MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'clinician'. Sat, 03 Sep 2011 02:23:13 +0100 http://www.medworm.com/index.php?rid=5159208&cid=t_170149_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F08%2F19%2F11-tips-for-succeeding-in-college-when-you-have-adhd%2F College is a big transition for any student. But when you have attention deficit hyperactivity disorder (ADHD), there are added challenges to consider. These obstacles concern everything from studying to managing your time to spending impulsively to planning your future post-college. But by being aware of these potential problems and being proactive, students with ADHD can accomplish great things in school. Here’s how, according to Stephanie Sarkis, Ph.D, a national certified counselor and licensed mental health counselor and author of Making the Grade with ADD: A Student’s Guide to Succeeding in College with Attention Deficit Disorder. 1. Apply for accommodations. Accommodations are “specific adaptations, including extended time on tests and an assigned note taker, that give yo... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=5159208 Fri, 19 Aug 2011 15:45:13 +0100 5159208 http://www.medworm.com/index.php?rid=4527773&cid=t_170149_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F02%2F27%2Fj-raymond-depaulo-jr-on-getting-a-second-opinion%2F The following passage from J. Raymond DePaulo Jr.’s book, Understanding Depression, was helpful to me in knowing what to look for in a doctor, and when to go for a second (and third, and fourth, and fifth, and sixth, and seventh) opinion. My comments on his advice are in parantheses. The best patient care requires three components: A well-trained, dependable clinician who knows what to do and is accessible to the patient; A well-informed patient who actively participates in his or her care plan and follows it; and A trusting alliance between doctor, patient, and family. If you don’t understand or agree with a doctor’s diagnosis, you should ask for an explanation of how he or she came to the conclusion. What factors weight in favor of the diagnosis? What factors argue i... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4527773 Sun, 27 Feb 2011 12:08:06 +0100 4527773 http://www.medworm.com/index.php?rid=4259227&cid=t_170149_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2010%2F12%2F15%2Flooking-at-you-looking-at-me-the-effect-of-clinical-encounters%2F I’ve been browsing the databases for information on clinical encounters. I do this because while I’m well aware of many papers produced on the topic of patient-related predictors of outcome, the swing towards considering clinician characteristics as predictors of outcome means I hope to see more published on this incredibly important topic. A wee while I ago I wrote about patient self-report measures of chronic pain clinical encounters (Stomski, MacKintosh & Stanley, 2010), in which I discussed the lack of reliable, valid measurement tools in which people with pain are asked about their clinical encounters – and worse still, the glaring omission in any of the reviewed measures of actually asking people with chronic pain whether the constructs being assessed actually m... HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=4259227 Tue, 14 Dec 2010 20:53:00 +0100 4259227 http://www.medworm.com/index.php?rid=3710561&cid=t_170149_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Freflections-of-a-clinician-educator%2F2010.06.29 A version of the following post by Kimberly Manning appeared on the blog Reflections of a Grady Doctor: May and June mark the end of our academic year in medical education. The medical students either advance to the next level or become sho’ nuff and bonified doctors — albeit uncertified and untrained — but doctors nonetheless. The interns exit the novice stage and become residents — one week asking someone senior what to do, the next telling someone junior what to do. And of course, the senior residents and fellows finally get the stamp of approval that officially releases them from the nest. It’s kind of bittersweet for folks like me — the surrogate mommies and daddies that helped guide them along this path to becoming full-fledged physicians. (more&#... Better Health blogs http://www.medworm.com/rss/comments.php?id=3710561 Tue, 29 Jun 2010 12:00:00 +0100 3710561 http://www.medworm.com/index.php?rid=3611907&cid=t_170149_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fteaching-til-the-very-end-carol-rivers-md%2F2010.05.29 To those who haven’t heard, an icon of emergency medicine has passed away. Carol Rivers, M.D. died last week following a cardiac procedure. Carol was an outstanding clinician and educator, and one of the founders of modern emergency medicine as we’re fortunate to know it today. Carol was perhaps best known for her board preparation guides, which helped many a terrified physician to navigate his or her emergency medicine board exams. I know her expertise helped me when I took my first American Board of Emergency Medicine (ABEM) exam. (more…) *This blog post was originally published at edwinleap.com* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3611907 Sat, 29 May 2010 22:00:07 +0100 3611907 http://www.medworm.com/index.php?rid=3208693&cid=t_170149_151_f&fid=35805&url=http%3A%2F%2Ftwelvestepfacilitation.com%2Ftwelve-step-facilitation-for-general-health-care-workers%2F Twelve-step facilitation (TSF) in non-specialty settings. Participation in the twelve-step mutual-help organization, Alcoholics Anonymous, has proven to be an effective means of helping individuals with alcohol dependence