Medical Students Skip Class in Droves, Making Lectures Increasingly Obsolete
Male OB-GYNs Are Rare, But Is That A Problem?
What if You Could Talk to Your Doctor About Cooking?
NYU Medical Students Are Now Required to Learn 'Big Data'
Seven 21st-Century Skills Doctors Wish They'd Learned in Medical School
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Not to gossip in the bathroom or flirt behind the bleachers. They skip to learn — at twice the speed.\u003c/p>\n\u003cp class=\"danger-zone\">Some medical students follow along with class remotely, watching sped-up recordings of their professors at home, in their pajamas. Others rarely tune in. At one school, attendance is so bad that a Nobel laureate recently lectured to mostly empty seats.\u003c/p>\n\u003cp class=\"danger-zone\">Nationally, nearly one-quarter of second-year medical students \u003ca href=\"https://www.aamc.org/download/488336/data/y2q2017report.pdf\" target=\"_blank\" rel=\"noopener\">reported\u003c/a> last year that they “almost never” attended class during their first two, preclinical years, a 5 percent increase from 2015.\u003c/p>\n\u003cp>The AWOL students highlight increasing dissatisfaction and anxiety that there’s a mismatch between what they’re taught in class during those years and what they’re expected to know — or how they’re tested — on national licensing exams. Despite paying nearly \u003ca href=\"https://www.aamc.org/data/tuitionandstudentfees/\" target=\"_blank\" rel=\"noopener\">$60,000 a year\u003c/a> in tuition, medical students are turning to unsanctioned online resources to prepare for Step 1, the make-or-break test typically taken at the end of the preclinical years.\u003c/p>\n\u003cp>These self-guided med students are akin to a group of American tourists wandering through Tokyo without a map. Like a tour guide hired on the street, the online learning tools — including memory aids, videos, and online quizzes — can enhance the educational journey, or send the students down a dead end.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lawrence Wang, a third-year M.D.-Ph.D. student at the University of California, San Diego, and the National Institutes of Health, said he relied heavily on these resources during his first two years of medical school.\u003c/p>\n\u003cp>“There were times that I didn’t go to a single class, and then I’d get to the actual exam and it would be my first time seeing the professor,” he said. “Especially, when Step was coming up, I pretty much completely focused on studying outside materials.”\u003c/p>\n\u003cp>Wang isn’t alone. According to 2017 data from the Association for American Medical Colleges, 1 in 4 preclinical students watches educational videos — like those on YouTube — on a daily basis. And according to two video developers, tens of thousands of medical students subscribe to their products — one of which costs $250 for two years, the other $370 for one year.\u003c/p>\n\u003cp>Leaders in medical education have begun to scramble. Some medical schools, like Harvard, have done away with lectures for the most part. Instead of spending hours in an auditorium, Harvard students learn the course content at home and then apply the knowledge in mandatory small group sessions.\u003c/p>\n\u003cp>Other institutions, like Johns Hopkins, are moving in the same direction, but have yet to make a full switch. Hopkins cut down on lectures and boosted sessions that require active student participation. Preclinical lecture attendance hovers around 30 to 40 percent, according to Dr. Nancy Hueppchen, associate dean for curriculum.\u003c/p>\n\u003cp>For many students, she said, licensing exam prep begins on day one of medical school: “They have this parallel curriculum going along with what we’re teaching them.”\u003c/p>\n\u003cp>Step 1, an eight-hour multiple choice test, is a big deal. Performance on the exam, though it’s taken before most students even begin training in a hospital, heavily influences which medical specialties they can eventually pursue after school and at what hospitals they can pursue them.\u003c/p>\n\u003cp>With medical schools grading pass-fail, the Step 1 score is an increasingly significant piece of information that’s used to sort through residency applications, Hueppchen said. When she took the exam, it was only used as a pass-fail test. Today, residency programs rely on the score more heavily; students and faculty suspect that it’s used as a cutoff for making admissions decisions.\u003c/p>\n\u003cp>Ryan Carlson, a third-year M.D.-Ph.D. student at the University of Washington, said that his school focused on teaching “what they thought was important for a physician to know.” But medical students have to know more than what is relevant to a practicing clinician to succeed on Step. The exam focuses on rare diseases and other minutiae, said Carlson, who now tutors for the test.\u003c/p>\n\u003cp>Hueppchen acknowledged that students at Hopkins and elsewhere “express some distrust that they’re getting everything they need — or that we’re being meticulous in pointing out what they need — to study for and excel on the Step 1 exam.”\u003c/p>\n\u003cp>\u003cstrong>Medical Tour Guides\u003c/strong>\u003c/p>\n\u003cp>That distrust has spawned a cottage industry of online study aids. Most are a far cry from your high school SAT prep course.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sketchymedical.com/#!