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?”
Medical Gaslighting: Why Are We A--holes?
Urine Drug Screening: How it can traumatize patients and undermine the physician-patient relationship without helping anyone
Pursuing a Medical Career While Black: What it Takes and Why it Matters
Rescuing medical professionalism: Could “cup-of-coffee conversations” do more good than committees and letters-to-the-file?
Why Residents Unionize
Opioids and the physician-patient relationship: What are we getting wrong?
False Positives Traumatize Patients...If Clinicians Aren't Careful
Healing Interactions: What are they made of?
Kind People on Airplanes
When an attending yells at a resident
When your patient has a Swastika tattoo
About me being racist: A conversation that follows an apology
The Dartmouth Debacle: Why the culture of medical education needs to change
Vaccine Hesitancy and the Doctor-Patient Relationship
Engagement and Boundary Clarity:
Judgementalism
Contextualizing Care: What it means and why it matters
Part 2: International Medicine
Part 1. International Medicine
My Learning Disability
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