Scaling the Unscalable? To Scale Up Health Care, Scale Up the Role of the Physician

By: Kyle Jones, MD Originally published on OP-(m)ED The United States economy has evolved into one centered on scalability. Scalability signifies the ability to increase performance and efficiency under increasing workloads. In general, scalability implies creativity, idea creation, expertise in broad areas, allowing for the exportation of much non-scalable work/professions. Non-scalable models entail the opposite — an … More Scaling the Unscalable? To Scale Up Health Care, Scale Up the Role of the Physician

Doctors’ Day 2018

By: Karly Ann Pippitt, MD, FAAFP March 30 is National Doctor’s Day. Appropriately over the years, this has morphed into a day to thank all the health care providers on a team, for medicine has truly become a team effort. For all those clinicians out there, on this day, I want you to think about … More Doctors’ Day 2018

What I Learned About American Family Medicine in Rural Tanzania

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). … More What I Learned About American Family Medicine in Rural Tanzania

“Bad News:” Any information which adversely and seriously affects an individual’s view of his or her future.

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 … More “Bad News:” Any information which adversely and seriously affects an individual’s view of his or her future.