KU Med School

… perfect practice makes perfect … “Élite performers, researchers say, must engage in “deliberate practice”—sustained, mindful efforts to develop the full range of abilities that success requires. You have to work at what you’re not good at. In theory, people can do this themselves. But most people do not know where to start or how […]

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… Akira Kurosawa’s ‘Red Beard’ is the story of a recent medical graduate assigned to a rural clinic for his post-graduate training. In his arrogance, he is livid that he should have to train in a poor clinic – aspiring instead to ascend the ranks of caring for the rich and powerful Shoguns. Through a […]

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… cor ad cor loquitur … listen with your heart … pdf file outlines fundamental approach to communicating serious news …  slides • Start with the patient’s agenda • Track both the emotional and cognitive • Stay with the patient and move the conversation forward one step at a time • Articulate empathy explicitly • Talk about what you […]

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Marcia Angell summarizes the ‘medicalization’ of psychiatry and its support by the pharmaceutical industry. There are many lessons here for palliative care as both a discipline and in its practice. “In short, a powerful quartet of voices came together during the 1980’s eager to inform the public that mental disorders were brain diseases. Pharmaceutical companies […]

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… The stories of our patients frequently do not end well, no matter what our patients do, and no matter what we do. In the end, if not now, then later, all pass from this world. All too often the service we provide, this most personal service, will fall short as we come up against the […]

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“In law school he had committed acts which had formerly seemed to him of great vileness and had inspired a feeling of self-loathing in him at the time he committed them; but subsequently, seeing that such acts were also committed by highly placed people and were not considered bad, he, without really thinking them good, […]

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Gawande identifies core values for today’s physicians … “Which brings us to the third skill that you must have but haven’t been taught—the ability to implement at scale, the ability to get colleagues along the entire chain of care functioning like pit crews for patients. There is resistance, sometimes vehement resistance, to the efforts that […]

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The play ‘Wit’ will be performed today and this weekend at Bethel College. “Unless we are prepared to deal with these issues of dignity and forgiveness in our own lives, we will not be able to deal with issues of dignity and forgiveness in the lives of those we serve. We share Vivian Bearing’s [the […]

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… Kross et. al. in “Social rejection shares somatosensory representations with physical pain” use functional MRI to show that “rejection [recent break-up of a relationship] and physical pain are similar not only in that they are both distressing—they share a common somatosensory representation as well.” Pain is what the patient says it is … but […]

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… Frank Davidoff in a recent Annals of Internal Medicine “Music Lessons” … “Recognition of music’s laserlike focus on performance could help us regain a more appropriate balance in medicine between knowledge and performance (between knowing and knowing how).” Perfect practice makes perfect … “Endless performance without feedback drifts into stagnation, whereas endless reflecting and […]

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