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anonymous

Complicated Lives - Taking the Social History - NEJM - 1 views

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    "Taking a comprehensive social history is time-consuming. It's easy to dismiss the task as outside the doctor's purview, especially when there's precious little time to get through a sea of investigations and treatment options. But every patient is a person, and illness occurs in the context of multifaceted lives. We need to listen to our patients with the recognition that the most important information they can give us about their illness often lies in the folds of their social circumstances. And it's our obligation to tailor our prescriptions to an illness in its full context."
avivajazz  jazzaviva

AARP |:| Fixing US Healthcare - 0 views

  • The AARP just met with the leadership of the Mayo Clinic, one of the most outstanding medical institutions in the country. They provide excellent care at a cost that is less than most other parts of the healthcare system - and with improved outcomes. We asked them about their secret to success. Mayo has an electronic medical record and all their patients have their information online. The physicians are on salary, so there’s no incentive to order unnecessary tests or procedures, and Mayo has an ethic of patient-centered care, with a long history of attracting the best people and rewarding them. If Mayo can do it, why can’t everyone else? The AARP believes that the potential is there for most communities to have excellent care – we must emulate the care delivery of institutions like the Mayo Clinic, and put in place payment and information systems that will coordinate care management better. It’s a big job and will take some investment, but we have many opportunities to do a better job than we’re doing today.
  •  
    The AARP just met with the leadership of the Mayo Clinic, one of the most outstanding medical institutions in the country. They provide excellent care at a cost that is less than most other parts of the healthcare system - and with improved outcomes. We asked them about their secret to success. Mayo has an electronic medical record and all their patients have their information online. The physicians are on salary, so there's no incentive to order unnecessary tests or procedures, and Mayo has an ethic of patient-centered care, with a long history of attracting the best people and rewarding them. If Mayo can do it, why can't everyone else? The AARP believes that the potential is there for most communities to have excellent care - we must emulate the care delivery of institutions like the Mayo Clinic, and put in place payment and information systems that will coordinate care management better. It's a big job and will take some investment, but we have many opportunities to do a better job than we're doing today.
anonymous

Clinical Gestalt - Reflective Interactive Medical Education | LinkedIn - 1 views

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    "Sharable free cases created by any author from any institution at any time. Simple non-linear navigation while authoring or learning. Traditional case components such as history (hx), physical examination (pe), etc. are clickable tabs. Flexible searches are created by authors. More keywords for less advanced learners, fewer keywords for more advanced learners Learner-built medical record created on the fly. Review is easy. Immediate feedback is provided by comparing the learner-assigned value with the author's value. Delayed feedback is provided during a final review and the summary. Sortable diagnoses forming a differential are created by the author and learner and compared. Non-linear navigation includes a "Tx" tab so problems can be treated while other data is gathered."
anonymous

Book - The Creative Destruction of Medicine - 1 views

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    " We can force medicine to undergo its biggest shakeup in history. This book shows us the stakes-and how to win them."
anonymous

5 Useful iPad Apps for Doctors, Patients and Med Students - 2 views

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    "The days are gone when a doctor walked into a patient's room and grabbed the paper chart at the end of his bed to check his medical history. iPads and tablet computing have revolutionized the way many companies do business, and the medical field is no different. The sharp, intuitive displays and interactive content of tablets naturally make doctor's visits a more collaborative process. "
anonymous

The Health Scout: The Art of History-Taking - 2 views

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    Great cartoon
anonymous

Images from the History of Medicine (NLM) - 1 views

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    Great source for old medical images
anonymous

Canadian Library of Family Medicine - 2 views

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    "Welcome! This is a place where stories about Canadian family medicine are shared by family physicians, patients, and their communities. These stories deliver powerful messages about the meaning of being a family physician, and about the contributions of family medicine and family physicians to the history of medicine, health care and life in Canada."
anonymous

Electronic Problem based learning - 4 views

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    ePBLMs are actual patient cases in CD format that permits free inquiry. The learner can ask any question of the patient in any sequence and get the patient's response and perform any item of the physical examination in any sequence and learn the result as in the real clinical situation. Any laboratory and diagnostic test can be ordered in any sequence as well. Whatever can be done with the actual patient on history and physical and the ordering of laboratory tests can be done with the ePBLM. A separate "User's Guide" provided with each ePBLM can be used with any of the ePBLMs in the series and provides the key for free inquiry.
Dr.Ravichandra Karkal

