Dr John Short Obstetrician and Gynaecologist Christchurch Women’s Hospital Christchurch
10:45 - 11:10 The Geek Shall Inherit The Earth The Geek shall inherit the Earth John Short Obstetrician and Gynaecologist Christchurch Investigate the Pelvis or the Patient?
John Short Obstetrician and Gyanecologist Christchurch
[email protected] www.christchurch-gynaecologist.co.nz Getting to grips with fifty shades of grey Why Geeks make the best doctors John Short Obstetrician and Gynaecologist Christchurch Is it:
• Geeks make the best doctors?
• Doctors make the best geeks?
• Actually, all doctors are geeks? Declarations of interest
• I am a Geek
Etymology
• Geck (German): “fool” or “freak”
• Gek (Dutch): “crazy”
• Gecken (Austria): “circus freaks” What is a “geek”
• in current use, the word typically connotes an expert or enthusiast or a person obsessed with a hobby or intellectual pursuit
• Its meaning has evolved to connote "someone who is interested in a subject (usually intellectual or complex) for its own sake".
• Geeks are generally smart, they're passionate about things
Not a nerd
• a derogatory term for a person who is intellectually knowledgeable or bright, but socially inept
• the difference between nerds and geeks is "geeks get it done" Geek subjects
• Science • Maths • Computers • History • Comics • Games science
• Research • Evidence based thinking • Debate • Challenging ideas and dogma • Truth • Assimilation of information to get answers • Medicine? Qualities of a good doctor
• synthesise conflicting and incomplete information to reach a diagnosis • deal with uncertainty • recognise that change both in medicine and society is constant • Having technical skills, being competent, knowledgeable • [the doctor/patient relationship] at its best it remains one that is based on respect for knowledge, expertise and experience • confident, decisive, intelligent, interested • Dedicated • always learning Hmm..
• ‘Competent, confident and kind.' • ‘Seeking advice from colleagues and being knowledgeable, focused, kind and empowering makes patients feel happier and more in control.’ • ‘A good doctor listens, involves the patient in discussions and treats them with dignity and respect at all times.’ • 'The ability to listen, to empathise, to diagnose and treat illness with competence and compassion, and to ensure continued care.' • 'A good doctor should always be a good companion of their patients - treating the patient (not only the disease).‘ • ‘respect for humanity’ • Approachable, confident, decisive, intelligent, interested, compassionate and caring - being able to absorb people's pain and anxieties without losing focus • listen and communicate honestly and effectively • Respect. Being fair and non-judgmental. • remain calm and proficient when under pressure and still make clear and timely decisions Geeks are
• Humanists Humanist qualities
• Reason • Ethics • Justice • Respect • Altruism • Ralph Alpher - American cosmologist • Niels Bohr: Danish physicist • Paul J. Crutzen: Dutch Nobel prize winning atmospheric chemist • Johann Deisenhofer: German biochemist • Albert Einstein • Jerome Isaac Friedman: Nobel laureate in Physics • Sheldon Lee Glashow, Nobel Prize winning theoretical physicist • Herbert A. Hauptman: mathematician and Nobel laureate • Albert Jacquard, French geneticist and essayist • Harry Kroto: English chemist • Yuan T. Lee: American chemist and Nobel laureate in Chemistry • PZ Myers, American scientist • Erwin Neher: German biophysicist and Nobel Laureate in Medicine
Satisfaction = Outcome - Expectation •‘outcome’ is a constant
•Therefore satisfaction = expectation
• expectation = communication
The laws of medicine The laws of medicine- the House of God
• GOMERS DON’T DIE • GOMERS GO TO GROUND • THE PATIENT IS THE ONE WITH THE DISEASE. • PLACEMENT COMES FIRST. • THERE IS NO BODY CAVITY THAT CANNOT BE REACHED WITH A #14G NEEDLE AND A GOOD STRONG ARM. • THEY CAN ALWAYS HURT YOU MORE. • THE ONLY GOOD ADMISSION IS A DEAD ADMISSION. • IF YOU DON'T TAKE A TEMPERATURE, YOU CAN'T FIND A FEVER. • SHOW ME A student at the Best Medical School WHO ONLY TRIPLES MY WORK AND I WILL KISS HIS FEET. • IF THE RADIOLOGY RESIDENT AND THE MEDICAL STUDENT BOTH SEE A LESION ON THE CHEST X-RAY, THERE CAN BE NO LESION THERE. • THE DELIVERY OF GOOD MEDICAL CARE IS TO DO AS MUCH NOTHING AS POSSIBLE. Later laws
• CONNECTION COMES FIRST. • LEARN EMPATHY. • SPEAK UP. • LEARN YOUR TRADE, IN THE WORLD. The Laws of Medicine Field Notes from an Uncertain Science The Laws of Medicine Field Notes from an Uncertain Science • Prior probability • A strong intuition is much more powerful than a weak test
The Laws of Medicine Field Notes from an Uncertain Science • Prior probability • A strong intuition is much more powerful than a weak test
• ‘Inliers’ versus ‘Outliers’ The Laws of Medicine Field Notes from an Uncertain Science
• Prior probability • A strong intuition is much more powerful than a weak test
• ‘Inliers’ versus ‘Outliers’
• Hunt for bias • For every perfect medical experiment there is a perfect human bias Guidelines for good medicine Guidelines for good medicine
Empathy Guidelines for good medicine
Empathy
Expectations Guidelines for good medicine
Empathy
Expectations, through communication and goal setting Guidelines for good medicine
Empathy
Expectations
Enthusiasm Guidelines for good medicine
Empathy
Expectations
Enthusiasm
Expertise Guidelines for good medicine
Empathy
Expectations
Enthusiasm
Expertise, knowledge, understanding, experience, skill Guidelines for good medicine
Empathy
Expectations
Enthusiasm
Expertise
Sense Guidelines for good medicine
Empathy
Expectations
Enthusiasm
Expertise
Sense, of the ‘common’ variety. AKA wisdom, discernment, perception Guidelines for good medicine
Empathy
Expectations
Enthusiasm
Expertise
Sense Guidelines for good medicine
Empathy
Expectations
Enthusiasm
Knowledge and Expertise
Sense Guidelines for good medicine
Empathy
Expectations
Enthusiasm
Knowledge
Sense Thank You