Direct, covert observation of health care is a novel and underutilized tool to assess health care trainees and clinicians.
In this episode we talk with experts about two such approaches: the unannounced standardized patient and patient-collected audio. In the former, actors are sent incognito into practice settings, and in the latter real patients volunteer to record their visits on behalf of a quality improvement team. Both approaches address the question, “How are our learners and experienced clinicians performing in the real world?” They also identify those who may do well on simulations but underperform in the clinical setting. As one of our guests observed, “If McDonalds is using secret shoppers to improve services, shouldn’t we be doing the same in health care (but with a lot more rigor) where the stakes are so much higher?”
Asking patients "Why?"
Part 2: “This is what I trained for.”
Part 1: Meaning and Joy in Solo Practice
Part 2: Hope and Healing for Those Who Follow
Part 1: Pursuing a Dream and a Calling
Forced Opioid Taper
Airplane Guy
Patient Abuse
The "Difficult" Patient
Introducing: On Becoming a Healer
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Good Mood Revolution
Good Nurse Bad Nurse
The Relaxback UK Show
On Call With Dr. Anselm Anyoha
The Doctor’s Farmacy with Mark Hyman, M.D.
The Peter Attia Drive