By: Julia Kammel, MD Have you ever heard of Bicknell, Utah? Neither had I. During our residency program we each have the opportunity to experience a month in a rural part of the country to learn how medicine is practiced there. I was lucky enough to be placed in Bicknell, Utah. To be honest, when … Continue reading Rural Utah
By: Rachel Goossen, MD Two years ago, I received an email from my close friend, Kerri, to let me know that her husband, Dave, had had a pontine hemorrhagic stroke and was in the ICU at a hospital in our hometown of San Jose. Other than a bad headache just minutes before, there were no … Continue reading The Stroke, the Process, the Interview
By: Kristin Sandoval Preceding my elective experience I was asked to write down a couple of learning goals to expound upon after as a reflective assessment of my experience. I approached this task as if it were a typical medical student requirement in that I chose topics that were of interest, but could also be … Continue reading A Different Aspect of Medicine
By: China Cox As residents, we spend a good amount of time talking about our hospital ward experience at the small community hospital that serves as our primary residency home. The place has its quirks including the people, processes, semi paper charting, an urban patient population, etc (+/- ghosts). As much as it drives us … Continue reading Big Experiences Through Small Means
He stands, bent, outside the front of the house, the two steps up to the door being too far to lift himself leaning hard on the old stick, cloth padding the top as a cane or maybe a crutch. I step down to greet him, “Jambo,” (how are you) and to wish him “Salama,” (peace). … Continue reading What I Learned About American Family Medicine in Rural Tanzania
I teach Physician Assistant (PA) students the art of the medical interview and this morning had just finished teaching the lecture entitled, “Delivering Bad News.” I walked the students through the S.P.I.K.E.S model, encouraging them to plan out the Setting, think about the patient Perception, get an Invitation from the patient to present information, impart … Continue reading “Bad News:” Any information which adversely and seriously affects an individual’s view of his or her future.