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Communication | Future of Medicine | Health IT | Patient-Doctor Relationship

Doctors Not Using Email Like It’s 2010

There’s been a recent barrage of med-​​​​blog posts on the unhappy rela­tionship between doctors and elec­tronic com­mu­ni­ca­tions. The first, a mainly rea­sonable rant by Dr. Wes* dated August 7, When The Doctor’s Always In, con­siders email in the context of unbounded pressure on physi­cians to avail them­selves to their patients 24⁄7. That piece trig­gered at least two prompt reac­tions: Dis­tractible Dr. Rob’s** essay on Why I Don’t Accept eMail From Patients and 33 Charts’ Dr. V on The Bound­aries of Physi­cians Availability.

Perhaps the most aston­ishing aspect of these three guys’ essays is that, in 2010, there’s still a question about whether doctors should use email to com­mu­nicate with patients. It’s hard for me to imagine physi­cians – including bloggers — so dis­con­nected. But many are.

Last year, I had the oppor­tunity to speak with Pro­fessor Nathan Ens­menger, a his­torian of tech­nology at the Uni­versity of Penn­syl­vania who’s studied physi­cians’ use of the Internet and email. Physicians

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Future of Medicine | Life as a Doctor | Medical Education | Public Health | Science

Back to Basics – But Which Ones?

A front-​​​​page story on the Human­ities and Med­icine Program at the Mount Sinai School of Med­icine, here in Man­hattan, recently added to the dis­cussion on what it takes to become a doctor in 2010. The school runs a special track for non-​​​​science majors who apply rel­a­tively early in their under­graduate years. Mount Sinai doesn’t require that they take MCATs or the usual set of pre­medical science courses – some college math, physics, biology, chem­istry and organic chem­istry — before admission.

The idea of the program is two-​​​​fold: first, that the tra­di­tional med school require­ments are a turn-​​​​off, or barrier, to some young people who might, oth­erwise, go on to become fine doctors; second, that a liberal arts edu­cation makes for better, com­mu­nicative physi­cians and, based on the numbers pub­lished in a new article, a greater pro­portion who choose primary care.

Today Orac, a popular but anonymous physician-​​​​scientist blogger, con­siders the issue in a very long post. His

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Breast Cancer | cancer awareness | cancer survival | language | Oncology (cancer) | Psychiatry | Women's Health

The “Survivor” Term After Breast Cancer: Is There a Better Expression?

The question is, what’s the right, PC and emotionally-​​sound, sen­sitive but not sappy term to describe the sit­u­ation of a person who’s living after breast cancer? Some might say, who cares if you’ve had it?

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cancer survival | from the author | Life | Life as a Doctor | Life as a Patient | Patient Autonomy | TV

Living Like It’s Shark Week!

Today is the start of this year’s Shark Week on the Dis­covery Channel.

—-

Dialog from NBC’s 30 Rock, Season 1, Episode 4 “Jack the Writer” (2006)*:

Tracy Jordan: But I want you to know some­thing… You and me, it’s not gonna be a one-​​​​way street. Cos I don’t believe in one-​​​​way streets. Not between people, and not while I’m driving.

Kenneth: Oh, okay.

Tracy Jordan: So here’s some advice I wish I would have got when I was your age… Live every week, like it’s shark week.

(No further expla­nation is given. In the next scene the comedy writers take a one-​​​​minute dance break and then Jack pro­vides an intro to GE’s six sigma program.)

shark (adapted image from Wiki­media Commons)

*The 30 Rock episode is copyright-​​​​protected, but for a small fee or through a service like Netflix you can access it here. The rel­evant clip starts at ~1 min, 20 seconds and ends at  ~1 min, 54 seconds.

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