By Marwa Saleh, MD
May 19, 2020
In late March, several news outlets1,2 ran headlines stating that hundreds of Iranians died and others went blind after drinking adulterated alcohol for protection against COVID-19—some of them were children. On a similar note, the Journal of Histopathology documented the case3 of a 41-year-old American who was hospitalized after drinking disinfectant leading to the severe injury of her small bowels.
Other stories include a father who died of COVID-19 after delaying medical help because he believed that COVID-19 was just like the flu, and the couple5 who ingested chloroquine (not intended for human use) leading to the death of the husband and hospitalization of the wife.
The tragic incidents were the result of misinformation and these consequences aren’t rare; A WHO report6 in February stated that we were facing a “massive infodemic.” The hazards of misinformation are vivid—misinformation costs lives. Continue reading “The Role of Doctors in the COVID-19 “Infodemic””
By Eric Gantwerker MD, MMSc (MedEd), FACS
November 15, 2018
As we take theory to practice we discuss what motivates our trainees to learn and how can we use motivational learning theory to promote deep and meaningful learning among our trainees.
Self-determination theory (SDT) purports that humans are by nature curious and have the desire to learn.1,2 SDT underlies the concept of motivation; described as a continuum from amotivation (lack of motivation) to extrinsic motivation (external rewards) to intrinsic motivation (inherent interest).3 A closely related concept is self-regulated learning (SRL), described by Zimmerman et al., that delineates the complex interplay between motivations, learning, assessment, and metacognition that impacts effective learning processes.4,5
Intrinsic motivation and SRL have been associated with deeper forms of learning, improved performance, increased interest, commitment, and satisfaction.2,3 As we take theory to practice we discuss what motivates our trainees to learn and how can we use motivational learning theory to promote deep and meaningful learning among our trainees. Strategies to foster intrinsic motivation and SRL have been tied to three basic psychological needs: autonomy, competence, and relatedness.1,2 In addition, some common practices are discussed regarding their impact on motivation and SRL. Continue reading “Optimizing Motivation Theory for Medical Training: Teaching on the Wards”
by The HMS CME Online Team
NP and PA MAT Waiver Training
Through the Comprehensive Addiction and Recovery Act (CARA), nurse practitioners (NP) and physician assistants (PA) can become waivered to prescribe buprenorphine in the treatment of opioid use disorder (OUD) after completing 24 hours of specialized training.
We are pleased to announce that The Substance Abuse and Mental Health Services Administration (SAMHSA) has approved two of Harvard Medical School’s CME Online Opioid Use Disorder Education Program courses as fulfilling the 16-hour portion of the NP/PA 24-hour required training for waiver eligibility. These courses are: Continue reading “HMS Online CME Courses Approved for MAT Waiver Training”
By Ted A James, MD, MHCM, FACS
September 6, 2018
“…leadership skills, like any other type of skill, can be learned and improved…. More challenging, however, is the development of the personal attributes that are necessary for effective leadership.”
-Charanjit S. Rihal, MD
Chair, Department of Cardiovascular Medicine, Mayo Clinic
Physicians as Administrative Leaders
Physicians possess a deep understanding of what is required to optimize the process of caring for people, and health care systems that are serious about transformation need to harness the power, talent, and creativity of clinicians as organizational leaders. Toward this end, a growing number of physicians are moving into executive leadership, and organizations are experiencing the benefit of having these physicians in key roles, providing input into what is best for patients and the organization as a whole. Continue reading “Do You Need an MBA to Be a Physician Leader?”
By Ami B. Bhatt, MD, FACC
June 14, 2018
Since the two very sudden public suicide deaths of Kate Spade and Anthony Bourdain, society has again recognized that we never know what is under the surface of another’s façade. As physicians, these tragic occurrences emphasize that our caregiving requires seeing the entirety of an individual’s many parts.
While we acknowledge that the façade is not fake—it is but one true representation of an individual, well-curated, like pages on Facebook or Instagram—no one mourns the corporate façade created for these individuals. We mourn the fact that despite feeling we know someone, we didn’t see it coming. This is that much harder when it is a loved one, and most frightening when you might see it in yourself. Especially, if you are a physician. Continue reading “Turning the Tide on Physician Suicide”
May 11, 2018
[The following post by Monique Tello has been shared with us by Harvard Health Publishing where it originally appeared in April of 2018. In light of increased emphasis on engaging patients in shared decision making, we invite you to add your thoughts about, and experiences with, trauma-informed care in the comment section after reading this post.]
Trauma-informed care: What it is, and why it’s important
by Monique Tello, MD, MPH
Contributing editor, Harvard Health Publishing
Many years ago, when I was a trainee, I helped take care of patients at a family medicine clinic.* One day, a school-aged brother and sister came in for their annual physicals. Continue reading “What Does Trauma-Informed Care Look Like?”
November 14, 2017
[The following post by Monique Tello, MD, MPH, has been shared with us by Harvard Health Publishing, having originally appeared on their website in February 2017.]
Our nephew Christopher died of a heroin overdose in October 2013. It had started with pain pills and experimentation, and was fueled by deep grief. He was charismatic, lovable, a favorite uncle, and a hero to all the children in his life. His death too young was a huge loss to our family. I have always felt that I didn’t do enough to help prevent it, and perhaps, in a way, even contributed. Continue reading “A Primary Care Doctor Delves into the Opioid Epidemic”