achieve lasting sobriety. Although many patients choose to attend AA of their own accord, clinicians’ facilitation of AA involvement ("Twelve-Step Facilitation" [TSF]) has shown to substantially increase the likelihood that patients will become engaged with these freely available resources. Importantly, many individuals with alcohol dependence never seek help from addiction specialists, yet often encounter other health professionals due to alcohol-related physical or psychological problems providing an opportunity for intervention. However, for clinici... Twelve Step Facilitation.com blogs http://www.medworm.com/rss/comments.php?id=3208693 Sun, 24 Jan 2010 12:25:49 +0100 3208693 http://www.medworm.com/index.php?rid=3012433&cid=t_170149_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F11%2F19%2Ftwo-new-blogs-always-learning-and-the-y-factor%2F I’m pleased to announce the introduction of two new blogs here in the Psych Central family. The first is from Leigh Pretnar Cousins, MS called Always Learning. Leigh is a private tutor and is studying in educational psychology. Although her blog will focus on the topic of educational psychology and learning, she believes these lessons are of value to all of us throughout life: Every day my work teaches me some lesson that holds, not only for kids, but for all of us. I can hardly wait to share these things with you. I’m excited to have this place to talk about learning and all its facets… Learning and school, learning and work, learning and emotions, learning and relationships, Learning and Life. I agree. Learning doesn’t stop just because we don’t go to school any ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3012433 Thu, 19 Nov 2009 19:27:02 +0100 3012433 http://www.medworm.com/index.php?rid=2912251&cid=t_170149_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F10%2F20%2Fqa-with-julie-holland%2F Julie Holland, MHS, CEDS, is recognized in the industry as both a clinician and public speaker. A certified eating disorders specialist, she has directed marketing and customer relationship management programs at several leading eating disorder treatment programs across the country. Ms. Holland has specialized in the treatment self-esteem, eating and body image issues for adults and adolescents for more than 23 years. She is a Certified Eating Disorders Specialist and Director of Certification for the International Association of Eating Disorders Professionals, as well as an Approved IAEDP Supervisor. How does fat talk affect one’s self image? Fat talk brings a sense of negativity toward how individuals think about themselves and their body. It can also affect how individuals relate... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2912251 Tue, 20 Oct 2009 19:19:29 +0100 2912251 http://www.medworm.com/index.php?rid=2712388&cid=t_170149_165_f&fid=37959&url=http%3A%2F%2Fhealthskills.wordpress.com%2F2009%2F08%2F19%2Fits-not-what-you-say-its-the-way-that-you-say-it%2F I have a bit of a theme happening – health care interactions. I think it’s because this week I’ve been talking about this with patients, and it seems to be something that either raises the hackles or fills them with gratitude! Anyway, I was glad to find this paper the other day on ‘perceived quality of doctor–patient interaction in rehabilitation’. This is slightly different from the usual focus, which is often on interactions in primary care. It’s an interesting paper written by a group of researchers in Germany. They describe the use of a newly-developed rating instrument, the ‘P.A.Int-Questionnaire’, which stands for (in German) ‘Patient-Arzt-Interaktion’. I’m guessing that’s German for ‘patient-doctor inter... HealthSkills Weblog blogs http://www.medworm.com/rss/comments.php?id=2712388 Wed, 19 Aug 2009 08:54:41 +0100 2712388 http://www.medworm.com/index.php?rid=2441692&cid=t_170149_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F05%2F26%2Fupdate-dsm-v-major-changes%2F At the American Psychiatric Association’s annual meeting last week, a presentation covered some of the likely major changes that will be incorporated into the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders, commonly referred to as the DSM by mental health professionals. The DSM provides professionals with the symptom checklists that allow for a mental disorder diagnosis to be made. The most significant change proposed has to do with the inclusion of dimensional assessments for depression, anxiety, cognitive impairment and reality distortion that span across many major mental disorders. So a clinician might diagnose schizophrenia, but then also rate these four dimensions for the patient to characterize the schizophrenia in a more detailed and descriptive m... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2441692 Tue, 26 May 2009 18:41:05 +0100 2441692 http://www.medworm.com/index.php?rid=1646123&cid=t_170149_151_f&fid=35805&url=http%3A%2F%2Ftwelvestepfacilitation.com%2Flonger-aa-attendance-predicts-change%2F This study examined the predictors of self-efficacy in the year after treatment and 15 years later. A sample of 420 individuals with alcohol use disorders was assessed five times over the course of 16 years. Predictors of self-efficacy at 1 year included improvement from baseline to 1 year in heavy drinking, alcohol-related problems, depression, impulsivity, avoidance coping, social support from friends, and longer duration of participation in mutual-help Alcoholics Anonymous (AA). Female gender, more education, less change in substance use problems, and impulsivity during the first year predicted improvement