The Patients That Deserve the Most Act the Least Entitled
“How are you doing this morning, Mr. Tracy? Sorry we’re running late. You’ve been waiting an hour.”
Clinical
Fellow Physician Contributing Writer
Stanford University
Cliff was born and raised in California’s Eastern Sierra. His passions included motocross and ski racing in his hometown of Mammoth Lakes. He attended college at UCLA where he majored in anthropology and excavated pre-contact Guaymi burials on remote Panamanian shores. After graduating summa cum laude and Phi Beta Kappa from UCLA, he went to USC for medical school on an academic scholarship. His research focused on surgical education in designing perfused cadaver models, and cost-effective means of delivering burn care. He graduated AOA and valedictorian, and matched into Plastic and Reconstructive Surgery at Stanford. Cliff completed a postdoc fellowship at Stanford’s Clinical Excellence Research Center learning value-based care, studying health policy, and getting a foundation in health services research. His current investigations include cost-effective delivery systems for burn patients, understanding the effects of reimbursement variation on surgeon decision making, and improving resident physician performance through targeting variation. Cliff aspires to be a burn surgeon with the goal of improving outcomes following reconstructive surgery. He also aims to improve shared-decision making when undergoing reconstructive burn surgery.
More than anything, Cliff loves spending time with his wife Cassandra, who is a patent litigator in Palo Alto. They are raising twin boys, Jake and Charlie, who have quickly become their raison-d'etre. The family of four loves traveling.
9/31, Code Status: Full
I’m supposed to be able to explain this. / The details to paint a picture. / But it’s too much, and I don’t want to relive it.
Siloed Departments, Yet Grain From the Same Field
Early in intern year, I reached out to residents in other departments who were part of my patients’ care in the hospital. In an effort to redirect my thought patterns, I asked them how and what drives their interaction styles and their medical decisions.
Survey Says: A Resident Physician Surveys Women in Medicine
I wanted to know how other females in medicine felt on the subject of misogyny in medicine. I compiled a survey with 10 questions and space for comments. I used SurveyMonkey to create it, shared it publicly across social media, and trusted that only those who identified as female would complete it. The results are as follows.
GI Janes: Women in Medicine
We offer unique perspectives from three women at different levels of their gastroenterology careers.
Perspectives of Women in Orthopaedic Surgery on Leadership Development
Over the past 50 years, the demographics of medical school graduates in the United States has changed dramatically with the number of women (47%) almost equaling the number of men in 2014. However, the Association of American Medical Colleges reports that out of all the sub-specialties, orthopaedic surgery has the lowest proportion of female residents, instructors, assistant, associate, and full professors.
From Transphobia to Charlottesville: The Health Impact of the Tweeter-in-Chief
On July 26, President Donald Trump released another polemic tweet informing the public that “the United States Government will not accept or allow Transgender individuals to serve in any capacity in the US military,” citing the “tremendous medical costs” that transgender individuals pose to the health system.
Lessons in Medicine, From the Car Dealership
I distinctly remember my drive to the hospital for the first shift of my residency five years ago. It was a night shift, a fact that only added to my trepidation. My brain bounced frantically back and forth among a random assortment of topics of which I lacked, I felt, sufficient knowledge, but which knowledge I felt sure I would imminently be called upon to use in a critical situation.
Rewriting
“And your socks, too,” I said / She stooped to reach her feet / And the liner of the exam table crinkled and popped
Blood is Thicker Than Water, But What if the Water is Duke Blue?
On Match Day, you are assigned to a new family for the next three to seven years. This will be the city where you might buy your first home, the city where you may meet the people who will speak at your wedding. An algorithm shuffles you into your assigned place in a new family tree.
Technology
Once upon a time, in distant land, / we’d write down patient information with a pen in our hand.
A Touch of Delirium and a Silver Badge: Challenges of Integrating Security and Healing in Hospitals
I work at one of several hospitals in the country whose security force is staffed by law enforcement personnel. It’s also one of the 52 percent of hospitals nationwide whose security guards are armed with handguns.
Resident Physician Contributing Writer
University of California San Francisco
Juliana is a PGY-2 resident in Family and Community Medicine at the University of California San Francisco (UCSF).