a great physician dies …
Jack Geiger recently died … we watched his “Out in the Rural” during our block on structural inequities in health care.
KU Med School
some health disparities resources …
Brandon McCray: Beloved Preacher by Mark Wiebe in Kansas Leadership Center Journal. The story of a Black Kansan who died of Covid-19 and his community’s response. JAMA/Sandro Galea introduction to health inequities with emphasis re the current pandemic. JAMA/Yancy on health inequities with emphasis on African Americans. JAMA/Berwick piece on the moral determinants of health. …
peer coaching …
A couple of weeks ago we discussed the importance of friendships at work. In this piece, former surgeon general Vivek Murthy discusses our epidemic of loneliness (made worse I’m sure by the pandemic). Peer coaching is a great way to begin to address this. Find a colleague you trust and start talking with them. What …
Structural violence …
The medical school is moving to integrate structural vulnerability competencies into the curriculum. Key resources include … Structural competency: Theorizing a new medical engagement with stigma and inequality Structural Competency: Curriculum for Medical Students, Residents, and Interprofessional Teams on the Structural Factors That Produce Health Disparities (appendices are key … in particular participant workbook) Structural …
covid exposes our social wounds …
Kansas blacks with Covid die at a 4-fold greater rate than whites. There have been many articles discussing this recently. This one in JAMA is one I have found helpful … COVID-19 and African Americans …”The most effective strategy known to reduce COVID-19 infection is social distancing, but herein lies a vexing challenge. Being able …
Healthcare will never be the same …
Christou/Doctors without Borders‘ comments are a good reality check. These remind me of the ‘future’ conversations I’ve had with many of you around the theme … “So let’s imagine it’s August 1 – the dust has settled, school of some sort is about to start, various restrictions are in place. As you look back over …
death by meeting …
… It’s been a few years since I added to my ongoing list of “books I wish they’d made me read in school” … Lencioni’s Death by Meeting is a penetrating parable of management culture today.
pain mgmt intro …
Pain is what the patient says it is … but not all pain is mu-opioid responsive … Bio-Psycho-Social-Spiritual assume most acute pain is predominantly “bio” assume most chronic pain has elements of “psycho-social-spiritual” + neuropathy pain mgmt case #1 78 female severe lower extremity ulcerations – circumferential on right diabetes, morbid obesity, s/p multiple …
You are in this profession as a calling …
… not as a business; as a calling which exacts from you at every turn self-sacrifice, devotion, love and tenderness to your fellow-men. Once you get down to a purely business level, your influence is gone and the true light of your life is dimmed. You must work in the missionary spirit, with a breadth …
more than policies and procedures …
Curry et. al. demonstrate that an organizational culture of trust and teamwork is the foundation for high performing quality patient care. “ … achieving high performance may require long-term investment and concerted efforts to create an organizational culture that supports full engagement in quality, strong communication and coordination among groups, and the capacity for problem …