Archive for May, 2010

BMC Gala

Thursday, May 13th, 2010

Over the weekend I attended the Boston Medical Center gala. In many ways, it was a typical fundraising dinner. A local newscaster emceed, the mayor of Boston spoke, and we ate wan chicken entrees.

What made the event memorable and even emotional, though, was a video montage of patient stories. Screens throughout the hall showed three BMC patients with complicated illnesses and how their doctors helped them overcome problems. Then, the lights went back on and the patients came on stage to a standing ovation.

As moved as I was by the skill and compassion of the BMC physicians, I couldn’t help but notice that all the cases involved surgeons. Certainly, removing a tumor provides dramatic before and after images, but what about the medical interventions? Where are the heroes of the Department of Medicine who demonstrate BMC’s mission of “exceptional care without exception?”

Medical School Enrollment

Wednesday, May 12th, 2010

In 2006, the Association of American Medical Colleges set a goal of increasing medical student enrollment by 30% to roughly 21,000 in 2015.

At first it seemed like economic trends were pushing in the opposite direction. Inside HigherEd reported that several publicly-financed medical schools were reducing enrollments or contemplating closing altogether. The only increase in numbers came from the opening of new medical schools.

Now, an AAMC survey projects that U.S. medical schools will reach their target of 30% increased enrollment by 2018. And almost all of the 125 schools accredited in 2002 have expanded their student bodies.

Mother’s Day

Monday, May 10th, 2010

In honor of yesterday's holiday, let me highlight resources for parents in the Department of Medicine.

The Department sponsors backup childcare when gaps in regular care arise. It costs $15 an hour with a four-hour minimum. The care givers are available day or evening, weekdays or weekends.

I have to admit that finding out information about maternity leaves at BU is confusing. The website for the Associate Provost for Faculty Development lists a draft policy that is still under debate. The Faculty Handbook offers its own policy.

There's a whole different policy that governs physicians covered by BMC's Faculty Practice Plan. While it may be impractical to have a single policy covering all faculty, it would make it easier to centralize the information.

Orientation

Thursday, May 6th, 2010

The Department of Medicine hosts its second orientation for new faculty today. It's a compressed format: just an hour of formal presentations followed by half an hour of small group discussions. When it's over, the entire faculty will join in a reception to welcome the new members.

When I became an assistant professor my home institution sponsored a semester-long orientation for new faculty. Some of the content was helpful, some of it I could have figured out on my own, and some was a waste of time.

Reflecting on the experience, I realize that the most important resources I took from the sessions were the relationships with colleagues. Once we scattered to our respective departments, it was rare to see faculty from other disciplines. The cohort I spent that fall semester with became mentors, confidants, and friends.

Doctor-Patient Interactions

Wednesday, May 5th, 2010

On the second day of Dan O'Connell's visit, he addressed a lunchtime group of clinicians on how to communicate more effectively with patients. Although I am not a medical doctor, I took away some key points that can make interactions with any client go more smoothly.

He emphasized that the doctor and staff must work as a team. The worst thing a doctor can say upon meeting a patient is, "What brings you in today?" The patient has already shared his or her concerns with the medical assistant and usually the referring physician, so an opening statement like that signals that the group is not working together.

A little preparation--even a five minute huddle with staff before clinic--can go a long way in smoothing out the day. This is advice that translates to many settings.

Difficult Conversations

Tuesday, May 4th, 2010

This week we've been hosting Dr. Dan O'Connell, a clinical psychologist and expert in health care communication. At a lunchtime seminar, he addressed how to talk to disruptive colleagues.

One of the take away points for me was that the person is not the problem, the problem is the problem. Rather than telling someone, "You are incompetent." It is more helpful to say, "I noticed that the patients were not put in rooms today. Did you notice that too?" This approach enlists the person in crafting a solution. Criticism only puts the other person in a defensive posture.