To understand the issue surrounding assessments, we must understand that it has become increasingly challenging to train physicians suited to face contemporary changes. To future physicians who have access to a repository of ever-expanding information on their smartphones, being tested on ‘high-yield’ minutia serves little purpose. Being able to think critically (and perhaps even imaginatively) in order to make sense of that information for patient care is what counts. And thus, no matter how standardized an examination is, lack of contextual reference renders it futile.
In this episode we interview Dr. Ijeoma Nnodim Opara. Dr. Opara received her medical degree from Wayne State University School of Medicine (WSUSOM) and completed a Med-Peds Residency at the Detroit Medical Center where she served as Chief Medical Resident. Currently, she is a double-board certified and an Assistant Professor of Internal Medicine and Pediatrics.
In this episode we combine with another podcast, From Skirts to Scrubs, to interview. Dr. Stephanie Faubion M.D. She has practiced in the Women’s Health Clinic at Mayo Clinic for over 10 years. She has a broad interest in women’s health and her research encompasses sex- and gender-based differences in disease, menopause, hormone therapy, healthy aging and sexual health and dysfunction in women.
Another day passed as I approached the deadline of my latest assignment. Our professor asked students rotating in the ICU to reflect and write up a patient encounter that influenced them deeply. In an effort to encourage a more humane and nuanced understanding of medicine, this was part of a series of reflective assignments being introduced in medical schools. While the budding writer in me was delighted at this prospect, the medical student, ironically, was …
I believe these inadequate approaches circumvent the answer the interviewer is actually trying to provoke: are you self-aware enough to know your faults?
Every one of us is imperfect, fallible, and vulnerable to making mistakes. Being a strong physician requires self-reflection and awareness, and interviewers want to know if you are willing to be honest with yourself and others. I can’t tell you how to answer this question, but I can tell you how I did.
As we seek to understand this phenomenon, there are many subjective variables that contribute to the trust between patients and providers. Measuring trust in a reliable and consistent fashion is challenging in itself. With these limitations in mind, three salient factors are involved in the decline of patient trust in physicians: one, a commodified healthcare system; two, lack of quality time spent with the patient; and three, racial influences on the patient-provider relationship.
Regardless, with this data in mind, it is important for students in medical education to understand that we are entering the profession at a time where the reputation that precedes us is not ideal. This also means that the capacity to alter this perception is dependent on the way we practice upon entering the workforce.
Dr. Creagan was the Mayo Clinic president 1999, 2000, 2001. He was responsible to the Mayo Clinic CEO who directed answered to the internal board of governors and the external trustees. He believes that this gave him a fascinating insight into what he called the “Masters Of The Universe.”
Remember why you’re here. Remember what you value. Decide what your ‘meaningful suffering’ is and don’t waver. For if we do, we too may one day find ourselves running down the hall, away from the very reason we decided to become doctors.
In this interview, we talk to Dr. Stephen J. Swensen. He is dedicated to the support of thoughtful leaders who aspire to nurture fulfillment of their staff. He is a recognized expert, researcher and speaker in the disciplines of leadership and burnout.
As soon as I let the door close quietly behind me, I turned to face the glaring, rude fluorescent lights of the operating room foyer. I felt my pupils constrict against their offensive shine as I ripped down my mask to suck in as much oxygen as my deflated lungs possibly could.
Current evidence suggests that much of human health is influenced more significantly by contextual factors like the social determinants of health than the direct receipt of health care. This relatively new understanding has challenged the notion of “physicianhood” and what it means to improve the health of entire populations and communities. With the influx of issues that the pandemic has brought with it, this new model for being a highly effective physician has become even more important.