Time to Toss Twitter? Not before Trying It out

A recent article in the Atlantic went so far as to eulogize the popular 140-character microblogging service.  This was met with mixed feelings on Twitter, with some agreeing and others lamenting and saying it ain’t so.  Knowing that all technology has a life cycle curve, could it be Twitter would be retired and go the way of MySpace or Friendster?  It seems hard to believe, especially in medicine.  After all, it seems like doctors are just starting to adopt Twitter. This was readily apparent since after attending the typical series of medical conference this Spring, including Hospital Medicine 2014, where the backchannel of Twitter was a flutter with real-time reactions to plenaries and the best places to eat in a particular locale.  Many presenters often had their Twitter handle proudly on display and invited further interaction through Twitter after their presentations.  While it is true that Twitter now is not…

The hospital is dead, long live the hospital

  After returning home from HM14, I reflected back on the talks delivered by Ian Morrison and (Sir) Bob Wachter.  Without scratching below the surface, the takeaway message from both might accord with every industry prediction you read nowadays, mainly, tough times ahead, but "exciting" ones —because we need to transform how we deliver care.  Moreover, the change agent will be you, Dr. Hospitalist.  And we know you love change.  Your DNA has change written all over it. (more…)

Dr. Howell’s Quest

Who remembers this? That is 3rd year medical student Lesley Sutherland from the University of Maryland on stage at HM13 last May in Washington, DC being inducted into SHM by Eric Howell, SHM President (and Lesley's brother).  If you recall, just prior to calling Lesley to the stage, Dr Howell told us what he wanted to see in the next year of his presidency more efforts at attracting students and residents to the rolls of SHM.  His goal was to try and reach 1000 total learner members by HM 2014 in Las Vegas, effectively doubling the current representation. His goal was even more audacious because HM 14 was only 10 months away! I was curious as to how his quest was going, so I called him up and here is what I learned. Well to start off the numbers are looking good.  With 9 months since the challenge, we are…

An average hospital is…..?

A quick post on something we do not think about often. We look at the world through our own professional lens.  If you toil at a big urban hospital, your sphere of interest encompasses GME, training, research, and safety net care.  Conversely, if you work at a small, rural hospital, you concentrate on ER and ward coverage, adequacy of services, and connectivity to neighboring facilities and unavailable technology. (more…)