The MC at the Uni­ver­sity of Michigan’s reunion din­ner encour­aged audi­ence mem­bers to reveal the most sig­nif­i­cant take-away from their under­grad­u­ate nurs­ing edu­ca­tion. The great­est ben­e­fit was quickly clear to me — problem-solving think­ing. Mem­ory pro­duced a mind video: a short, dark-haired, nurs­ing instruc­tor lec­tur­ing a small group of first year stu­dents in an empty patient room. “Don’t mem­o­rize the steps of ster­ile tech­nique. Use a problem-solving think­ing process.” She described the sequen­tial, cycli­cal process: define the prob­lem, gather infor­ma­tion, develop a solu­tion strat­egy, allo­cate resources, mon­i­tor progress, and eval­u­ate the solu­tion. Read the rest of this entry »

Three excel­lent new edi­tions of these blog carnivals:

- Encephalon at Neu­roskep­tic: brain and mind topics.

- Grand Rounds at Run­ning a Hos­pi­tal: over­all health and med­i­cine, this week with spe­cial theme “when things go awry”.

- Change of Shift at Emergi­Blog: nurs­ing and related health­care topics.

“If Dr. Rob can inter­view Santa, why can’t I inter­view a select group of health & med­ical blog­gers? They will have some good ideas to share”.

So did President-elect Obama came to real­ize a few days ago. After his peo­ple kindly con­tacted our peo­ple, we felt com­pelled to grant him open access to our col­lec­tive wis­dom. With­out fur­ther ado, below you have Grand Rounds 5:12 — a Q&A ses­sion led by the incom­ing Pres­i­dent on how to reform (for the bet­ter, we hope) healthcare.

On Health Insurance

Q:  How does the blo­gos­phere per­ceive the prob­lem of hav­ing a sig­nif­i­cant group of peo­ple uninsured?

Health Insur­ance Col­orado: a grow­ing eco­nomic bur­den, which may lead to emer­gency rooms turn­ing peo­ple away if they are unable to pro­vide proof of health insurance.

Dr Rich: well, a recent arti­cle in the Jour­nal of the Amer­i­can Med­ical Asso­ci­a­tion showed how over­crowd­ing in Amer­i­can emer­gency rooms is NOT due to the unin­sured. Rather, it is due to insured Amer­i­cans who can­not get in to see their pri­mary care physi­cians. We may need improved care both for the insured and unin­sured groups.

Insure­Blog: I’d sec­ond that. Lack of health insur­ance is a major prob­lem but is it really our Biggest Problem?

It’s All about Attitude

Q: You may have heard my cam­paign mantra, “Yes We Can”. Can I count on your support?

ButY­ouDont­Look­Sick: Yes. If Leslie Hunt can talk so openly about her chronic ill­ness (Lupus) yet ful­fill her Amer­i­can Idol dreams, we can ful­fill our dreams too.

Notes of an Anes­the­sioboist: you are talk­ing to the group of pro­fes­sion­als will­ing to self-experiment with our own body for the ben­e­fit of sci­ence and our patients.

Med­views: My wife, son, and I signed up to work as med­ical vol­un­teers for your upcom­ing inauguration.

Emergi­Blog: I am on board too. But, please, remem­ber that car­ing is the essence of nurs­ing. And that is why my patients will always be my patients and never my  clients.

Neu­roan­thro­pol­ogy: Mr. President-elect, it seems to me that, despite all our good inten­tions, bal­anc­ing the bud­get and mul­ti­ple com­pet­ing pri­or­i­ties will be a chal­lenge. May I sug­gest you start prac­tic­ing some capoeira for equi­lib­rium training?

Shrink Rap: Happy to help. Now, we will need to pro­tect some time for qual­ity sleep time.

Train­ing

Q: I am encour­aged by your words. How can my team and I bet­ter sup­port you in your daily activities?

Aequa­nim­i­tas: we need more role mod­els for us to “learn to think, observe, and com­pare” and that the patient is our “first, last, and only teacher”.

Mud­phud­der: Couldn’t agree more. We need Read the rest of this entry »

If you are a blog­ger or read blogs often, you know that there are a good num­ber of excel­lent blog car­ni­vals focused on spe­cific themes. If you are inter­ested in med­i­cine, you know what car­ni­val to visit. Edu­ca­tion, the same. Biol­ogy, neu­ro­science, nurs­ing, birds, aging, philosophy…a vari­ety of top­ics are very well cov­ered in the blogosphere.

What you prob­a­bly haven’t come across is a high-quality “metacar­ni­val” or “car­ni­val of car­ni­vals”, where you can read the best blog posts ACROSS top­ics, sub­jects, disciplines.

This is why a few blog car­ni­val “orga­niz­ers” are launch­ing next Mon­day a monthly rotat­ing “MetaCar­ni­val” to fea­ture the most inter­est­ing posts from a vari­ety of high-quality blog carnivals.

Par­tic­i­pat­ing blog car­ni­vals so far, alpha­bet­i­cally: Read the rest of this entry »