Incentives without forethought

We have to make this argument widely.  If we understand the complexity herein, we have a responsibility to make these concepts well known.

Medical schools owe their students more

They need to understand that we are supporting them, and we do not expect them to know everything.  Our job is to help them grow.

Pimping or grilling – students generally like being asked questions

I talk with students and residents constantly about their educational experiences.  The great majority like being asked good questions.

Hubris – the enemy of high quality teaching and care

We run the risk of believing all the nice things people say about us.  Some start believe their own invincibility.

Physiology on the fly

Insurers increasingly use performance measurement (often mislabeled quality measurement) to impact physician pay.

Proud to be a General Internist #ProudtobeGIM

GIM has provided me a wonderful career. My SGIM colleagues have inspired me and taught me how to find my passions within GIM.

Maximum frustration – opiate “demands”

So what are we to do? This is a most serious public health issue that we must face patient by patient. And we hate the problem.

How to teach clinical medicine – lessons learned by studying sore throats for 35 years

Over approximately 3 months the residents enrolled slightly more than 300 patients into the initial sore throat study.

EBM, Guidelines – intended and unintended consequences

We need shorter, more focused guidelines. We need the honesty to provide the probability of benefits and risks.

A P4P story

Since quality has many dimensions, we must worry that focusing on some dimensions will decrease our attention to other important dimensions.