing out the value in what you’ve got. G ourmet pears aside, remember that a sincere, heartfeltthank
WILL THE FUTURE NEED DOCTORS? The physician of 2050 will have workflows and ways of thinking that are critical but unrecognizable to today’s physician. But we’re not prepared for the future. The next generation is not ready for the changes that are coming. We’re seeing digital natives appearing in medical school to be trained with analog tools and a curriculum GETTING RID OF STUPID STUFF If you want to see how the machine of medicine can be changed, read Getting Rid of Stupid Stuff in the New England Journal of Medicine.Under the leadership of Dr. Melinda Ashton at Hawaii Pacific Health, getting rid of stupid stuff was initiated to improve the inefficiencies of health professionals at the ground level.. This program sought nominations for EHR workflows that didn’t THREE A’S OF PHYSICIAN SUCCESS: AVAILABILITY, AFFABILITY The three A’s of physician success are availability, affability and ability. In that order. For most patients availability is the most important physician attribute. But waiting for the most able mind is sometimes the best thing. LINKEDIN PHYSICIAN GUIDE LinkedIn Physician Guide. LinkedIn is the world’s largest professional social network. While there are a lot of resources for using LinkedIn, there are few that help you as a physician. This LinkedIn physician guide, part of The Public Physician, is written to help you get the most out of this important networking tool. THE TWEETORIAL: BETTER THAN A LETTER TO THE EDITOR BUT AS Recently Dr. Vinay Prasad published a Tweetorial covering why Twitter might be a better place for editorial commentary than a formal letter to the editor. This week Paul Sufka riffed on the ANA. Interesting ideas and a new and interesting use of Twitter. Long-form Twitter is the spawn of its move to 280 character tweets and our ability to daisy chain them in new strings called threads. HOW I STRUCTURE A PATIENT VISIT Here’s how I structure a patient visit: Introduction ( provider directed ). During the first few minutes I try to connect and find some type of common ground with the child and parents. Basic, human stuff. Landscape of the encounter ( provider directed ). I always outline the course of the visit. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. THE FUTURE OF MEDICAL MEETINGS The real value proposition for medical meetings. But there may be a really good reason to go to a meeting: to meet. That’s why it’s called a meeting.Despite the fact that we can get information 24/7 and share our ideas in short-form on twitter, there may be real value in real human connection. PHYSICIAN NOTES: ACCESS IS ONLY AS GOOD AS THE Clear physician notes are not an EHR problem. Doctors alone take the history, compose the impression, and shape the plan. It’s the part of the EHR that’s all us. There are a million excuses why physicians can’t create clean documentation. We need to be THE HUMAN QUEST FOR A SINGLE MEASURE OF HEALTH The Human Quest for a Single Measure of Health. Humans are simple creatures. We’re always looking for a way to reduce our condition to one measure. Check out James Hamblin’s latest Atlantic piece, The Power of One Push-up. It details the quest for the best single measure of health. It’s entertaining but maybe better suited for a 20th TELEMEDICINE HYPE CYCLE AND THE FUTURE OF REMOTE CARE Telemedicine Hype Cycle and the Future of Remote Care. A recent STATNews First Opinion piece suggested that we’re seeing the abandonment of telemedicine by physicians after a strong start in 2020. Data from Phreesia shows early adoption in March 2020 with a fall off in May – This pattern reflects the earliest phases of thetelemedicine hype
A SIMPLER LADDER OF SOCIAL ENGAGEMENT I want to make a simpler ladder of social engagement for use in teaching others about social media. Perhaps there could be as few as 4 levels of involvement: Creation. This is the creation and publication of original ideas – text, video, images. Social conversation centers around ideas. Few people make the stuff that others talk about.Curation.
LINKEDIN PHYSICIAN GUIDE LinkedIn Physician Guide. LinkedIn is the world’s largest professional social network. While there are a lot of resources for using LinkedIn, there are few that help you as a physician. This LinkedIn physician guide, part of The Public Physician, is written to help you get the most out of this important networking tool. PHYSICIAN AUTHORITY AND INFLUENCE ONLINE Authority – These are the true leaders in medicine with deep knowledge, experience and credibility in their domain. These are the leaders among physicians. The power hitters. And not necessarily academics. Influence – Those with lots of followers or influence as determined by social media metrics. Some influencers have authority. THE FRIGHTENING REALITY OF A CHILD’S DIGITAL The Frightening Reality of a Child’s Digital Footprint. Former Google CEO Eric Schmidt had this chilling prediction about a child’s digital footprint in The New Digital Age in 2013 (required reading for everyone): Near-permanent data storage will have a big impact on how citizens operate in virtual space. There will be a record of all 33 CHARTS - EXPLORING THE EDGES OF MEDICINE AND TECHNOLOGY A mashup of curated and original thinking that crosses medicine, technology and culture. 33 charts offers unique insight and analysis on the changing face of medicine. CURES ACT FINAL RULE The ONC Cures Act Final Rule (Cures Rule) is the biggest health care law you’ve never heard of. But it’s a law that’s going to fundamentally shift the way we see patients and their information. It will change how physicians talk to patients about information. It will shift the way health professionals connect patients to theirinformation.
