Is this goofing off, or is this about personal resilience? Like the idea of “forest bathing” (youtube) or shinrin-yoku, I seek out opportunities during the day to pause and reflect, and walk where there are trees. Sometimes this ends up being an online article with lots of nature photos 😦 .
Hey, you do what you can.
The photos from this travelogue are pretty amazing.
And, did any of you watch the movie “Crazy Rich Asians”? The skyscraper-top boat-like structure in Singapore is apparently an Infinity Pool and is REAL (see the background in the photo at the top). Gotta put this on my bucket list.
CMIO’s take? Harken back to the tripartite model of physician burnout and resilience: a) develop a culture of wellness, b) work on improving practice efficiency and c) work on personal resilience. And ‘forest bathing’ belongs firmly on this list. Take a moment.
This is a passionate outcry from a patient and the daughter of a patient, to improve the state of healthcare today. Why does one need to win the “Doctor Lottery” to find a compassionate, caring physician with enough time to listen for the subtle clues that indicate distress, deterioration, and to save a life?
The author argues that patient engagement is a paradigm shift for many organizations, and that it is a clear win-win when done well.
Both of these articles are well written and more articulate than I am. I can say, in our organization, I routinely conducted bedside rounds, where residents and students presented the patient’s history, their examination findings and their assessments and plans in front of the patient and family, and we would discuss our plans together. Even in clinic, I have my students present their data and we have a discussion about the patient in front of the patient and family. This ALWAYS leads to better understanding by all parties, and has never been an obstruction to patient learning, or to student or resident training. And generally it does NOT take longer.
CMIO’s take? Healthcare technology and paternalistic traditions in healthcare both conspire to take us away from the bedside and risk impairing communication. Lets design better communication into everything we do.
In the blizzard of our daily work and internal and external pressures, maybe think of putting the blizzard aside at times, and focusing on Deep Work (which I reviewed previously) or pursuing ONE Thing (also previously reviewed). Sometimes it takes a second or third exposure (or many more) to have a new idea really stick. Well, here it is again.
When I have the discipline to be present, to be aware of the cacophany that constantly blares and swirls around my head and consciously place it to the side for a few hours, or even an entire morning or whole day (what a luxury, but also a necessity), then I feel like I can accomplish something substantial.
Here are a few distractions pulling me away:
Post-office syndrome: 4000 items in my email inbox, 1000 unread.
External crisis: Colleagues whose Citrix or EHR (electronic health record) or Dragon (speech recognition) or other EHR-related tool does not work and “DON’T YOU KNOW I CAN’T TAKE CARE OF PATIENTS RIGHT NOW?”
“I would like a report pulled from the EHR and my request is too low priority, can you fix that?”
“I need something fixed in the EHR, can you help me?”
Shiny new object: “Hey, here’s a new opportunity to collaborate on a project!”
Each wire runs vertically up through the mud, measuring up to two inches in length. And each one is made up of thousands of cells stacked on top of each other like a tower of coins. The cells build a protein sleeve around themselves that conducts electricity.
This is incredible: the discovery that bacteria can form chains, build a protein sleeve around themselves, and create electrical wires. I’m grateful for the clear-eyed journalists who find and write about such scientific discoveries for us lay-persons.
So, why do we continue on in our jobs without considering the annual-beginning-of-school-year re-invention? Remember in medical school learning Prochazka’s Stages of Change model: how our patients who smoke would go from Pre-contemplative to Contemplative to Preparation to Action to Maintenance? We see this in EHR adoption. Or perhap some go through Kubler-Ross’s stages of grief. OK, however you slice it, perhaps we do each need time and space and permission to “start fresh.”
CMIO’s take? I’m excited to be starting 50th grade! How about you?