When I was a medical student, or currently as a resident, I do not care how many articles my faculty have published.
I certainly come down on the side of thinking that teaching should be more explicitly valued. Of course, something is lost with every attempt at quantification, but this may be a necessary price to changing the incentive structure to make being a good teacher more attractive.
I also wonder if we’re undervaluing something like a Substack in academia. Professors who do TV interviews clearly benefit from that. Professors who give TED talks certainly put that on their resume. It’s not like those are peer reviewed. There is a lot of benefit to the dissemination of information regardless of format.
Feb 28, 2023·edited Feb 28, 2023Liked by Adam Cifu, MD
Doctors over treat.
Insurance socializes risk and that is a good thing.
Hayek - smh. Libertarianism is a dead end because the premise that maximizing the individual components actually maximizes the whole is incorrect. The whole does not equal sum of parts. The whole is the sum of parts plus the sum of the interactions of the parts.
Medicine should be approached like a quality control question.
How about : Online Journal of Medical Sience Criticism. The humanities have been doing it for a while. It both documents and teaches and informs better thinking and practice. Would such a think be possible?
Whenever you get the government and insurance companies involved, costs increase for normal people. Also, healthcare should be a right, not health insurance. That being said the difference between Internal medicine being turned down by insurance companies more than the cardiologists could be the age of the patient. Internal medicine would include younger people who are on straight health insurance, not Medicare. The cardiologist's patients would almost all be on Medicare which as far as I have seen has very few limits on what they pay for. They limit how much they will pay, but not what they pay for. This is going to change as more people get on Medicare Advantage, which brings the insurance companies more involved in the decision making. I think this is a necessary change because there needs to be some kind of limit, but the change to Medicare Advantage is going to drive doctors and patients crazy for a while with its pre-approval and referral requirements.
On second listen, I liken y’all’s frustration with publishers much the same as my own when music was my career. The higher up you go in the music business, the more “expert ears“ are judging and editing and asking for rewrites, etc. The wonderful thing about being retired from both healthcare and from the music business is that I have more pride in the stuff I do for the sheer love of doing it, then I ever had in either business as the “expert” that I was. I hadn’t made that connection with music until just now. I’ve made a lot of records, played on a lot of records, and the stuff I’m most proud of is the stuff that I do now with my grandchildren. My healthcare journey has been the same. The stuff that I do now is the stuff that I pay forward to people who want to live as compliant as possible with whatever chronic illness they happen to have.
You bet. I bet we would enjoy a chat at some point. Your podcast helped my nurses group this evening - they were discussing the same issues y’all were and it was really fun to challenge the group with re-examining passion and what we can do with it both within and outside of work. Having no corporate pressure is perhaps the greatest gift. Because that which stifles the joy of creativity in our arts sucks us dry, doesn’t it? I learned that from John Mellencamp (who I also did studio work with), but wasn’t able to have the passionate anger that freed him - I’m certain he wouldn’t mind me saying that.
I do like seeing/hearing about both (or all sides) and attempting to find that middle ground. One thing I’m learning from you all is to set ego aside, listen to all sides (yes, including the business side 🙄) and do what’s best for the person in front of us. I think the hardest thing for me was to make sure blinders weren’t a constant on me. My own ego cements them.
Gentlepeople, I will continue to beg for autotranscribed transcripts of these podcasts/videocasts. I am sure that there is really good content here. But many, many of us do not have the time to listen and/or are hearing disabled and/or are visual/reading learners. You will broaden your reach substantially by using a cheap/free autotranscriber to put up text when you put up the audio. That way all learners can learn. Many thanks.
Amen, Dr. K. Am a visual/reading learner here; audio is acceptable but transcriptions are key to my mental creation of an information tree and retention.
Thank you for considering this issue. Back in high school (late ‘60’s) was in the marching band, and worried about music flying off in the wind. The solution was to draw the staff and copy the music three times, thus committing to memory. Worked for studies, too, by scribing outlines as well as looking up and copying important definitions. My workaround resulted in retention, which today occupies that lower-level basement filing cabinets in my mind, overflowing but available for retrieval, haha. Even now, when listening to podcasts, am constantly taking notes. Thank you again for your contribution to our ‘continuing self-education’.
When I was a medical student, or currently as a resident, I do not care how many articles my faculty have published.
