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

chart_review (2)Welcome to the October 2014 edition of Chart Review. As the seasons transition from summer to fall, this month’s carnival focuses on leadership in academic medicine and innovative ideas. Read on for posts on fostering innovation, mentorship in medical school, and health care social media.

Stanford’s Medicine X is the premier conference covering the convergence of education, medicine, technology, and innovation. Missed it? Scope Medical Blog has a series covering the conference. In this post, Lloyd B. Minor, MD, dean of Stanford Medical School, shares his five key principles of leadership. Listening to learn, not to reply, and building diverse teams are what Minor lives by in order to build his on the culture of innovation at Stanford.

At the University of Vermont, the College of Medicine’s Learning Environment and Professionalism Committee worked with faculty in the Psychiatry department to put together a “Medical Student Mistreatment Module” to help raise awareness and educate students and faculty about learner mistreatment. Students worked with a senior resident who went to film school to produce a series of short films highlighting the issue in a hands-on way.

Medical school can be a time of great joy, success, and opportunity. It can also bring unique challenges that isolate students. This inspiring post from Aspiring Docs Diaries poses some thoughts on conquering challenges commonly faced in medical school, and the importance of forming bonds of support with friends.

How does one stifle innovation? By giving an automatic “no” to new ideas, saying it costs too much, and resting on the laurels of former successes. Vector Blog has a post on some ways that innovation is curbed unknowingly at academic medical centers. The good news? It’s pretty easy to turn things around. Building an environment open to new ideas and collaboration, as well as looking for the innovative in the unexpected are ways to begin a culture of innovation.

“Delicate, difficult, and compassionate.” That is how second-year Baylor College of Medicine student Natalie Uy sums up her month in a critical care rotation in a post on Progress Notes. The post details several encounters this student had in the ICU. While the ICU can bring great progress and joy in patient care, there are also tough moments for decision making, often filled with many grey areas.

On Costs of Care, Mass General resident Neel Butala, MD, describes his experience treating a patient at a student-run free clinic. A review of the patient’s medication regimen revealed that he had not been filling one of his prescriptions due to its high cost. “Providers’ fundamental misunderstanding of the magnitude of the costs of care for Mr. J was leading him down a path of continued pain, extra clinic visits, and unnecessary referrals. I realized that not being aware of the costs of care can lead to waste that reverberates system-wide, especially for vulnerable populations where the relative magnitude of financial cost is high and underlying psychosocial issues can exacerbate adherence to and effectiveness of treatment,” Butala writes.

Chart Review is a monthly feature in which the editors at Wing of Zock highlight our favorite blog posts from the previous month. We focus on blogs about academic medicine, whether from the perspective of student, resident, faculty member, dean, or administrator. Medical schools and teaching hospitals provide fertile ground for innovative responses to health care challenges. We are pleased to highlight some of the best here, and hope you will send us your favorites as well. As always, we encourage cross posting.

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