February 28, 2017
February 28, 2017
- Good morning. Report Card proof day today and I will return with any amendments.
- Ash Wednesday Mass tomorrow at 8:00am.
- Mass on Friday followed by Town Hall and please get Cris your SK names by Thursday.
- Minimum Day staff meeting on Friday at 12:30.
- Here’s a fascinating piece entitled “Tell Me Where It Hurts” by Atul Gawande in The New Yorker, January 23, 2017(or How is primary care medicine like classroom teaching?) which I’ll present to you in segments: In this New Yorker article, physician/writer Atul Gawande says he decided to go into surgery because he believed that as a surgeon, he would heroically make more of a difference to people’s lives than as a general practitioner. But he’s now seen convincing evidence that primary care “has the greatest overall impact, including lower mortality and better health, not to mention lower medical costs.” How is this possible? To find out, Gawande visited a medical clinic in the Boston neighborhood of Jamaica Plain and observed the staff (doctors, physician assistants, a nurse, a pharmacist, a nutritionist, and three social workers) as they ministered to the aches and pains and concerns of a steady stream of patients. Gawande realized that the secret to the impact of seemingly mundane primary care was a combination of expertise, thoughtful diagnosis and observation, incremental improvement, and above all long-term relationships in which the clinic staff came to know the details of each person’s medical history and patients came to know and trust the staff and show up if something was bothering them.
“Observing the care,” says Gawande, “I began to grasp how the commitment to seeing people over time leads primary-care clinicians to take an approach to problem-solving that is very different from that of doctors, like me, who provide mainly episodic care.” The clinic staff are “incrementalists,” he says. “They focus on the course of a person’s health over time – even through a life. All understanding is provisional and subject to continual adjustment… Success, therefore, is not about the episodic, momentary victories, though they do play a role. It is about the longer view of incremental steps that produce sustained progress. That, such clinicians argue, is what making a difference really looks like. In fact, it is what making a difference looks like in a range of endeavors.” Part II tomorrow……
- Have a nice day and God Bless you. Enjoy the pancakes today and many thanks!