Archive for March 2014

Most excellent

This morning, sitting in the Mandalay Bay Ballroom, hearing and watching the Awards for Excellence, I felt so inspired. These individuals make me so proud to be a part of an organization that not only attracts such talented, brilliant and committed people, but also takes the time and makes the effort to acknowledge them in a public and poignant way. As I sat there I felt immensely motivated to be better, to think bigger, to work harder and to be taller. Wait, no. I'm not going to be taller now matter how motivated I am! But watching them also made me wonder if these most excellent individuals have struggled with their confidence and their role as I have. I long to connect with them and ask them if they have gone through some of the same "wobbles" that have plagued me. Do they feel the same level of frustration, fear,…

We all have choices, many times less is more. Ask Moe Greene.

by Dr. John Bulger DO, MBA I am not Moe Greene, I am John Bulger, DO, MBA.  I am the Chief Quality Officer for the Geisinger Health System. Prior to that, I conceived and lead the hospitalist program for Geisinger Medical Center and eventually multiple programs within the Geisinger Health System. In 2012 I was lucky enough to work with a wonderful group of hospitalists and SHM staff to formulate SHM’s Adult Choosing Wisely Recommendations.  Several of us subsequently published an article in the Journal of Hospital Medicine (we also worked closely with the Pediatrics group) focused on the recommendations and the process. I heed the lessons learned from the Godfather daily.  I am apparently not the only one as a Google search of the terms godfather and lessons nets over 2 million results.  There are many examples that could help one in Choosing Wisely®:  leave the gun, take the…

Coach and Be Coached

by Patrick Kneeland, MD and Read Pierce, MD Pop quiz! What is the name of the first person to run a four minute mile? Think you’ve got the answer? Okay. That was just a warm-up. Here’s the bonus question: What is the name of the person who coached the first person to run a four minute mile? A little tougher, but Franz Stampfl had a lot to do with the feat. He was adept at utilizing his methods to coach numerous athletes, including Roger Bannister (the first to break the 4 minute mile), Olympic gold medalists, and successful boxers. You may not recognize Stampfl’s name because he remarkably shunned the Bannister limelight, preferring to slip away quietly and get back to London to train other athletes. The take-home point is this: behind every great athletic achievement is a great story of hard work, successes, failures, perseverance, and luck. Behind that…

Show Me the Data!

by Weijen Chang, MD, FAAP, SFHM Last August, I sat in a packed ballroom at PHM 2013 in New Orleans, enjoying a raucous yet edifying romp through the highlights of a year’s worth of literature at Top Articles in Pediatric Hospital Medicine.  Barrett Fromme and Ben Bauer wove together education and entertainment while tackling what often can be not much more than a dry list of journal abstracts. Less than a week later, I was honored and horrified to be asked if I would join Barrett in presenting the Top Articles talk at Hospital Medicine 2014. But after the initial shock and fear wore off, the business of planning and preparing a talk began to mitigate my fears of measuring up to Ben Bauer’s comedic timing (and dancing).  Speaking with Barrett, I was impressed by the relative lack of systematic efficiency utilized in refining their list of articles.  While a…

The Nation’s Top Doctor: A Hospitalist

Last month, Dr. Vivek Murthy was confirmed by the Senate Health, Education, Labor and Pensions Committee for the nation’s top post as a physician – Surgeon General. The full Senate will now ultimately schedule a vote on his nomination. It is noteworthy in a number of ways, such as being the youngest Surgeon General or the first South Asian to be nominated for this office. However, there is another way in which his nomination is noteworthy – he is also a hospitalist.  In fact, while practicing as a hospitalist at the Brigham and Women’s Hospital, Dr. Murthy was able lead advocacy and community organizing initiatives through Doctors for America, which was a major vehicle to help doctors advocate for expanding insurance for all through the Affordable Care Act. While his advocacy to promote better health and access to care through Doctors for America has been seen by Republicans as “too…
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