HOW I STRUCTURE A PATIENT VISIT Here’s how I structure a patient visit: Introduction ( provider directed ). During the first few minutes I try to connect and find some type of common ground with the child and parents. Basic, human stuff. Landscape of the encounter ( provider directed ). I always outline the course of the visit. NARRATIVE MEDICINE AND THE PARALLEL CHART Narrative medicine and social health would make wonderful partners. Publicly available, privacy-protected parallel charts that allow social dialog might narrow the gap in the doctor-patient disconnect. Perhaps 33 charts is something of a parallel chart. 33 parallel charts. Related Articles. Narrative Medicine and Blood Pressure. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. GETTING RID OF STUPID STUFF If you want to see how the machine of medicine can be changed, read Getting Rid of Stupid Stuff in the New England Journal of Medicine.Under the leadership of Dr. Melinda Ashton at Hawaii Pacific Health, getting rid of stupid stuff was initiated to improve the inefficiencies of health professionals at the ground level.. This program sought nominations for EHR workflows that didn’t WILL THE FUTURE NEED DOCTORS? The physician of 2050 will have workflows and ways of thinking that are critical but unrecognizable to today’s physician. But we’re not prepared for the future. The next generation is not ready for the changes that are coming. We’re seeing digital natives appearing in medical school to be trained with analog tools and a curriculum THREE A’S OF PHYSICIAN SUCCESS: AVAILABILITY, AFFABILITY The three A’s of physician success are availability, affability and ability. In that order. For most patients availability is the most important physician attribute. But waiting for the most able mind is sometimes the best thing. SHOULD YOU GIVE YOUR DOCTOR A GIFT? There are many ways to give your doctor a gift. The world of patient care is changing quickly and not for the better. Caring for the chronically ill is stressful, backbreaking work. If you’ve got a relationship that works think about pointing out the value in what you’ve got. G ourmet pears aside, remember that a sincere, heartfeltthank
THE TWEETORIAL: BETTER THAN A LETTER TO THE EDITOR BUT AS Recently Dr. Vinay Prasad published a Tweetorial covering why Twitter might be a better place for editorial commentary than a formal letter to the editor. This week Paul Sufka riffed on the ANA. Interesting ideas and a new and interesting use of Twitter. Long-form Twitter is the spawn of its move to 280 character tweets and our ability to daisy chain them in new strings called threads. 33 CHARTS - EXPLORING THE EDGES OF MEDICINE AND TECHNOLOGY A mashup of curated and original thinking that crosses medicine, technology and culture. 33 charts offers unique insight and analysis on the changing face of medicine. CURES ACT FINAL RULE The ONC Cures Act Final Rule (Cures Rule) is the biggest health care law you’ve never heard of. But it’s a law that’s going to fundamentally shift the way we see patients and their information. It will change how physicians talk to patients about information. It will shift the way health professionals connect patients to theirinformation.