WORKUP AND DIAGNOSIS OF A SOLITARY THYROID NODULE from Townsend: Sabiston Textbook of Surgery on MD Consult - 0 views

  • Rapid growth and signs of possible invasion, such as pain or hoarseness, are most suggestive, but not conclusive of malignancy
  • Clinical groups with the highest risk for malignancy in a thyroid nodule are children, males, adults younger than 30 or older than 60 years, and those exposed to radiation therapy, especially during childhood
  • history of specific endocrine disorders
    • Dr.Ravichandra Karkal
       
      medullary carcinoma, MEN 2, or papillary thyroid cancer (PTC), or a history of familial polyposis, including Gardner's syndrome.
  • ...9 more annotations...
  • Serum Tg has been reported as useful in predicting a well-differentiated carcinoma
  • Radioisotope Scanning
  • radionuclide scans allow assessment of thyroid function.
  • Technetium pertechnetate (99mTc) is taken up rapidly by the normal activity of follicular cells. It is trapped by follicular cells, but not organified. 99mTc has a short half-life and low radiation dose. Its rapid absorption allows quick evaluation of increased uptake (so-called hot) or hypofunctioning (so-called cold) areas of the thyroid.
  • 123I and 131I iodine scintigraphy is also used to evaluate the functional status of the gland
  • Advantages of scanning with 123I include a low dose of radiation (30 mrad) and short half-life.
  • 123I is a good choice for evaluating suspected lingual thyroids or substernal goiters.
  • 131I has a longer half-life (8 days) and emits higher levels of β-radiation. 131I is optimal for imaging thyroid carcinoma.
  • screening modality of choice for the evaluation of distant metastasis.
anonymous

Hospice Volunteer Training Online - 0 views

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    The Hospice Volunteer Training Online program is different than any program currently offered. It is an introduction to the core concepts of hospice including it's history and philosophy, ethical and privacy considerations, definitions of team roles and eligibility, communication techniques, bereavement and grief explorations, and alternative therapies.
avivajazz  jazzaviva

Medical Education Reform: Patient-Centered Learner, Lowered Costs--True Healthcare Reform - 0 views

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    Patient Centered Learning: The solution is to permit alternatives to rigid institutions, utilize free internet programs, and have medical students assist practicing physicians by assisting practicing physicians in taking patient histories. These students would offer valuable, free services to doctors. At the same time, they would have a vivid learning experience by spending several hours each day interacting with actual patients. The Cost Of Medical Education Would Be Negligible. The expense of healthcare is directly proportional to the cost of the doctor's education. With the institutional bottleneck gone, there would be a greater number of doctors, and the cost of healthcare would plummet.
anonymous

Font Size May Not Aid Learning, but Its Style Can, Researchers Find - NYTimes.com - 4 views

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    "New research finds that people retain significantly more material - whether science, history or language - when they study it in a font that is not only unfamiliar but also hard to read. "
anonymous

Spock, Feminists, and the Fight for Participatory Medicine: A History - 1 views

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    Journal of Participatory Medicine Article
anonymous

History and practice of competency-based assessment. [Med Educ. 2012] - PubMed - NCBI - 0 views

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    "The language of these competencies has tended to adopt a prescriptive, rather than descriptive, approach. However, despite widespread agreement on the importance of competency-based education and more than two decades of study, this effort has not generated a dependable set of assessment tools."
anonymous

Looking back to move forward: using history, disco... [Med Teach. 2013] - PubMed - NCBI - 0 views

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    " In this AMEE guide we describe historical, discourse and text analysis approaches that can help researchers and educators question the inevitability of things that are currently seen as 'natural'. Why is such questioning important? By articulating our assumptions and interrogating the 'naturalness' of the status quo, one can then begin to ask why things are the way they are."
Peter Kimmich

Historic Deadly Plagues and How They Would Be Treated Today - 0 views

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    In past centuries humans have been at the mercy of all kinds of bacteria, viruses and other icky stuff. Here is a list of famous human pandemics, and how the diseases responsible would be handled today.
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