Consultative Medicine — An Emerging Sub- Specialty for Patients with Complex Conditions Linda N. Geng, M.D., Ph.D., Abraham Verghese, M.D., and Jon C. Tilburt, M.D. NEJM Dec 23 2021 Patients with unusual, perplexing, or complex symptoms and conditions are not well served by the fast-paced U.S. health care system. An ...
The brain is an electrical device. Just like your toaster. Lots of millivolts zipping and zapping from one neuron to the next neuron. So can we, the medical doctors and medical researchers, figure out how to use electricity to tune up the brain? That's the BIG QUESTION. But the brain ...
When a case is uber complex, then we will revert to using an expert panel. Uber complex implies high levels of uncertainty. Somewhat like a wicked problem. Not a complex problem. The objective in using an expert panel is to go deeper in the analysis of the problem. Hosting a ...
As doctors, nurses, nurse practitioners, patient advocates and social workers, we can all agree that we want the best outcome for our patients. A case conference gives everyone on the team an opportunity to participate in the discussion about how we can help the patient. A case conference is about ...
It is important that healthcare consultants, patient advocates and doctors should learn to adopt an open and curious mindset and use a systematic process, outlined below, for addressing the most complex clinical problems. From McKinsey , we learn the principles of improving our decision making processes. This is essential for ...
Dr Vivian Rakoff was the role model of role models. While I was in medical school at the University of Toronto, I attended a lecture by Dr Rakoff who, at that time, was psychiatrist in chief at the Clarke Insitute of Psychiatry. I remember it as a turning point in ...
The case conference involved the entire clinical care team at the hospital. The doctors, nurses, social workers and dieticians were present. The doctors reported first. The nurses seemed to be excluded. The hierarchy of influence limited the discussion. Our job as advocates was to deepen the analysis of both the ...
We organized a case conference to discuss a very complex case with a team of doctors, nurses, dietitians, a bio-ethisist and our team at RCM Health Consultancy. The MRP ( most responsible physician) led the discussion. When our team led by Raymond Rupert, patient advocate, challenged an assumption about the ...
Today, we organized a case conference to discuss a complex patient with a psycho-social challenge and a metabolic disorder combined with an eating disorder. She is complex. She has been in hospital for 2 weeks. Because she is complex, a plan is required to manage her. And it is important ...
Our client is very complex. The nurses and doctors are all over the place with ideas about care management. The only way to coordinate is to organize a case conference. A dial in call. Maybe even a zoom call. So our nurses are organizing a case conference with the MRP ...