Leadership

Count Me – and My Intuition – In

In modern medicine, we’re surrounded by EMR systems, lab tests and increasingly complex medical equipment. But I sometimes stop and wonder: Where does my intuition fit into the equation? Case in point: The other day, I had one of those days that happens in hospital medicine where nothing goes right. A patient admitted right at change of shift, with a diabetic foot ulcer as a chief complaint, was found to have an 8.0-gram hemoglobin drop from her baseline. Further questioning by the night admitting MD revealed that the patient had been having melena for several days. GI was consulted, but the lab was considered to be spurious. A stat repeat CBC and type and crossmatch was ordered. The EMR system was down, though this was not apparent at first. Because of this, it was not immediately evident that the lab could not see the order entered into the EMR system.…

Dum Spiro Spero

I was filling out my absentee ballot the other day, feeling despondent and uninspired at the choices that lay in front of me. Sensing my despairing emotion about the upcoming election, my 12-year-old daughter asked me what most Americans have been struggling with for months. “Mom, out of 325 million Americans, this is the best we can do?” I try to keep our kids informed about politics and leadership in the US and abroad (though admittedly, my husband is much better at this than I). We watch many of the debates together, and I try to explain leaders’ behaviors in ways that help them understand but that don’t taint their view of the humanity. Sometimes when I hear myself talking, I need to remind myself to believe what I am teaching my kids and to incorporate my own teachings into my own psyche! Here are a few key points I…

Serious Upgrade for SHM’s 2016 State of Hospital Medicine Report

Great news! The long-anticipated 2016 State of Hospital Medicine (SoHM) Report was released last week to rave reviews. Pre-orders of the report blew away previous records, and that’s on top of the almost 600 hospital medicine groups (HMGs) that received free versions of the report as a result of participating in the survey. Again this year, the SoHM Report breaks down the latest statistics for a number of salary and workload benchmarks and a wide variety of HMG structural and operational characteristics that inform those two areas. I was privileged to be on a web conference last week in which SHM staffer extraordinaire Patrick Vulgamore, the primary writer/editor of the report, walked us through the enhanced online version. And I have to say it’s a massive upgrade to previous digital versions. Two extra-cool things about the new digital version: It is searchable. It can be accessed via a mobile app.…

One of our own gets the star treatment. Big Time.

  As is custom nowadays, if you read a profile about any prominent public servant, you finish the article and feel a tad icky. Sometimes, however, the stars line up, and a story renews our faith in who is doing ours, the people's business in DC. In this case, it's one of our own. Most of you know Patrick Conway, the chief medical officer at CMS--one of his many roles there--as a hospitalist and frequent speaker at SHM. He also happens to be a humble, soft-spoken and delightful guy. He sees patients, still, and also has the gift of observation and the power to listen to folks, a rare offerings nowadays. In my neck of the woods, we call that a mensch. (more…)

Should Hospitalists Unionize?

  If you have given any thought to corporatized medicine and its impact on medical practice, I advise you to read this extended New York Times piece:           The story concerns the contentious relationship between a hospitalist group and their employer, PeaceHealth Sacred Heart Medical Center in Springfield, Oregon.  The group alleges the hospital made advances to replace them on account of their suboptimal performance--both financial and professional.  Sacred Heart put out bids to national companies to outsource their inpatient line of business.  However, their plan did not move forward due to significant physician backlash. Feeling vulnerable, the docs chose to join a union and hitched with the American Federation of Teachers, which already represented nurses at Sacred Heart.  (more…)
...23456...10...