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Monthly Archives: January 2016

Electric Review on Listening for What Matters

John Aeillo has reviewed Listening for What Matters for the Electric Review blog. Read the review here:

http://electricrev.net/2016/01/26/listening-for-what-matters/

Saul on Airwaves (KWMR)

Saul was interviewed by Raul Gallyot on KWMR’s Airwaves. Listen below…

Alan on Catskill Review of Books, and a letter to NYT

This week, Alan Schwartz was interviewed by Ian Williams at the Catskill Review of Books about Listening for What Matters, and the New York Times published Alan and Saul’s response to Dr. Robert Wachter’s opinion piece How measurement fails doctors and teachers.

Saul Weiner on Saturday Night with Esme Murphy

Saul spoke with Esme Murphy on WCCO Radio CBS Minnesota on January 16, 2016 about contextual error, unannounced standardized patients, and the book.

Saul on Minimally Disruptive Medicine blog

Saul discusses the relationship between our 4C approach to measuring contextual care and the Instrument for Patient Capacity Assessment (ICAN) from the Mayo Clinic’s Knowledge Evaluation Research Unit on the Minimally Disruptive Medicine blog.

Nobody wants this at the doctor’s office

My father called my attention to this week’s Sunday Dilbert cartoon:

Link to dilbert.com for 1/3/2016 cartoon

It’s probably intended to point out that when we ask a co-worker “How are you?” we’re not really expecting an answer, just an acknowledgment of the question (“Fine”).

But my father, newly sensitized to contextualization of care, saw that the bearded co-worker is pouring out critical life context here — which Dilbert proceeds to ignore.

The flavor is very much like the examples we’ve seen in our recordings of physician-patient encounters in which a patient drops a clear clue that life context may be impacting his/her health, and a physician proceeds blithely to the next item on the checklist on the electronic medical record computer screen. Would you be surprised to learn that Dilbert’s co-worker’s previously well-controlled diabetes has taken a turn for the worse?