Medicine Is an Information Science: We Must Grow with the Pace of Our Data

By Harlan Krumholz,MD

Medicine is an information science. The volume, velocity, and variety of data and information that suffuses the medical profession are unprecedented and growing at a rapid pace. The medical landscape is changing from one in which medical knowledge is derived from laboratories and insights from the basic sciences to one that is supplemented by databases and insights from the experiences of patients and populations. In this environment, it is impossible for an individual to keep current with the ever-expanding knowledge base of medicine.

These changes have implications for the way we train doctors. The best doctors in the future will be able to manage streams of information, know how to access relevant information, be able to judge the validity of various sources of knowledge, and have the skills to communicate about such data and knowledge with patients. Training in how to manage this type of wide-scale data and use it effectively for each patient will be an essential skill. Continue reading

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How Is a GME Director Like a Border Collie?

By Diane Farineau

Right before Christmas, I got a border collie puppy. Winter is a terrible time to get a puppy, but she needed a rescue, so here we are. Having been strictly a labrador kind of gal, my introduction to the unique qualities of the border collie breed has resulted in a number of personal epiphanies. The first revelation is that my pup and I share many of the same traits. The second revelation is that these traits are a crucial requirement for my professional role as director of a graduate medical education (GME) office; they have enabled me to be successful.

How so, you ask?

Continue reading

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Hopkins Leverages Innovation Hub Model at Sibley Hospital

By Jennifer J. Salopek

Amid frosted glass walls and brightly colored furniture, the meeting attendees cautiously approach the tables stocked with Post-It notes, crayons, Play-Doh, and duct tape in neon colors. Although the purpose of these supplies might be obvious to people familiar with design thinking, their usefulness is less apparent to the folks gathered at Sibley Hospital in Washington, DC, in late July. This is the first meeting of the Design Team on Healthy Aging, which is being held at Sibley’s brand-new Innovation Hub. The attendees, Sibley employees and representatives of local community organizations, will participate in a rapid 90-day iteration process to develop a new product or service.

Continue reading

Posted in Care Delivery Innovations, Community Engagement | Leave a comment

Wing of Zock Is Back

Several days ago, we encountered some posts on the blog that were also sent out to readers without our knowledge or permission. As soon as we became aware of the problem, we began working on a solution to eliminate these spam posts. For the past few days, our site was down in order for us to perform some maintenance to fix the problem and overall improve user experience.

We apologize for the unwanted spam in your inbox, but are happy to report that the Wing of Zock is up and running on a normal content schedule again.

We want to thank you, our readers, for your support, your tweets, and kind words while we worked to send the spam where it belongs – with the pineapple on our breakfast plates (well, maybe only for some of us).

-          The Wing of Zock Editorial Staff

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Site Update

As you might have noticed, the Wing of Zock has been sending out some spam messages over the past few days. We are aware of the problem and are currently working on a solution to stop the spam posts and eliminate the security concerns.

We apologize for the unwanted spam in your inbox. If you receive any of these attacks, please avoid clicking on the links as they could potentially be harmful to your computer or mobile device. Thank you for your patience during this time. We are optimistic that we will be back to normal and spam-free within the next few days.

- Wing of Zock Editorial Team

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“Continuity Clinical Experience” Integrates Patient Care, Knowledge for Med Students at Vanderbilt

A couple of years ago, post-graduation surveys of Vanderbilt University medical students revealed that their understanding of the health care system, especially population health management, could be more robust. Bonnie Miller, MD, associate vice chancellor for health affairs and senior associate dean for health sciences education, tasked a team of clinical faculty with this project: to integrate students into clinical teams to care for patients while learning about the larger care-delivery system; and to integrate the patient care experience with medical knowledge. The larger vision was to offer early, active clinical work that would affect the way students learned. The result, the Continuity Clinical Experience (CCX), is a required, four-year longitudinal course launched in fall 2012; participants go “from waiting room to parking lot” with patients. Wing of Zock editor Jennifer Salopek recently sat down with the Vanderbilt team to learn more about the course, which was honored in the AAMC’s Clinical Care Innovation Challenge. An abstract of the project can be found here.

Posted in Care Delivery Innovations, Health Care Innovation, Medical Education | Leave a comment

Wing of Zock “Chart Review” Blog Carnival, August 2014 Edition

By Sarah Sonies

chart_review (2)How did that Abba song go? No, not that one. “If you change your mind…” Yep, that’s it. The song is about taking chances and pursuing a long-time love. In the case of this month’s post from Aspiring Docs, one former journalist decided to make a career switch to medicine to follow his passion for helping people heal physically and emotionally. The post takes a look at options for medical-school hopefuls with non-science backgrounds and maintains that applying to medical school later in life does not leave students at a disadvantage, but rather can provide a unique experience for all.

Academic Life in Emergency Medicine (ALiEM) presents its new series, “How I Work Smarter,” where individuals are invited to share their practices about being more efficient in time management and filtering information overload. Esther Choo, MD, assistant professor in the emergency department at Warren Alpert Medical School of Brown University, shares her strategies for a smart workday, including how she saves time in the ED and her favorite office efficiency tip. Continue reading

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Health Care Field Optimistic About Innovation in Telehealth Landscape With Testing of eConsult Model

By Sarah Sonies

Despite concerns about possible challenges, telemedicine and other distance technologies such as e-consults, are developing rapidly, with many academic medical centers (AMCs) testing new models to improve patient care.

According to Michael R. Marquardt, MBA, MPH, director in the Office of the Chief Medical Officer at the University of Virginia Health System, AMCs are uniquely positioned to provide telemedicine care because of their triple mission: patient care, medical education, and research. Continue reading

Posted in Care Delivery Innovations, Health Care Innovation, Health Information Technology | Leave a comment