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- By Marjorie Stiegler on October 18, 2015 in Critical Event Debriefing, Health Policy, Perioperative Catastrophe, Second VictimKeep Reading
Those are the words of a physician responding to a survey about the extent to which doctors are affected by death and other bad outcomes of their patients. I have another point of view to share, sent to me via email from a doctor I’ve never met, who has been haunted by one particular patient’s death for 25 years.
- By Marjorie Stiegler on September 29, 2015 in Health Policy, Medical Education, Patient Safety and QualityKeep Reading
Cast your vote! According to symplur.com, Stanford’s Medicine X conference #MedX had an incredible reach of nearly 219 million impressions and over 56,000 tweets in the past ten days. But, controversy remains about whether it is OK to tweet a speaker’s slides without proper attribution. Many attendees snap photos of slides and live tweet the content, but without knowing speaker’s twitter names, and without express consent to disseminate the actual intellectual creation, the question remains…
- By Marjorie Stiegler on September 11, 2015 in Communication, Human Factors, Medical Education, Patient Safety and QualityKeep Reading
It’s that time of year again – healthcare centers across the country experience a massive cohort turnover as newly graduated medical students become resident physicians, and new responsibilities and autonomy are given to existing trainees. It has long been advised to avoid seeking medical care in July because of the presumed increased risk to patients, so much so this changeover is sometimes called the “July Effect” in the United States and the “August killing season” in the United Kingdom. Indeed, studies show that mortality is increased and efficiency is decreased…
- By Marjorie Stiegler on September 6, 2015 in Behavioral Psychology, Health Policy, Human Factors, Medical Decision MakingKeep Reading
Did you know?
The relentless stress caused by poverty has the same effect as reducing your IQ by about 15 points. And if you look even a little bit poor, you are also perceived as incompetent – so things are only looking worse for you tomorrow.
Most people lie and cheat a little; few lie and cheat a lot. Very few people actually steal…unless it’s for a good cause.
Want someone to do something for you? Follow this formula…
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I’ve often used the illustration of a shark attack to explain the Availability Bias (Kahneman and Tversky) – in a nutshell, the mental illusion that memorable events are more likely than their their statistical rarity predicts. Although shark attacks are vivid, make incredible headlines, are gruesome, and therefore are memorable, we are much more likely to die from the mundane – a fall, lighting strike, pig attack, and so on. Therefore, rationally speaking, imagery from the Discovery Channel’s “Shark Week” should not stop us from enjoying the waves.
This Saturday, I’m heading to the same NC beaches that boast no less than 8 (!!) shark attacks in the past several weeks – the highest number in over 80 years. What is happening? Are we under siege? According to some expert reports, these shark attacks are “extraordinary,” represent “incredible odds” and a “perfect storm”.
And so I ask Drs. Kahneman and Thaler – what would you do?
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In academic medicine, July is a bit like New Year’s Eve, so it is the time I evaluate, celebrate, and strategize. Here’s a quick update about what’s been going on, and what’s coming up.
There is just so much to be excited about!