Category Archives: Education

Notes on the Ethics of Reflection

IMG_2670 2 cropped small to send

Sharon A. Dobie MCP, MD

It is important that we reflect and write about the work we do with patients. As we reflect, we create a narrative that sometimes becomes a written piece. We cannot really tell our stories without including the patients because it is actually our perception of the patients and their stories. And yet, we also have a covenant of confidentiality with our patients. Beyond what HIPAA says, we live within ethical considerations that must protect our patients.

What then can we do when we write and then want to share that writing with a friend, in a blog, or for a journal submission?

When writing about patients, we must respect these ethical considerations. In an evolving set of guidelines, the best practice remains to show what we write to the person about whom we wrote. That is what I encourage writers to do whenever possible. It can be scary and it is always fruitful. You might learn more about the story, about the person, about yourself, and the bias inherent in your viewpoint. That information might lead you to add to or edit your reflection. Then what you have is a co-creation, and your patients will feel valued and respected. Alternatively, these conversations may also clarify reasons to not publish the piece.

Continue reading

“Dear Esteemed Author:” Spotting a Predatory Publisher in 10 Easy Steps

morleycp

Christopher Morley, PhD

If you read the title and had some idea what it meant, you have probably received a letter from a dubious-looking publisher, asking you to submit your work. Often, it comes with an appeal to your ego and probably left you with a sense of wondering if this was a real solicitation.

In short, that solicitation was probably not “real.” What does that mean? To use current parlance, it means that such an invitation probably came from a “predatory publisher.” Predatory publishers1-3 are called as much because they:

  • Charge the author to publish in their usually online-only journal.
  • Connect that charge to the publication decision (this is key).
  • Do only a cursory review, if any at all (and many can be easily “pranked” into accepting garbage)
  • Appear to be “legitimate” superficially but will often not pass muster with promotion and tenure committees, agencies or accrediting bodies, or other interested parties.

It should be noted that not all “author-pays” models are illegitimate or predatory, and I will comment on that point further down. However, those that are will leave your paper “published” in a non-reputable journal that will not get you or your department/program the credit it needs. It also cuts off other publishing options and may leave you with a very expensive bill that may or may not have been fully disclosed at the outset. At the end, predatory journals are generally viewed as “vanity presses,” with the added problem that they take efforts to look legitimate from an academic standpoint, and authors do not realize they have submitted their work to a vanity press until it is too late.

Continue reading

Med School Gap Year: One Student’s Journey Advocating for Health Care

Stanford Tran

Stanford Tran

While my medical school classmates were deep in their sub-I’s, I took a year off and spent my days being chased off parking lots by grocery store managers. I often wondered what I was doing and how did I manage to drift so far from medicine.

I found myself in this unenviable position by trying to change the health care landscape. Health care in America is fragmented, expensive, and often ineffective. This has been self-evident for 20 years, yet the problem is getting worse. We have a health care system shaped largely by government policies and government dollars, and, conversely, we have a federal budget that is shaped largely by health care spending. Since I wanted to be an agent of health care reform, I thought the obvious way to do that was to run for a seat in the House of Representatives.

Sure, it is unconventional to run for federal office as a first-time candidate, to have no money or donors, and to have lived in the district for less than 3 years, but these are, in medical lingo, soft contraindications. The mechanics of running for public office is pretty much the same no matter which office—you spend your days begging for votes or for money, which in turn helps you beg for votes. You get the distinct feeling of being a panhandler, replete with being chased off from grocery stores. The only difference is that as a candidate, you are better dressed. People innately realize this because while many are politically opinionated, few ever imagine slumping to the level of a political candidate.

Continue reading