For this introductory course on political science, I was tasked to shadow a professional who works for a government agency or in public service. Since September of this year, I have shadowed pediatric sports medicine physician Dr. Randal Goldstein (D.O). Throughout my experiences, I have not only gained insight into the administrative activities involvement with his position on a concussion management team, but also the communication and technical mindset needed to succeed as a clinician. This paper will discuss the professional background and advice of Dr. Goldstein as well as my observations and insights gained from shadowing his clinic during the semester. Dr. Randal Goldstein is a state certified pediatric sports medicine physician at …show more content…
Goldstein in his clinic, I was granted the unique opportunity to take case histories of patients. After taking a case history, I presented the facts to Dr. Goldstein, provided a diagnosis, and proposed a treatment plan. A rare occurrence during most shadowing visits, these direct conversations with the patients allowed me to refine my approach of identifying a diagnosis while building rapport with the patient. By discussing the case with the physician afterwards, and looking at relevant medical images, I began to develop my ability to recognize the major symptoms, possible causes, and a correct diagnosis. In additional to these conversations, I also learned many technical skills such as removing a caste from a patient and drawing blood. In summation, as my experiences revealed the difficulty and reward associated with patient care, I gained some of the technical, analytical, and communication tools necessary to succeed as a …show more content…
From my observations, the realization was made that a large proportion of his day was spent dictating medical records and recording billing payments. Even though these activities take precious time from his availability to see patient, the incorrect recording of these sets of information could led to a lack of payment and even law suits. More so than private practices, being a physician working for the state demands an increased paper trail of receipts and legal documents. On top of these increased logistical duties, Dr. Goldstein was required to attend weekly meeting about the financial and managerial operations of the clinic. While these meetings allow for problems to be addressed, they also stand in the way of treating patients. In essence, while these bureaucratic functions allowed Dr. Goldstein to maintain a higher level of organization of his practice, they also create additional barriers to his clinical
Given the difficulties in the present tort system, we often become victims of the failures of medicine as opposed to beneficiaries of its many successes. Physicians have lost in that they have changed, limited, or closed their practices after having spent the most vigorous years of their lives training for such work. Patients have lost in that the physicians of their choice, with whom they have developed trusting relationships, are no longer available to care for them. It is certain that the system requires sensible reform (p.525).
“Hospitals today are growing into mighty edifices in brick, stone, glass and marble. Many of them maintain large staffs, they use the best equipment that science can devise, they utilize the most modern methods in devoting themselves to the noblest purpose of man, that of helping’s one’s stricken brother. But they do all this on a business basis, submitting invoices for services rendered.”
In her personal essay, Dr. Grant writes that she learned that most cases involving her patients should not be only handled from a doctor’s point of view but also from personal experience that can help her relate to each patient regardless of their background; Dr. Grant was taught this lesson when she came face to face with a unique patient. Throughout her essay, Dr. Grant writes about how she came to contact with a patient she had nicknamed Mr. G. According to Dr. Grant, “Mr. G is the personification of the irate, belligerent patient that you always dread dealing with because he is usually implacable” (181). It is evident that Dr. Grant lets her position as a doctor greatly impact her judgement placed on her patients, this is supported as she nicknamed the current patient Mr.G . To deal with Mr. G, Dr. Grant resorts to using all the skills she
Zuger’s point-by-point organization emphasizes the difference between one medical student with older traditional values, and another medical student who embodies the modern hospital standards. The traditional student is unorganized, stays late, does everything for herself, but truly cares for the patients and their families. On the other side, the modern student is clean and organized, does only what his job describes, works only his hours and nothing more. He works as a team with the rest of the staff, but he doesn’t truly care for the patients. Modern medicine has made leaps and bounds in the field of keeping people alive, but true care of a doctor also helps the patient and their family.
This case examines the multiple duties that the President and CEO of Midvale Community Hospital, Terry Blaze, participated in throughout the day to ensure that the hospital is running effectively. Throughout the day, Blaze attends numerous meetings, which are directed towards improvements, changes, or concerns that will overall affect the hospital. During several of them, he is required to make final decisions however, he often directs other personnel to make that final judgment call. It was evident that Blaze wore many hats as the President and CEO of the hospital, which made it evident that his time was stretched thin. This could result in tasks going unfinished or completed incorrectly. Some mistakes that may be made may have a major negative impact on the hospital therefore it is pertinent for Blaze to ensure that he is using his time wisely.
Medical error occurs more than most people realize and when a doctor is found negligent the patient has the right to sue for compensation of their losses. Debates and issues arise when malpractice lawsuits are claimed. If a patient is filing for a medical malpractice case, the l...