in self-efficacy over 16 years. Clinicians should focus on keeping patients engaged in self-help of AA, addressing depressive symptoms, improving patient’s coping,... Twelve Step Facilitation.com blogs http://www.medworm.com/rss/comments.php?id=1646123 Tue, 22 Jul 2008 12:15:11 +0100 1646123 http://www.medworm.com/index.php?rid=1152487&cid=t_170149_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F01%2F15%2Fis-complete-remission-realistic%2F STAR*D was a historic, large-scale research trial that found people don’t get better in depression treatment as quickly, or as easily, as previously thought. It showed, basically, that people often needed to change medications or treatment approaches to gain remission of their depressive symptoms. In the American Journal of Psychiatry letters section earlier this month, researchers suggested that perhaps complete remission isn’t the ideal goal for everyone in treatment. And that the advocacy of even more complex treatment regimens for treatment-resistant patients (e.g., prescribing multiple types and doses of psychiatric medications at the same time) is potentially dangerous and with little research basis. John Rush’s, one of STAR*D’s authors, replied basically go... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1152487 Tue, 15 Jan 2008 20:12:33 +0100 1152487 http://www.medworm.com/index.php?rid=1128676&cid=t_170149_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F01%2F03%2Fdepressed-and-anxious-treatment-isnt-as-effective%2F New research was published yesterday that shows that if you’ve got what the researchers call “anxious depression,” your treatment will likely be less effective than if you had just plain depression without anxiety. More than half of the people enrolled in the STAR*D trial (results of which were published in 2006) would qualify as having “anxious depression.” Anxious depression is simply major depression with a co-occurring anxiety disorder. The finding is important because it means that with proper assessment for anxiety at the time of the initial depression diagnosis, a person’s treatment may be better tailored to be more effective. The limitations of the study were that the researchers used the Hamilton Depression Rating Scale to measure anxiety, wh... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1128676 Thu, 03 Jan 2008 15:30:05 +0100 1128676 http://www.medworm.com/index.php?rid=1909232&cid=t_170149_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469532%2Fdr-berger-scholarly-research-publications.html Gary S Berger MD, Medical Director of Chapel Hill Tubal Reversal Center, is well known for his contributions to clinical medicine as a reproductive surgeon. Patients sometimes ask about Dr. Berger’s education, training, academic credentials, scholarly research and publications. This is a resume of Dr. Berger’s academic credentials: ACADEMIC DEGREES 1965 A.B. [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909232 Sat, 15 Dec 2007 17:38:05 +0100 1909232 http://www.medworm.com/index.php?rid=992028&cid=t_170149_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F10%2F30%2Fpatient-centered-health-information-technology-initiative%2F I will be doing a considerable amount of my blogging about information therapy (Ix) at the now-live Patient Centered Health Information Technology (PCHIT) blog. The Center for Information Therapy’s (IxCenter’s) new PCHIT Initiative will have an active learning community of clinicians hosted by me and Ted Eytan, MD, the IxCenter’s Senior Visiting Fellow, who is currently on sabbatical from Group Health Cooperative in Seattle, where he serves as Medical Director for Health Informatics & Web Services. –Josh (Source: Information Therapy...and Other Ways to Change the World) Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=992028 Tue, 30 Oct 2007 14:16:19 +0100 992028 http://www.medworm.com/index.php?rid=889711&cid=t_170149_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F09%2F21%2Fwho-can-be-an-information-therapist%2F A colleague out in Seattle posted a great story, Information Therapy on the Go, about his experience in despensing information therapy (Ix) in taxis. The end of his post raised some questions: What is an information therapist? Who can be an information therapist? How can we train people to be information therapists in order to meet the great need that’s out there for them? I, too, get asked to prescribe Ix to family, friends and randome people with considerable frequency (and I’m more than happy to help if I can). Even though I’m not a physician like Ted, as my at-the-time, 3-year-old Ben said, I am a “question doctor,” perhaps a colloquial version of information therapist. The colleague I mention above is Ted Eytan, MD (Medical Director, Health Informatics &a... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=889711 Fri, 21 Sep 2007 01:31:55 +0100 889711 http://www.medworm.com/index.php?rid=828532&cid=t_170149_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F08%2F28%2Fwhat-will-be-the-biggest-disruption-in-health-care%2F Will the biggest disruption in health care be an Internet-based health care industry?  We already know that more consumers get answers to their health care questions on a daily basis from the Internet than from their doctors.  But do we think that online tools will evolve enough to allow consumers to organize and make sense of that information without trained professionals? Will the trend toward “convenience care” (pharmacy- or mall-based walk-in clinics) have the greatest impact on how providers organize care delivery?  