I certainly come down on the side of thinking that teaching should be more explicitly valued. Of course, something is lost with every attempt at quantification, but this may be a necessary price to changing the incentive structure to make being a good teacher more attractive.
I also wonder if we’re undervaluing something like a Substack in academia. Professors who do TV interviews clearly benefit from that. Professors who give TED talks certainly put that on their resume. It’s not like those are peer reviewed. There is a lot of benefit to the dissemination of information regardless of format.
Doctors over treat.
Insurance socializes risk and that is a good thing.
Hayek - smh. Libertarianism is a dead end because the premise that maximizing the individual components actually maximizes the whole is incorrect. The whole does not equal sum of parts. The whole is the sum of parts plus the sum of the interactions of the parts.
Medicine should be approached like a quality control question.
How about : Online Journal of Medical Sience Criticism. The humanities have been doing it for a while. It both documents and teaches and informs better thinking and practice. Would such a think be possible?
I did enjoy this podcast. I think you guys did great without the so called "rudder" of the ship.
Whenever you get the government and insurance companies involved, costs increase for normal people. Also, healthcare should be a right, not health insurance. That being said the difference between Internal medicine being turned down by insurance companies more than the cardiologists could be the age of the patient. Internal medicine would include younger people who are on straight health insurance, not Medicare. The cardiologist's patients would almost all be on Medicare which as far as I have seen has very few limits on what they pay for. They limit how much they will pay, but not what they pay for. This is going to change as more people get on Medicare Advantage, which brings the insurance companies more involved in the decision making. I think this is a necessary change because there needs to be some kind of limit, but the change to Medicare Advantage is going to drive doctors and patients crazy for a while with its pre-approval and referral requirements.
On second listen, I liken y’all’s frustration with publishers much the same as my own when music was my career. The higher up you go in the music business, the more “expert ears“ are judging and editing and asking for rewrites, etc. The wonderful thing about being retired from both healthcare and from the music business is that I have more pride in the stuff I do for the sheer love of doing it, then I ever had in either business as the “expert” that I was. I hadn’t made that connection with music until just now. I’ve made a lot of records, played on a lot of records, and the stuff I’m most proud of is the stuff that I do now with my grandchildren. My healthcare journey has been the same. The stuff that I do now is the stuff that I pay forward to people who want to live as compliant as possible with whatever chronic illness they happen to have.
Interesting comparison. Thanks!
You bet. I bet we would enjoy a chat at some point. Your podcast helped my nurses group this evening - they were discussing the same issues y’all were and it was really fun to challenge the group with re-examining passion and what we can do with it both within and outside of work. Having no corporate pressure is perhaps the greatest gift. Because that which stifles the joy of creativity in our arts sucks us dry, doesn’t it? I learned that from John Mellencamp (who I also did studio work with), but wasn’t able to have the passionate anger that freed him - I’m certain he wouldn’t mind me saying that.
I do like seeing/hearing about both (or all sides) and attempting to find that middle ground. One thing I’m learning from you all is to set ego aside, listen to all sides (yes, including the business side 🙄) and do what’s best for the person in front of us. I think the hardest thing for me was to make sure blinders weren’t a constant on me. My own ego cements them.
Gentlepeople, I will continue to beg for autotranscribed transcripts of these podcasts/videocasts. I am sure that there is really good content here. But many, many of us do not have the time to listen and/or are hearing disabled and/or are visual/reading learners. You will broaden your reach substantially by using a cheap/free autotranscriber to put up text when you put up the audio. That way all learners can learn. Many thanks.
Amen, Dr. K. Am a visual/reading learner here; audio is acceptable but transcriptions are key to my mental creation of an information tree and retention.
I will look into it.
Thank you for considering this issue. Back in high school (late ‘60’s) was in the marching band, and worried about music flying off in the wind. The solution was to draw the staff and copy the music three times, thus committing to memory. Worked for studies, too, by scribing outlines as well as looking up and copying important definitions. My workaround resulted in retention, which today occupies that lower-level basement filing cabinets in my mind, overflowing but available for retrieval, haha. Even now, when listening to podcasts, am constantly taking notes. Thank you again for your contribution to our ‘continuing self-education’.
I have used Otter AI - pretty good, searchable.