Compose a talk (a blog, a paper) with sticky notes

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This is my favorite way of constructing new talks now. Stickies that you can move around, just like manipulatives from grade school.

I came across an interesting idea in my recent reading, that your office should have 2 desks: one that has NO COMPUTER and only lots of paper, pens, stickies, glue, and other manipulatives. This is your CREATIVITY desk, where ideas come together, and the joy of using your hands, your mind, your physical space helps build connections, thoughtfulness, foster good ideas. Thanks to Austin Kleon and Steal Like an Artist.

Then, across the room, you set up a second desk. This is your PUBLISHING desk, and has a computer, a printer, and all the tools you need to electronify a finished set of ideas into a Presentation, a Blog post, a Manuscript.

And, never the ‘twain should meet! For computers, although great at publishing and formatting, can be DEATH to idea creation. Yes, I type faster and more legibly than I can write. Yes, pictures drawn in Powerpoint can be sharper and with straighter lines. But, can any tablet, laptop, desktop equal the ease with which we can sketch, scratch out, tape over, scribble, dog-ear, lay out a dozen books, cut out pictures from magazines, mash-up ideas quickly, reshuffle?

And, isn’t an idea “under the glass” (see book review: The Glass Cage) an anesthetizing soporific?

Don’t we want to “feel” something in our fingers? Run our fingers through the dirt? the sand? the snow? OK, I don’t miss paper cuts, sure. But, scribbling, taping, retaping, scribbling, drawing connecting lines, scribbling, erasing and blowing away the eraser-crud, isn’t that the stuff of imagination?

CMIO’s Take? When I say all this, I’m not sure if I’m a digital immigrant losing ground to digital natives (Mark Prensky, thanks), or if I’m rediscovering a general principle that the younger Boomers, the Millenials, Gen Y, Gen Z have all lost. What do you think?

How to write an Open Note for patients

Worried about how patients might be offended by physician progress notes? Use this reference tool.

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2017-0904OpenNotesDocuTipsCTLin.pdf

Having been asked a number of times: what is the best way to participate in open notes and sharing physician progress notes with patients? Attached is our one-page PDF guide. Feel free to use and share. Please do include attribution when you share.

In short:

  1. Don’t Panic! Despite physician fears, patients are not looking for a completely rewritten layperson-friendly note. Many patients find it useful just to have access and be able to show that note to their next healthcare provider. You DON’T have to change a thing.
  2. The handful of “gotcha” topics in physician progress notes are few, and not difficult to write in a way that is respectful and still accurate. For example, use “shortness of breath” instead of “SOB”; “BMI>30” or “overweight per medical criteria” instead of “morbidly obese”; and “patient is non-adherent” instead of “patient refuses”.
  3. It gets easier with practice.
  4. I love the quote from Cassandra Cook. To paraphrase: If we write things that might offend patients, consider if such writing affects our own attitudes and behavior.

Furthermore, the OpenNotes.org website has a great toolkit for organizations looking to make the leap: https://www.opennotes.org/tools-resources/for-health-care-providers/implementation-toolkit/

CMIO’s take? Lets push open notes until it is the default standard for Electronic Health Records and Personal Health Records everywhere. Is your organization on board with open notes? Let me know.

Review: Show and Tell: How Everybody Can Make Extraordinary Presentations

Show and Tell: How Everybody Can Make Extraordinary Presentations
Show and Tell: How Everybody Can Make Extraordinary Presentations by Dan Roam

My rating: 5 of 5 stars

Turns out there are several types of stories to tell in presentations. Dan speaks to the idea of understanding your audience, understanding your purpose for a presentation, understanding what goal you wish to achieve: informative report, imparting a skill, overcoming an obstacle, etc.

Dan writes (and I love this):
“When we tell the truth, we connect with our audience, we become passionate, and we find self-confidence. When we tell a story, we make complex concepts clear, we make ideas unforgettable, and we include everyone. When we use pictures, people see exactly what we mean, we captivate our audience’s mind, and we banish boredom.”

CMIO’s take? There are a number of good books on presentations, like Presentation Zen, Death by Powerpoint, and anything by Ed Tufte (starting with Visual Display of Quantitative Information). This book is a quick read. Powerpoint is DEATH unless we use it with skill. Most have no skill. This is a tiny book, a quick read. Get skills here.

View all my reviews

Doodling

Doodling. I recently gave a talk at the Health Evolution Summit conference in Dana point California. It was a humbling experience, as I was expecting to give the standard PowerPoint presentation, and was told: “no,” that instead, I would be out on the lawn in front of the wind and surf and be giving a talk on a flip-chart.

This provoked a great deal of anxiety, and prompted ego- and personality-rebuilding. Then I thought of my sister’s book recommendation “The Doodle Revolution.” And so I took my story, boiled it down into symbols, and give a talk, which was not unsuccessful.

Turns out, googling any concept attached to the word “symbol” allows you to see what other people have used for symbols, such as for “strategy” or “manager” or “project manager” or “consensus”. Try, for example, googling “consensus symbol.” Well, at least it starts the creative juices flowing.

I challenge any of you to understand my chicken scratch doodles and interpret them into a coherent narrative. The good news is, I’m no longer afraid that my terrible chicken scratch will be criticized. I know that it will, and it’s still helpful to me and to my audience. I’m learning to get over myself.

For those of you interested:

  • The “upside down spaceship” in the corner is really a handshake symbolizing “partnership”
  • “…and…but…therefore” comes from a previous blog post on storytelling*
  • The elephant is a reference to slow moving, large academic medical centers
  • The drowning man refers to Healthcare organizations in the age of acceleration
  • The USB symbol refers to technology companies

 

CMIO’s take:  What are you waiting for? Get out and doodle! OR, if you’ve doodled successfully (or even unsuccessfully), let me know in your comments!

…and…but…therefore (Thanks, Randy Olsen!)

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image from the nytimes dot earth blog

“…and…but…therefore” I spoke about briefly on a previous blog post on storytelling.

To remind you, in case you’re interested, Randy Olsen’s book Houston, we have a narrative introduces the world to his astounding idea, that “…and…but…therefore” is a concise way of summarizing an entire story in one sentence. For example, one way to interpret the Wizard of Oz story could be:

“…the story of a little girl living on a farm in Kansas AND her life is boring, BUT one day a tornado sweeps her away to the land of Oz, THEREFORE she must undertake a journey to find her way home.”

Read the book; this is just a taste of the great ideas there-in.

Here’s a counter-example of non-story-telling that illustrates why “And-But-Therefore” is better than most scientific or business write-ups and summaries, that end up being a list of facts “And-And-And.” Can you imagine the Wizard of Oz being an And-and-and?

“Once there was a girl on a farm AND there was a tornado AND she found her way back home.”

I find myself saying “So what?” — I probably wouldn’t read that book.

The NYTimes “dot-earth” blog is a fan of Randy’s as well. Also a worthwhile read.

 

CMIO’s take:    What is YOUR “…and…but…therefore” story?

Modern Healthcare discusses Open Notes (with a quote from me)

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Me

Modern Healthcare

The Open Notes initiative is gathering some steam, and we’re proud to continue to be part of the conversation.   <CT Lin MD>

Medicine in the age of Facebook #iHT2

My talk at the Institute for Healthcare Technology Transformation today, as covered by Mark Hagland of Healthcare Informatics journal:

Article at:

http://www.healthcare-informatics.com/article/patient-engagement/it-s-transparency-get-over-it-ct-lin-md-challenges-iht2-denver-audience

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