It’s that time! So, what’s out there that has caught my eye recently?
Commentary from my friend Justin Dimick and his mentee Chris Scally on the impact of the IOM report on GME funding for surgery.
Since my students and I were discussing enhanced recovery protocols this afternoon, this article from UVA published in April JACS seems particularly salient. I believe that ERAS/ ERP are going to completely change perioperative care, not just in colorectal surgery.
Another nail in the coffin of EGDT for sepsis. My explanation for why it doesn’t matter? Because most people and places are doing such a good job with initial sepsis care that EGDT matters less than it did a decade ago.
Survival of sepsis and septic shock may have downstream effects in terms of resource utilization in the acute care environment. It doesn’t mean we shouldn’t do what we’re doing, simply that we need to set expectations for patients and families appropriately.
We all know my love of the topic of surgeons behaving badly. This article in Academic Medicine provides a more global discussion of prevention and management of unprofessional behavior in medical school faculty.
Pleasure reading has been limited lately- too many plates on my table at the moment. I’m looking forward to diving into The Shipping News for our book group this month.
Happy reading!
Dear Dr. Cochran,
Your posts are always really great. Is there any chance we could get one about how your time is split up professionally? Namely, in a “typical” month, how much time do you spend/how is the time grouped for being on service or clinic (if burn docs even do clinic) versus on educational or administrative activities?
Thank you,
John
John, I’ll put this on the list for later this week. Happy to take requests!