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

Navigating Life in Family Medicine is Like a Good Mystery Novel

By Erika Sullivan, MD Family medicine is an interesting and wonderful landscape to spend one’s days. Like a good mystery novel, there is an abundance of unusual but endearing characters, treacherous villains (with alarmingly medical names like diabetes and anxiety NOS) and more insidious and unexpected foes, such as poverty and social injustice. When treating … Continue reading Navigating Life in Family Medicine is Like a Good Mystery Novel

Priority Setting: personal wellness versus getting your job done

 by Stephen Merrell I recently confessed to my fellow residents a personal struggle of mine: getting the amount of exercise that I encourage my patients to get.  The setting of our discussion was a safe one, so I described multiple reasons why I haven’t run, biked, walked, or moved as much as I want to … Continue reading Priority Setting: personal wellness versus getting your job done