Category Archives: Residency

Video and Direct Observation Precepting: Time to Remove Our Head From the Sand

Keith Foster, PhD

Keith Foster, PhD

Advances in technology have made direct observation by video recording or live-feed easy and affordable, allowing the most financially limited programs to conduct direct observation this way. It is not surprising, then, that a large number of family medicine residency programs use some form of video recording or live-feed direct observation.

What is surprising is the absence of or only passing reference to the issues of informed consent, patient authorization, and procedural guidelines related to video recording and live-feed precepting in the examining room, particularly in the age of HIPAA.

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The Specialist in You

This is a finalist in the 2015 STFM Blog Competition

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Avelina Sandoval, MD

“You only see what you look for. You only recognize what you know.”

My attending’s words resonated in my mind as I stood there in my short white coat amidst the chaos of the busy trauma bay. It had been an extremely long night.

I was on my mandatory trauma call as a freshly minted third-year medical student. We had heard stories from our upper classmates about what to expect as we left our classroom nest and went off into the hospitals. We would either get to do “doctor-ly” things or we would get stuck with grunt work depending on who was on our team and how busy the service was.

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Advice for Thriving During Remediation

Jhonatan Munoz  Espinoza, MD

Jhonatan Munoz
Espinoza, MD

During remediation it’s easy to think what you are doing is insignificant and that your efforts are not taking you anywhere—you are not part of a residency track, not part of the interviews tours, and not able to moonlight—but you’re wrong.

If your program put you in remediation it doesn’t mean that they are discounting you. Your program is recognizing that you need time to address whatever is going on in your life that put you in remediation—relationship stresses, mental health issues, or poor academic performance—to be the best person you can be.

Remember: you are valuable, your work still matters, and most importantly, your patients are waiting for you to be the best version of yourself!

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