Will they need to re-think the way they practice medicine to meet new consumer expectations? Maybe CMS’s requirement that hospitals begin publicly reporting patient experience data in 2008 will forever change how hospital view patient-centered care.  ... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=828532 Tue, 28 Aug 2007 21:01:56 +0100 828532 http://www.medworm.com/index.php?rid=777910&cid=t_170149_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F08%2F03%2Fresponse-to-usa-today-article-communication-now-part-of-the-cure%2F There was an interesting piece in last Wednesday’s USA Today, “Communication now part of the cure“. They published online a Letter to the Editor I wrote (Continue reading “Get an ‘Ix’ with a Rx” »).  Here’s the text: Get an ‘Ix’ with a Rx Joshua Seidman, president - Center for Information Therapy; Bethesda, Md.USA TODAY’s article “Communication now part of the cure” about the importance of discussions between doctors and patients makes several good points (Life, Wednesday). Since research shows that 40%-80% of everything a doctor tells a patient in the office is forgotten, taking along a patient advocate is a great strategy. Unfortunately, it is not always an option or sufficient. In order to ensure effective... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=777910 Fri, 03 Aug 2007 20:05:00 +0100 777910 http://www.medworm.com/index.php?rid=688800&cid=t_170149_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F06%2F18%2Fcan-ix-and-phrs-address-the-ioms-crossing-the-quality-chasm-challenge%2F The IxCenter published a white paper a few years ago entitled, “The Ix Evidence Base: Using Information Therapy to Cross the Quality Chasm” (available at http://www.ixcenter.org/publications/whitepapers.cfm). In it, we detailed the emprical evidence that supports the Ix role in addressing each of the 10 rules that Institute of Medicine (IOM) laid out for health care delivery system redesign. As Ix has matured, we have found new ways that Ix has directly addressed the IOM/Quality Chasm call to action. Perhaps most importantly, the IOM’s first rule for system redesign was to have “Care based on continuous healing relationships.” Rather than just interacting with health care professionals in traditional visits specific to a particular acute issue, people should ... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=688800 Mon, 18 Jun 2007 20:13:45 +0100 688800 http://www.medworm.com/index.php?rid=688802&cid=t_170149_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F05%2F23%2Fix-across-america-integrating-information-therapy-into-practice-community-by-community%2F We are eager to identify new strategies for helping practicing clinicians to make it easier to integrate information therapy (Ix) into their clinical workflow. One model that we have conceptualized is collaborating with leading local and regional quality leaders to stimulate Ix advancement in their own communities. We are aware that this “Ix Across America” concept requires not only a combination of a lot of intense work and patience on our part, but also strong leadership from respected champions in each partnering community. I’m happy to report that our first test of this concept is off to a great start, thanks to the leadership of Helen Riehle, Executive Director of the Vermont Program for Quality in Health Care (VPQ), and several other committed innovators in the smal... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=688802 Wed, 23 May 2007 18:54:26 +0100 688802 http://www.medworm.com/index.php?rid=688803&cid=t_170149_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F03%2F19%2Fwho-will-be-the-next-generation-of-phr-users%2F Looking at how young people use the Web for virtually everything from commerce to social networking, it’s not hard to imagine an increasingly virtual future health care world. If Don Berwick is right that at least half of current in-person clinical encounters don’t require a visit, this generation likely will change the character of US health care delivery. But what about the other end of the chronological spectrum? One of the common questions I get is how we make information therapy (Ix) relevant for seniors–the population that consumes the greatest amount of health care. Although part of the answer is that Ix need not be delivered electronically, the more compelling notion from my perspective is that we have a magnificent and mostly untapped opportunity to extend patie... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=688803 Mon, 19 Mar 2007 20:27:09 +0100 688803 http://www.medworm.com/index.php?rid=688808&cid=t_170149_113_f&fid=35752&url=http%3A%2F%2Fjseidman.wordpress.com%2F2007%2F02%2F06%2F10%2F Although the New York Times took a pass on my letter in response to a Jane Brody column January 30 (http://www.nytimes.com/2007/01/30/health/30brody.html?ex=1170910800&en=c1237335b6037a06&ei=5070), I thought others might be interested… To complement the expert suggestions in “The Importance of Knowing What the Doctor Is Talking About” (January 30, 2007), keep in mind that most people are “patients” in the traditional clinical environment far less than 1% of any year’s 8,760 hours. Therefore, we should maximize the value of that in-person clinical encounter with information targeted to the individual’s moment in care and tailored to their individual needs. More specifically, a “visit prep” information prescription preceding every encounter will better prepare ... Information Therapy...and Other Ways to Change the World blogs http://www.medworm.com/rss/comments.php?id=688808 Tue, 06 Feb 2007 14:13:41 +0100 688808