Tag Archives: electronic health records

Piecing Together American Healthcare, ft. Dr. Ilana Yurkiewicz (Part 1)

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We have GOT to get it together

What’s the best way to navigate a fragmented healthcare system? How are patients both the victims and unwitting custodians of their own medical stories? And can primary care address gaps in long-term cancer treatment? We had a fun conversation with Dr. Ilana Yurkiewicz, the author of ‘Fragmented, A Doctor’s Quest to Piece Together American Healthcare.’ Jeff, Fallon, AJ, and Alex walked away not only enlightened about the gaps in the contemporary healthcare system but also the importance of primary care and specialists working together to build patient relationships and keep clinical information flowing.

The Primary Care Revelation

Dr. Yurkiewicz took an unconventional career path. Why would a trained medical oncologist with board certifications in hematology and oncology choose to open a primary care practice for cancer patients and survivors, you might wonder? The answer delves deep into the very core of our healthcare system’s inefficiencies.

Cancer treatment doesn’t end at remission. The aftermath brings a basket full of new health issues that often go overlooked. During these critical times, patients need primary care doctors who are also knowledgeable about oncology — enter the innovative primary care practice Dr. Yurkiewicz established.

Fixing Fragmentation in Healthcare

Unfortunately, the tools physicians use to track their patients’ progress aren’t great at sharing. The shortcomings of electronic medical records (EMR) are a source of frustration that healthcare providers commonly face due to their disjointed nature. Keeping the patient in the loop when it comes to their reports and critical information was highlighted as a key responsibility of healthcare providers in a fragmented system–the current state of affairs is that the patient is the one with the most incentive to keep track of their data! This only highlights the urgent need for an interconnected EMR system, that patients are often the only source of continuity in their healthcare narrative.

A Glimpse Into the Future of Healthcare

There are countries that do this better, but modifying the existing system rather than attempting to building a new one from scratch based on them may be tough. Though countries like the Netherlands boast more streamlined healthcare systems, it’s crucial to devise a model that accommodates the unique challenges and strengths of American healthcare and culture.

More about our guest:

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No matter where you fall on any spectrum, we want your thoughts on our show.  Do you agree or disagree with something we said today?  Did you hear something really helpful?  Are we delivering a podcast you want to keep listening to?  We’ll be sure your ideas are heard by all–leave a message at 347-SHORTCT (347-746-7828) and we’ll put your message in a future episode (use *67 to be an “Unknown caller”).
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“Soft” Skills: The Importance of Learning to Communicate

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Communication skills are just as important as medical knowledge and clinical skills

  • M3 Ananya, M3 Eric, MD/PhD student Madi, and our admissions guru Rachel talk about communication skills and their importance for patient outcomes, professional development and advancement, and career satisfaction.
  • Whether it’s patients reviewing their notes in the electronic health record, residents passing on knowledge to students, providers empathetically communicating findings and plans to patients with no scientific background, or scientists collaborating professionally with their colleagues, everything depends on this thing that humans do all the time–with varying degrees of success.
  • Meanwhile, some students may see these as “soft” skills, giving less importance to them than grades on exams or their scores on boards.

[URL template for episode https://media.blubrry.com/theshortcoat/podcast.uiowa.edu/com/osa/CHANGETHIS.mp3]

We Want to Hear From You: YOUR VOICE MATTERS!

No matter where you fall on any spectrum, we want your thoughts on our show.  Do you agree or disagree with something we said today?  Did you hear something really helpful?  Are we delivering a podcast you want to keep listening to?  We’ll be sure your ideas are heard by all–leave a message at 347-SHORTCT (347-746-7828) and we’ll put your message in a future episode (use *67 to be an “Unknown caller”).

We want to know more about you: Take the Listener Survey

Continue reading “Soft” Skills: The Importance of Learning to Communicate

Ambien Dreams

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dream photo

This week, listener Jen sent us an article from JAMA in which the author bemoans his tendency to let the electronic health record (coupled with his data-entry difficulties) dominate his attention at the expense of his ability to really see and empathize with his patients.  The cost: missing clues that indicate a patient’s progressive decline and family dynamics that contribute to the condition.

