1 / 14

Week 11: Flesh-and Blood Decision-Making Jerome Groopman

Week 11: Flesh-and Blood Decision-Making Jerome Groopman. Dr. Peih-ying Lu May. 13, 2010. Pre-reading questions. According to Groopman, in 1980s, what were interns like? What did they have to do? How did the first day of intern influence Dr. Groopman? How has his feeling changed?

fairly
Download Presentation

Week 11: Flesh-and Blood Decision-Making Jerome Groopman

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Week 11: Flesh-and Blood Decision-Making Jerome Groopman Dr. Peih-ying Lu May. 13, 2010

  2. Pre-reading questions • According to Groopman, in 1980s, what were interns like? What did they have to do? • How did the first day of intern influence Dr. Groopman? How has his feeling changed? • In medical school, how do students study paper cases?

  3. Pre-reading questions • How long will it take in a didactic exercise for the senior doctor and students to arrive at a working diagnosis? • How long will it take an expert clinician to form the notion of what is wrong with the patient?

  4. Pre-reading questions • According to Dr. Pat Croskerry, what is pattern recognition? • According to Dr. Donald A. Schön, what is heuristics? • What is the Yerkes-Dodson law? How does it relate to doctors’ performance?

  5. Pre-reading questions • What is the function of the high-tech mannequin named Stan?

  6. Case 1: William Morgan

  7. Case 2: Anne Dodge

  8. In case 1, Dr. John Burnside spent only 15 seconds finding out what was wrong with Morgan while others spent 15 years figuring out Dodge’s illness in case 2. What’s the difference?

  9. In-Class Discussion • What are Dr. Groopman’s inner feelings towards both Anne Dodge’s and Mr. Morgan’s cases? • What do you think the differences and similarities are between these two cases? • Do you think doctors’ medical decisions are made subjectively or objectively? Why? • What is “see one” and “do one”?

  10. In-Class Discussion • Is a fast and frugal medical decision always better than a nice and slow one? Why or why not? • Do you think the technical errors in medicine, which are like prescribing the wrong dose of a drug, transfusing a unit of blood matched for another person, mislabeling an x-ray of an arm as “right” instead of “left”, are inevitable?

  11. In-Class Discussion • When are intuition (in The Blink), pattern recognition by Dr. Pat Croskerry, and heuristics by Dr. Donald A. Schön being used? • How should doctors avoid mistakes when using intuition? Why?

  12. Christine Borland said, “I’ve tried to speak to young doctors and talked to them about their real experiences, for example, of breaking bad news, and how they compare their experiences as students and whether they’re drawing on these experiences with actors. Once they get out there into the real medical world and they are looking back at their education, what do they think about it?

  13. However, going by their descriptions, of the difficulties of breaking bad news, for example, in a real situation compared with the learning situation, a lot of them were questioning the use of simulated patients.” (Lu, 96)

  14. Lu, P.-y. (2010). Medical communication as art – an interview with Christine Borland. Language and Intercultural Communication. Vol.10, No.1, 90-99.)

More Related