HOW I STRUCTURE A PATIENT VISIT Here’s how I structure a patient visit: Introduction ( provider directed ). During the first few minutes I try to connect and find some type of common ground with the child and parents. Basic, human stuff. Landscape of the encounter ( provider directed ). I always outline the course of the visit. NARRATIVE MEDICINE AND THE PARALLEL CHART Narrative medicine and social health would make wonderful partners. Publicly available, privacy-protected parallel charts that allow social dialog might narrow the gap in the doctor-patient disconnect. Perhaps 33 charts is something of a parallel chart. 33 parallel charts. Related Articles. Narrative Medicine and Blood Pressure. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. GETTING RID OF STUPID STUFF If you want to see how the machine of medicine can be changed, read Getting Rid of Stupid Stuff in the New England Journal of Medicine.Under the leadership of Dr. Melinda Ashton at Hawaii Pacific Health, getting rid of stupid stuff was initiated to improve the inefficiencies of health professionals at the ground level.. This program sought nominations for EHR workflows that didn’t WILL THE FUTURE NEED DOCTORS? The physician of 2050 will have workflows and ways of thinking that are critical but unrecognizable to today’s physician. But we’re not prepared for the future. The next generation is not ready for the changes that are coming. We’re seeing digital natives appearing in medical school to be trained with analog tools and a curriculum THREE A’S OF PHYSICIAN SUCCESS: AVAILABILITY, AFFABILITY The three A’s of physician success are availability, affability and ability. In that order. For most patients availability is the most important physician attribute. But waiting for the most able mind is sometimes the best thing. SHOULD YOU GIVE YOUR DOCTOR A GIFT? There are many ways to give your doctor a gift. The world of patient care is changing quickly and not for the better. Caring for the chronically ill is stressful, backbreaking work. If you’ve got a relationship that works think about pointing out the value in what you’ve got. G ourmet pears aside, remember that a sincere, heartfeltthank
THE TWEETORIAL: BETTER THAN A LETTER TO THE EDITOR BUT AS Recently Dr. Vinay Prasad published a Tweetorial covering why Twitter might be a better place for editorial commentary than a formal letter to the editor. This week Paul Sufka riffed on the ANA. Interesting ideas and a new and interesting use of Twitter. Long-form Twitter is the spawn of its move to 280 character tweets and our ability to daisy chain them in new strings called threads. HOW I STRUCTURE A PATIENT VISIT Here’s how I structure a patient visit: Introduction ( provider directed ). During the first few minutes I try to connect and find some type of common ground with the child and parents. Basic, human stuff. Landscape of the encounter ( provider directed ). I always outline the course of the visit. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. THE FUTURE OF MEDICAL MEETINGS The real value proposition for medical meetings. But there may be a really good reason to go to a meeting: to meet. That’s why it’s called a meeting.Despite the fact that we can get information 24/7 and share our ideas in short-form on twitter, there may be real value in real human connection. PHYSICIAN NOTES: ACCESS IS ONLY AS GOOD AS THE Clear physician notes are not an EHR problem. Doctors alone take the history, compose the impression, and shape the plan. It’s the part of the EHR that’s all us. There are a million excuses why physicians can’t create clean documentation. We need to be THE HUMAN QUEST FOR A SINGLE MEASURE OF HEALTH The Human Quest for a Single Measure of Health. Humans are simple creatures. We’re always looking for a way to reduce our condition to one measure. Check out James Hamblin’s latest Atlantic piece, The Power of One Push-up. It details the quest for the best single measure of health. It’s entertaining but maybe better suited for a 20th TELEMEDICINE HYPE CYCLE AND THE FUTURE OF REMOTE CARE Telemedicine Hype Cycle and the Future of Remote Care. A recent STATNews First Opinion piece suggested that we’re seeing the abandonment of telemedicine by physicians after a strong start in 2020. Data from Phreesia shows early adoption in March 2020 with a fall off in May – This pattern reflects the earliest phases of thetelemedicine hype
LINKEDIN PHYSICIAN GUIDE LinkedIn Physician Guide. LinkedIn is the world’s largest professional social network. While there are a lot of resources for using LinkedIn, there are few that help you as a physician. This LinkedIn physician guide, part of The Public Physician, is written to help you get the most out of this important networking tool. A SIMPLER LADDER OF SOCIAL ENGAGEMENT I want to make a simpler ladder of social engagement for use in teaching others about social media. Perhaps there could be as few as 4 levels of involvement: Creation. This is the creation and publication of original ideas – text, video, images. Social conversation centers around ideas. Few people make the stuff that others talk about.Curation.
PHYSICIAN AUTHORITY AND INFLUENCE ONLINE Authority – These are the true leaders in medicine with deep knowledge, experience and credibility in their domain. These are the leaders among physicians. The power hitters. And not necessarily academics. Influence – Those with lots of followers or influence as determined by social media metrics. Some influencers have authority. THE FRIGHTENING REALITY OF A CHILD’S DIGITAL The Frightening Reality of a Child’s Digital Footprint. Former Google CEO Eric Schmidt had this chilling prediction about a child’s digital footprint in The New Digital Age in 2013 (required reading for everyone): Near-permanent data storage will have a big impact on how citizens operate in virtual space. There will be a record of all 33 CHARTS - EXPLORING THE EDGES OF MEDICINE AND TECHNOLOGY A mashup of curated and original thinking that crosses medicine, technology and culture. 33 charts offers unique insight and analysis on the changing face of medicine.BLOG - 33 CHARTS
Last week’s insurrection at the U.S. Capitol will live in infamy. Twitter suspends Trump and Facebook and YouTube follow in suit. It may serve as one of the most historic moments the history of the web. A few thoughts on how we got here and where we may be headed. This first appeared in the 33 charts newsletter. CURES ACT FINAL RULE The ONC Cures Act Final Rule (Cures Rule) is the biggest health care law you’ve never heard of. But it’s a law that’s going to fundamentally shift the way we see patients and their information. It will change how physicians talk to patients about information. It will shift the way health professionals connect patients to theirinformation.
