Thoughts for 2010

4 Jan
2010

Rather than give a retrospective on 2009, I have decided this year to look forward.  I will discuss both personal goals as well as predictions.

Personal:

  1. Expand my writing and teaching on pharyngitis.  I have several projects underway, and plan to develop a body of work that leads to better decision making and decreased morbidity and mortality.
  2. Continue my focus on routine laboratory test interpretation.  I believe that too many students, residents and practicing physicians have clues present that they misinterpret.  We need to spend more time developing a rational and complete approach to routine laboratory testing.  By routine I mean BMP, CMP, CBC, ABG, routine coagulation studies and U/A.
  3. Continue growing as an educator, especially increasing an understanding of what makes attending rounds successful.  We are submitting an intriguing abstract to SGIM on this subject.  In February we will try using those results to help attending physicians and residents improve.

Policy:

  1. Obviously, on this blog I write frequently about policy.  I hope to continue to stimulate thinking about policy through these rants.
  2. Continue an exploration of primary care.  We must better understand what drives residents and primary care physicians away from primary care.  I highly recommend the book DRIVE by Daniel Pink.  I will write about that book in the near future.  We need policy wonks to understand the field of motivation and how our current primary care payment system works to undermine motivation and excellent health care.
  3. Understand the health care reform bill that I expect will pass.  The bill will have strengths and weaknesses.  We must capitalize on the strengths and minimize the weaknesses.

Teaching:

  1. As an adjunct to #2 under personal, I will continue to publish patient cases that make important teaching points, especially with regard to routine laboratory testing.
  2. I will continue to reflect on attending rounds on a regular basis, as many readers seem to like this format.

I plan to have another great year.  Blogging gives me a wonderful outlet for my urge to stand on a soap box and shout out my opinions.  I hope my posts stimulate thinking and learning.  Thanks for reading.

db

Related posts:

  1. Reflections on 30 years of ward attending
  2. Thoughts on lobbying for HR 2350
  3. The Senate and primary care
  4. Teaching bedside manner
  5. Massachusetts should inform US plan

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2 Responses to Thoughts for 2010

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Michael Kirsch, M.D.

January 4th, 2010 at 2:25 pm

Rob, from your post: Understand the health care reform bill that I expect will pass. 
I hope you will succeed on this so you can then explain the bill to our legislators. Best wishes for the New Year!

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pcb

January 4th, 2010 at 8:22 pm

keep it up.  I find your blog quite educational and entertaining. 

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