Sublime

At least three of the most important health IT systems still available are based on the MUMPS programming language: MEDITECH, Epic, and VA VistA.

He cited a 1974 British study showing that the survival rate of patients with heart disease being treated in an intensive-care unit was no higher than the survival rate of similar patients being treated at home.

Physician Must Have #4: Teach AIDET®. AIDET® is an acronym that represents the five fundamentals of patient communication and a proven must-have behavior for physicians to adopt as well. When the tactic is used properly, it is proven to reduce patient anxiety and increase patient compliance.

Sullivan believed that our struggles were interactional (meaning “relational”). He went so far as to say, “It’s the mark of a senior clinician that he or she is the same person in their living room that they are in their office.” We can’t teach patients to be relational if we aren’t relational with them.

There are three basic elements of this cultural challenge: a lack of sociocultural competence; the skewed demographic composition of our health care workforce and its cultural implications (that is, a lack of diversity); and a lack of mentorship.

As scientific knowledge and technology advanced in the late nineteenth and early twentieth centuries, what it meant to be a doctor changed. Michel Foucault’s insight about this change is well summarized by psychiatrist and medical historian Abraham Nussbaum: Foucault described the moment when physicians combined dissection with clinical practice as