NARRATIVE MEDICINE AND THE PARALLEL CHART Narrative medicine and social health would make wonderful partners. Publicly available, privacy-protected parallel charts that allow social dialog might narrow the gap in the doctor-patient disconnect. Perhaps 33 charts is something of a parallel chart. 33 parallel charts. Related Articles. Narrative Medicine and Blood Pressure. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. SHOULD WE CONSIDER PATIENT BIAS? Should We Consider Patient Bias? There’s lots of talk about physician bias. Confirmation bias, attribution error, etc. Jerry Groopman’s How Doctors Think provides a great primer on how patterns of physician thinking impact care. Unfortunately there’s less talk about patient bias. Google ‘patient bias’ and you’ll find onlylinks to
SHOULD YOU GIVE YOUR DOCTOR A GIFT? There are many ways to give your doctor a gift. The world of patient care is changing quickly and not for the better. Caring for the chronically ill is stressful, backbreaking work. If you’ve got a relationship that works think about pointing out the value in what you’ve got. G ourmet pears aside, remember that a sincere, heartfeltthank
WILL THE FUTURE NEED DOCTORS? The physician of 2050 will have workflows and ways of thinking that are critical but unrecognizable to today’s physician. But we’re not prepared for the future. The next generation is not ready for the changes that are coming. We’re seeing digital natives appearing in medical school to be trained with analog tools and a curriculum LINKEDIN PHYSICIAN GUIDE LinkedIn Physician Guide. LinkedIn is the world’s largest professional social network. While there are a lot of resources for using LinkedIn, there are few that help you as a physician. This LinkedIn physician guide, part of The Public Physician, is written to help you get the most out of this important networking tool. THE TWEETORIAL: BETTER THAN A LETTER TO THE EDITOR BUT AS Recently Dr. Vinay Prasad published a Tweetorial covering why Twitter might be a better place for editorial commentary than a formal letter to the editor. This week Paul Sufka riffed on the ANA. Interesting ideas and a new and interesting use of Twitter. Long-form Twitter is the spawn of its move to 280 character tweets and our ability to daisy chain them in new strings called threads. 33 CHARTS - EXPLORING THE EDGES OF MEDICINE AND TECHNOLOGY A mashup of curated and original thinking that crosses medicine, technology and culture. 33 charts offers unique insight and analysis on the changing face of medicine.BLOG - 33 CHARTS
Last week’s insurrection at the U.S. Capitol will live in infamy. Twitter suspends Trump and Facebook and YouTube follow in suit. It may serve as one of the most historic moments the history of the web. A few thoughts on how we got here and where we may be headed. This first appeared in the 33 charts newsletter. CURES ACT FINAL RULE The ONC Cures Act Final Rule (Cures Rule) is the biggest health care law you’ve never heard of. But it’s a law that’s going to fundamentally shift the way we see patients and their information. It will change how physicians talk to patients about information. It will shift the way health professionals connect patients to theirinformation.
