I keep these on a card in my pocket and intentionally work at them. Soooo doable!
3/ Hand over heart—I kid you not:
When I began to focus on these 5 things, it showed my evaluations. I got much more robust narrative comments and felt like I could finally work on being the best version of ME (instead of what I thought was gold standard.)
Yup.👊🏽
4/
You know what was rated highest? Here’s what they said:
“Teach by example (bedside manner)" (4.50)
"Sharing of attending's thought processes" (4.46)
"Be approachable-not intimidating" (4.45)
"Insist on respect for all team members" (4.43)
Dude. We can so do these things!
5/ Try this out next time you’re attending on wards. Put the 5 distinct domains of attributes on a card. Work at them.
Also remember: Bedside manner & them knowing your clinical thought processes matters a lot.
Yup.
6/ Soooo yeah. Shout out to Dr. Roy, Dr. Centor and their colleagues on a #meded paper that changed the game for this clinician educator.
Me: "How're you feeling today?"
Him: "Well. I been better. That medicine y'all gave me made me run off!"
My team looked puzzled.
I did not.
Me: "Oh no! You talking 'bout the medicine we gave you for your gout flare up?"
Him: "Yeah! That one!"
2/ Him: "Shit, you coulda warned a brother."
Me: "Dang. I really should have. I'm sorry."
Him: "Yeah, if it wasn't for that bedside commode it woulda been a clean up on aisle 1!"
He laughed.
I was glad he was making light of it.
Me: "I apologize, sir. Colchicine can do that."
3/ Him: "It's cool. My knee is feeling a little bit better so that's good."
Me: "I'm glad. And again, I'm sorry for not giving the heads up."
Him: "I'm okay, doc."
I turned to my team.
Me: "'Running off' is diarrhea."
Them: "Ohhh."
Him: "Oh my bad, y'all."
1/ Her: "Why haven't you left for L.A. yet?"
Me: "Huh? Oh. Yeah. I'm pretty much almost done. It's okay."
*silence*
Her: "But, like is it?"
Me: *sighs* "Me rushing there won't change anything."
Her: "Depends on who you ask."
And after that, we both went back to charting.
2/ I was on the hospital service last April when I got the news. Dad had this sudden onset of disabling vertigo. We'd learn it was a cerebellar stroke. My sister was there in LA. At the bedside and wringing her hands as next-of-kin.
So she kept me posted.
And I kept rounding.
3/ On that first day, I walked right in and told my team.
Me: "My dad has been admitted to the hospital. It seems that he's had a cerebellar stroke."
And I said it in that "but I'm fine" voice. Because at that time that's what I was telling myself.
1/ Me: “I’m glad to see you.”
You: “You know what? I’m glad to see you, too.”
*silence*
Me: “You know how you’re loved, don’t you?”
You: *smiling gently* “I do. I think that’s what makes this so hard, you know? Can’t feel a loss like that without feeling a love like that.”
2/ We both let out big exhalations. After a few beats, you swung your head in my direction.
You: “How are you?”
Me: “Me?”
You: “Yeah. You.”
Me: “I’m fine. I just wish... um… you didn’t have to feel what you’re feeling.”
You reached out for my forearm. And then sighed again.
3/ You: “Yeah. But I’ll be okay. We were soul-connected. That will comfort me.”
I nodded. Then we sat in silence.
You: “But for real—how are you? Like with all this cool stuff you’ve been doing.”
Me: *puzzled look*
You: “It has to make you miss your dad and your sister.”
1/ I just finished this beautiful, courageous, and searing memoir “I Can’t Save You” by @CQ__MD. It was . . . in a word. . . sublime.
Whew.
And full disclosure—as his former med school advisor & friend—I love Dr. CQ.
But.
I also love books and honesty.
And he knows that.
2/ @CQ__MD will be the first to tell you that I won’t endorse anything—even a book my my beloved little bro CQ—unless I’d read it myself and believed others should, too.
And now I have.
And wholeheartedly I do.
But before you jump in—and you should—let me say this. . .
3/ There are some parts that explore depression, thoughts of suicide, and self-harm. No, not recklessly. But yes, with raw honesty. So you need to know that up front.
He does NOT play it safe around his lived experiences as a Black man in the ivory tower.
1/ I had imagined what this day would be like. Played it out in my head and saw various iterations of me exploding in celebration.
In some versions, I was doing the running man or, quite literally, running in triumphant circles, #MatchDay envelope in hand.
"Wooo hooo!"
2/ I also saw these visions of me quietly weeping, one hand extended to the heavens in gratitude. My lips quietly murmuring prayers of thanksgiving.
See, I was my ancestors' wildest dreams. And not even just my enslaved ancestors but the Jim Crow survivors who raised me, too.
3/ So, yeah. This was about to be big.
I was even on the #MatchDay party committee. And since we were broke, that meant soliciting donations from faculty & parents & anybody who felt proud enough of us to shell out a few coins.