This is part 1 of 2 where we explore the work of Dr. Lawrence Weed. If you haven’t already, before you listen to this episode, have a look at his 1971 Grand Rounds lecture to an audience at Emory University. Well worth watching- here’s the YouTube link.
We decided to call this episode an “in-between-isode”, borrowing the term from the Tim Ferris show. Its a short follow up continuing with our theme of feedback. How do we provide an evaluation for a strong performer? Does it help them to hear how great they are? Will it be a useful session? Will it help them improve even further?
In this episode we begin our foray into the topic of feedback. You will hear us “worry out loud”, together with our guest Dr. Chris Watling from the University of Western Ontario, about the difficulties in giving effective feedback to our trainees.
Several themes arise from our conversation. Feedback needs to be specific, credible, and not soul-destroying (although ironically, we each shared some of our most traumatic feedback experiences as the most memorable, and influential, course-correcting moments). How we give and receive feedback is not only dependent on the individuals involved, but also importantly on the culture of the discipline; medical training culture is different from musical training, different from athletic training.
Also, keep an “ear” out for our new segment, the BOM (Bias of the Month). Enjoy!
A few relevant and interesting articles by Dr. Chris Watling:
We’re trying something new this week. We go through a case of a diagnostic error with a fine tooth comb to try to find the cognitive pitfalls. We would love to hear your feedback about this episode. Should we do this again?
Finally, our much awaited third try with Stump the Chumps. This time one of our registrars Dr. Brian Grainger challenges us with a case of a young patient. This is a longer episode, which I guess reflects the fact that sometimes, when the diagnosis is not obvious, you just have to take your time. Enjoy!
What is compassion fatigue? Can you learn how to be more compassionate with your patients? We talk to Dr. Tony Fernando, psychiatrist, sleep specialist, educator and researcher, about compassion in healthcare, happiness, mindfulness, enlightenment, buddhist monks, and a bunch of other stuff. Enjoy!
Check out the University of Auckland CALM website- Computer Assisted Learning for the Mind, a resource founded by Dr. Tony Fernando and colleagues for medical students (and everyone else) to learn about mindfulness, mental resiliency, and managing stress, anxiety, and depression.
We bring you our second attempt at “stump the chumps”. Our friend and colleague Oliver Menzies brought an interesting case. We think this case was not quite as enigmatic as our first one (episode 5) but we hope it illustrates sound clinical reasoning as we work our way through the clinical information. Enjoy.
When we talk about medical errors, we need to remember that there are two victims; the patient who suffers harm as a result of the error, and the clinician who makes the error. As long as the practice of medicine remains a human endeavour, medical errors are inevitable. As a medical community we need to accept that errors will occur. We need to talk about them openly and honestly, share our own stories, and support our colleagues when they share their stories with us. As members of society, we should better understand the fallibility of medical practitioners, and we need to understand the limits of their craft.
We had the opportunity to interview Brian Goldman, an ED doctor from Toronto, Canada, who is also a journalist, host of the CBC radio show “White Coat, Black Art”, author of two books unveiling the secrets of medical culture, and a “TED-talker” with his presentation entitled “Doctors make mistakes – can we talk about that”.
We also interviewed our friend and colleague, Dr. David Spriggs, a Brit who has lived in NZ for many years, an excellent general internist and geriatrician, who regularly teaches our trainees on the reality of making mistakes.