Meanwhile, Chrissy Teigen and John Legend find themselves chewing on sleeping pill side effects, causing us to wonder–why is Ambien still on the market, unless it’s to create really great slam poetry?  And we practice our teamwork in a mobile game called SpaceTeam, proving perhaps that not all such games make for good podcast fodder–you decide, but don’t @ us, we already know the answer.

This Week in Medical News

Will we see a shift in the standard of care for appendicitis, now that a Finnish study has backed up the mounting evidence that it can often successfully without surgery?  And a study on the high costs of poor healthcare around the world suggests that fixing it will cost 6% of the cost of doing nothing.

We Want to Hear From You

Do you have suggestions for what we should talk about on SCP? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  Pick your favorite!

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Recess Rehash: Bropocalypse 2017

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The national #MeToo conversation continues

creepy man photo[Dave had the flu on recording day, so we’re posting this awesome episode from the recent past.  Enjoy!]

Dave found himself hosting with another group of women, so what better time to talk about #MeToo and the powerful people being taken down by their sexual harassment and abuse of their less-powerful victims?  Erin Pazaski, Hillary O’Brien, Laura Quast, and Liza Mann weigh in on why this seems to have staying power in the news cycle, and why it seems to destroy some powerful men and not others.  Plus, since this is a group of friends who, through med school, have come to know each other well, Dave challenges each to answer questions as their friends would.

This Week in Medical News

Speaking of creepy, The University of Miami has a problem on its hands with a medical student who’s been posting other students’ social media pics of their car selfies and beach photos on websites where other folks are excited by such things.  A New Hampshire doc loses her license after refusing to use an EHR because she’d rather practice ‘medical art’ (and not properly tracking her prescribing practices).  And more medical schools want to hear from premeds what they think about the national debate on the ACA and the individual insurance mandate.

We Want to Hear From You

Your thoughts and comments are important to us!  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

Continue reading Recess Rehash: Bropocalypse 2017

Med Student Parents, Part 2 | Plan for Debt but Don’t Worry

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This time, a mom’s point of view.

doctor computer photo
Photo by j.reed

On our last show, we fielded a question from Courtney who wants to go to med school but is worried about being a mom and a med student.  We got one dad’s perspective then, and now it’s time for mom.  Dr. Maya Lopez (CCOM MD ’04) was another non-trad entering school with a supportive husband and a few bundles of joy.  She told Eric Schnieders, Tucker Dangremond, and Sanjeeva Weerasinghe how she dove headlong into med school, how she and her husband (along with a village) made parenting and med school work for them.

To top it off, we got another question from Clovis (not his real  name) who was worried that he’d either have to join the military or sell all of his internal organs to afford medical school…unless we could come up with some other options for him.  CCOM debt counselor Chris Roling had some good news (not to mention advice) for him.

This Week in Medical News

The medical education world is humming with the news that the Center for Medicare and Medicaid Services has reversed a long-standing prohibition against students contributing to patients’ medical records.  Boring?  Maybe, but it’s going to change how clerkships are done and the ease with which students make the transition to residency in the very near future.

We Want to Hear From You

Do you have worries we can soothe (or stoke)? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  We’re ready to give free (and perhaps even good) advice!

Continue reading Med Student Parents, Part 2 | Plan for Debt but Don’t Worry

Bropocalypse 2017

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The national #MeToo conversation continues

creepy man photoDave found himself hosting with another group of women, so what better time to talk about #MeToo and the powerful people being taken down by their sexual harassment and abuse of their less-powerful victims?  Erin Pazaski, Hillary O’Brien, Laura Quast, and Liza Mann weigh in on why this seems to have staying power in the news cycle, and why it seems to destroy some powerful men and not others.  Plus, since this is a group of friends who, through med school, have come to know each other well, Dave challenges each to answer questions as their friends would.

This Week in Medical News

Speaking of creepy, The University of Miami has a problem on its hands with a medical student who’s been posting other students’ social media pics of their car selfies and beach photos on websites where other folks are excited by such things.  A New Hampshire doc loses her license after refusing to use an EHR because she’d rather practice ‘medical art’ (and not properly tracking her prescribing practices).  And more medical schools want to hear from premeds what they think about the national debate on the ACA and the individual insurance mandate.

We Want to Hear From You

Your thoughts and comments are important to us!  Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.

Continue reading Bropocalypse 2017