NARRATIVE MEDICINE AND THE PARALLEL CHART Narrative medicine and social health would make wonderful partners. Publicly available, privacy-protected parallel charts that allow social dialog might narrow the gap in the doctor-patient disconnect. Perhaps 33 charts is something of a parallel chart. 33 parallel charts. Related Articles. Narrative Medicine and Blood Pressure. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. SHOULD WE CONSIDER PATIENT BIAS? Should We Consider Patient Bias? There’s lots of talk about physician bias. Confirmation bias, attribution error, etc. Jerry Groopman’s How Doctors Think provides a great primer on how patterns of physician thinking impact care. Unfortunately there’s less talk about patient bias. Google ‘patient bias’ and you’ll find onlylinks to
SHOULD YOU GIVE YOUR DOCTOR A GIFT? There are many ways to give your doctor a gift. The world of patient care is changing quickly and not for the better. Caring for the chronically ill is stressful, backbreaking work. If you’ve got a relationship that works think about pointing out the value in what you’ve got. G ourmet pears aside, remember that a sincere, heartfeltthank
WILL THE FUTURE NEED DOCTORS? The physician of 2050 will have workflows and ways of thinking that are critical but unrecognizable to today’s physician. But we’re not prepared for the future. The next generation is not ready for the changes that are coming. We’re seeing digital natives appearing in medical school to be trained with analog tools and a curriculum LINKEDIN PHYSICIAN GUIDE LinkedIn Physician Guide. LinkedIn is the world’s largest professional social network. While there are a lot of resources for using LinkedIn, there are few that help you as a physician. This LinkedIn physician guide, part of The Public Physician, is written to help you get the most out of this important networking tool. THE TWEETORIAL: BETTER THAN A LETTER TO THE EDITOR BUT AS Recently Dr. Vinay Prasad published a Tweetorial covering why Twitter might be a better place for editorial commentary than a formal letter to the editor. This week Paul Sufka riffed on the ANA. Interesting ideas and a new and interesting use of Twitter. Long-form Twitter is the spawn of its move to 280 character tweets and our ability to daisy chain them in new strings called threads.ABOUT - 33 CHARTS
33 charts – A sandbox for new ideas. Ultimately 33 charts is a sandbox for my thinking. Writing here helps me understand how I view the world. What’s here is not finished but the earliest iterations of bigger things for myself and the reader. My best insights come when I focus on the tensions experienced in my work as a physician. HOW I STRUCTURE A PATIENT VISIT Here’s how I structure a patient visit: Introduction ( provider directed ). During the first few minutes I try to connect and find some type of common ground with the child and parents. Basic, human stuff. Landscape of the encounter ( provider directed ). I always outline the course of the visit. WHY WE CAN’T SEE COVID AS A WICKED PROBLEM Part of the complex system that is COVID is the reality of tradeoffs. To date, the policy and public debate surrounding COVID has failed to consider little other than curves. As noted in The Lancet when describing diabetes as a wicked problem, The aim should be a resolution with the least bad outcome for the majority. SHOULD WE CONSIDER PATIENT BIAS? Should We Consider Patient Bias? There’s lots of talk about physician bias. Confirmation bias, attribution error, etc. Jerry Groopman’s How Doctors Think provides a great primer on how patterns of physician thinking impact care. Unfortunately there’s less talk about patient bias. Google ‘patient bias’ and you’ll find onlylinks to
PHYSICIAN NOTES: ACCESS IS ONLY AS GOOD AS THE Clear physician notes are not an EHR problem. Doctors alone take the history, compose the impression, and shape the plan. It’s the part of the EHR that’s all us. There are a million excuses why physicians can’t create clean documentation. We need to be PHYSICIAN AUTHORITY AND INFLUENCE ONLINE Authority – These are the true leaders in medicine with deep knowledge, experience and credibility in their domain. These are the leaders among physicians. The power hitters. And not necessarily academics. Influence – Those with lots of followers or influence as determined by social media metrics. Some influencers have authority. THREE A’S OF PHYSICIAN SUCCESS: AVAILABILITY, AFFABILITY The three A’s of physician success are availability, affability and ability. In that order. For most patients availability is the most important physician attribute. But waiting for the most able mind is sometimes the best thing. THE HUMAN QUEST FOR A SINGLE MEASURE OF HEALTH The Human Quest for a Single Measure of Health. Humans are simple creatures. We’re always looking for a way to reduce our condition to one measure. Check out James Hamblin’s latest Atlantic piece, The Power of One Push-up. It details the quest for the best single measure of health. It’s entertaining but maybe better suited for a 20thTHE VACCINE SELFIE
The current moment in medicine is defined by the vaccine selfie. Pictures on Twitter and Instagram have marked a turning point in the COVID pandemic where desperate health professionals have begun to show defiance. Dr. Wendy Sue Swanson has another take on the vaccine selfie. She posted a wonderful thread suggesting that the vaccineselfie
GETTING RID OF STUPID STUFF If you want to see how the machine of medicine can be changed, read Getting Rid of Stupid Stuff in the New England Journal of Medicine.Under the leadership of Dr. Melinda Ashton at Hawaii Pacific Health, getting rid of stupid stuff was initiated to improve the inefficiencies of health professionals at the ground level.. This program sought nominations for EHR workflows that didn’t * Skip to main content * Skip to primary sidebar33 CHARTS
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