"The purpose of this medical community is to create a possibility, where most of the needs of physicians, residents, medicals students, physician assistants, nurses, technologists and industry can be melted within one central medical network. It is based on a "taking and giving" principle, where you share your knowledge and others do the same."
"We are sometimes unconscious of the hidden curriculum, but even when conscious of it we are silent or reluctant to act. We need a frank dialogue with students, residents, and each other about the lived experience of a career in medicine as the struggle it often is; about the challenges of living up to our profession's stated ideals; about the dangers of technological expertise without caring human relationships; about conflicts of interest and the difficult professional challenges of dealing with unprofessional colleagues; and about behaviour that imperils patients. We need to add "Above all be not silent" (Primum non tacere)17 to "First do no harm" as tenets to live by, and we must emphasize to students that what they are like as physicians is just as important as what they know. Thus will we build resistance to the hidden curriculum and reclaim our authenticity as trusted generalists whose knowledge is attached to values we truly uphold, model, and reproduce. "
A web-based tool, Continuity of Care Online Simulations (COCOS), was designed for use in a one-month, postgraduate clinical rotation in endocrinology. It is an interactive tool that simulates the continuing care of any patient with a chronic endocrine disease. Twenty-three residents in internal medicine participated in a study to investigate the effects of using COCOS during a clinical rotation in endocrinology on pre-post knowledge test scores and self-assessment of confidence.
"The study provides insight as to why supervisors fail to fail the poorly performing student and resident. It also offers suggestions of how to support supervisors, increasing the likelihood that they will provide a valid ITER "
"We are seeing more patients with fewer doctors in the United States; our time spent at the hospital is limited by duty hours; there are increasing demands on documentation for medico legal purposes. Unfortunately, there doesn't seem to be much of the horizon to fix these issues.
So what are we to do? Here are some things that may be helpful and things that work for me:"
"We believe that the workshop was a worthwhile use of valuable educational time. Using simulation as an educational tool along with the SPIKES protocol and small group role play is a novel and efficient module to teach EPs how to break bad news in the stressful environments of an emergency room."
" A structured portfolio is one systematic approach to encourage trainees to continually interact with the evaluation system. Assessment drives learning, and evaluation provides the judgment and rigor to determine competence."
"Participating medical students reported that they perceived narrative medicine to be an important, effective, but counter-culture means of enhancing communication, collaboration, and professional development. The authors contend that these skills are integral to medical practice, consistent with core competencies"