Cody Blunt’s piece titled The Master of Shadows represents the assassin, Zed. This art piece was created in 2013 for the company Riot Games as the digital concept art for the character Zed. This piece can be found displayed as a representation of the character in their popular multiplayer online battle arena, League of Legends. In The Master of Shadows, Cody Blunt uses complementary colors, value, saturation, tenebrism, shape, and a small variety of different lines to capture the resting energy of Zed and provides a serene and mysterious interpretation of a lifeless city.
Providers must act in the best interest of the patient and their basic obligation is to do no harm and work for the public’s wellbeing. A physician shall always keep in mind the obligation of preserving human life. Providers must communicate full, accurate and unbiased information so patients can make informed decisions about their health care. As a result of their recommendations, providers are responsible for generating costs in health care but do not generate the need for those expenses. Every hospital has both an ethical as well as a legal responsibility to provide care, even if the care may be uncompensated.
Disclosure is an essential aspect of a medical professional and his or her patients’ relationships. In the 1950s, the medical client and professional relationship was one of paternalism as opposed to the now fiduciary relationship. Then a paternalistic professional took all of the responsibilities, disclosed what he then thought was necessary, and essentially told the patien...
Dr. Canton then complained to Dr. Kutup the chairman of surgery who called Mrs. Mintz the head of pre-admissions at SSH. Mrs. Mintz stated that the corporate call center at Great West made those calls. Dr. Gasser, an anesthesiologist at SSH had experienced the same issue with the call center. Dr. Canton, Kutup and Gasser met with Mrs. Mintz and related their concern. Mrs. Mintz called the corporate call center at Great West and spoke with the head of the department Mr. de Money. He explained that they do follow a script and the hospital should not have to lose money because, as he put it, those deadbeats. Mr. de Money was not a team player and refused to listen to Mrs. Mintz concerns about the harassment and complaints. When Dr. Canton heard this he threatened to take his patients to another hospital (Buchbinder & Shanks, 2012).
Ohio Dep’t of Rehabilitation & Correction are the poor-quality patient care that Tomcik received and Tomcik’s health being at risk. Once engaged in a doctor-patient relationship, physicians are obligated to provide the best possible care for the patient by utilizing their skills and knowledge as expected from a competent physician under the same or similar conditions (“What Is a Doctor’s Duty of Care?” n.d.). However, in Tomcik’s situation, Dr. Evans did not deliver high-quality care, for he administered a perfunctory breast examination and thus did not follow standard protocols. There is evidence of indifference conveyed by Dr. Evans, and the lack of proper care towards Tomcik is an issue that can be scrutinized and judged appropriately. Additionally, Tomcik’s health was at risk due to the failure of a proper physical evaluation and the incredibly long delay in diagnosis and treatment. The negligence from Dr. Evans, along with the lack of medical attention sought out by Tomcik after she had first discovered the lump in her breast, may contribute to Tomcik’s life being in danger as well as the emotional anguish she may have felt during that time period. Overall, the incident of Tomcik’s expectations from the original physician and other employees at the institution not being met is an ethical issue that should be dealt with
Professionalism initiative. (2012). Informally published manuscript, Medical Center, University of Kansas, Kansas City, KS, Retrieved from http://www.kumc.edu/school-of-medicine/fafd/professionalism-initiative.html
As a second language learner I have never expected myself to be a perfect writer throughout the semester. Even If English was my first language still, I would not be a perfect writer. It is not about first or second language, it is about how well I understand the learning objectives. Then organizing and writing with my own ideas and putting them in my paper. I am going to be honest, I am not good at English subject and English subject is my strongest weakness than the other subjects. In this paper I will discuss and analyze my own writing, reflecting on the ways that my writing has improved throughout the semester.
During the past few decades, North Carolina dairies have dwindled out and few remain to this day. NC State, like other universities, perform research on different aspects of what their colleges teach to learn more and relate to what is trending now. Not only is the research done on campus, but throughout North Carolina are research stations to record and collect data on what is being researched. My shadowing project was completed in my hometown at NC’s Piedmont Research Station based out of Salisbury, NC. The unit I spent my time at was their dairy, where I shadowed Ms. Kira Andre the Dairy Specialist Assistant Manager.
Shadowing in autopsies satisfied my early high school curiosity in that I was able to understand the anatomy of the human body. Knowing the appearance of a normal organ helped me to recognize when an organ was abnormal whether that was through weight or appearance. I have learned that the human body encapsulates teachable knowledge and evidence that leads to the diagnosing of disease and corresponding treatment. My time spent shadowing in autopsies confirmed my interest in learning more about the field of medicine and the doctor’s role in direct patient care. I have shadowed Dr. Simmons, a cardiology specialist and Dr. Fitzhugh at the NIH sickle cell department. In cardiology, I witnessed the physician’s role in patient education regarding