/home\" target=\"_blank\" rel=\"noopener\">SketchyMedical\u003c/a> is one of the most popular guides. The company, built in 2013 by three then-medical students at the University of California, Irvine, produces visual memory aids with elaborate illustrations to help students learn and retain the voluminous material they’re expected to know.\u003c/p>\n\u003cp>Dr. Andrew Berg and his co-founders, Drs. Saud Siddiqui and Bryan Lemieux, started sketching pictures and pairing them with stories while taking microbiology in their second year of medical school.\u003c/p>\n\u003cp>“We were just bombarded with different names of bacteria, viruses, and fungi, and we were having a tough time keeping them all straight,” he said.'\u003c/p>\n\u003cp>The sketches helped them, and now other students are using them, too.\u003c/p>\n\u003cp>Imagine it’s test day and a med student is asked which drug she would use to treat a patient’s postoperative gastrointestinal blockage. The student closes her eyes and mentally enters the world of “Acetyl-Cola,” a bustling port town that’s depicted in one of SketchyMedical’s cartoons. Outside a storefront, the student finds construction workers, motorcyclists wearing brain-shaped helmets, piles of dripping-wet fish, and a man sporting an adrenal gland-shaped beanie.\u003c/p>\n\u003cp>A colon-shaped mixing truck pouring out cement is an unfortunate, but effective, symbol for defecation, and a worker wearing a name tag reading “Beth” and drinking a cola reminds the student of the drug bethanechol, given to treat intestinal obstructions.\u003c/p>\n\u003cp>The illustrations are turned into narrated videos, which teach drug names and their mechanisms and side effects. SketchyMedical has also produced videos on microbiology and pathology.\u003c/p>\n\u003cp>\u003ca href=\"https://www.youtube.com/watch?v=8Dv3zZbDvig\" target=\"_blank\" rel=\"noopener\">Berg compares\u003c/a> the work of Sketchy to hieroglyphics in ancient Egypt. But for many, Sketchy evokes a different technique used a thousand years later in ancient Greece: method of loci, also called a memory palace or journey.\u003c/p>\n\u003cp>Memory palaces are typically imagined spaces in which a person can store information like a string of numbers or a series of words. Each piece of information is placed somewhere inside the palace. When the palace builder wants to recall an item, she can take a mental stroll through the space to retrieve it. This technique famously enabled Cicero, the Roman statesman and philosopher, to commit his speeches to memory.\u003c/p>\n\u003cp>“We accidentally stumbled upon these visual learning techniques, but now looking back we see there’s a lot of evidence supporting visual learning,” Berg said.\u003c/p>\n\u003cp>SketchyMedical is not the only extracurricular resource students rely on. An entire industry cropped up in the last few years, marketing videos and self-quizzing features to preclinical students. Dr. Jason Ryan, the creator of Boards and Beyond, is a name (and voice) familiar to medical students across the country.\u003c/p>\n\u003cp>Ryan, a faculty member at University of Connecticut School of Medicine, creates explanatory videos that track along with the content in First Aid, a Step preparatory book that Ryan said is more like “an encyclopedia of terms” than a real study aid. Ask any medical student if they use First Aid, and they’ll point you to their heavily annotated, tattered copy.\u003c/p>\n\u003cp>While both Ryan and Berg consider their products supplements to regular medical education, many students view them as necessary investments for success. Choosing which ones to use can be a challenge, however.\u003c/p>\n\u003cp>“That was the biggest learning curve of med school — it wasn’t so much how do I do well in it, it was, how do I use all these crazy resources that are being marketed to me to best meet my goal of passing Step,” Carlson said.\u003c/p>\n\u003cp>\u003cstrong>Old Players React\u003c/strong>\u003c/p>\n\u003cp>This expanding corner of the medical education industry is both a product of a new attitude among students — born from anxiety surrounding exam prep — and a disrupter of the traditional classroom education. Med schools now have to think more creatively about how they train their future doctors, Berg said.\u003c/p>\n\u003cp>In 2015, Harvard Medical School revamped its curriculum for the first two years to enable clinical exposure and boost class attendance with a flipped-classroom model: Students learn the content at home, and then apply it during in-class exercises. Dr. Richard Schwartzstein, director of education scholarship, said the program now emphasizes problem-solving and critical thinking — skills seen as essential to practicing medicine — instead of factual recall.\u003c/p>\n\u003cp>But while medical schools are de-emphasizing pure memorization, the national licensing exams have yet to reconsider, he acknowledged. Still, Schwartzstein is not a huge fan of external resources, citing their focus on memorization and pattern recognition as major weaknesses.\u003c/p>\n\u003cp>“You don’t have to actually teach pattern recognition,” he said. “We all are born with the capability of recognizing pattern.” He advises students to stick to Harvard-developed videos and their recommended readings. Like many medical schools, Harvard gives students a dedicated study period — six to eight weeks without coursework — to “prepare in whatever way they deem most appropriate to take the boards,” he said.\u003c/p>\n\u003cp>Hueppchen said that the outside resources “may have value in day-to-day studying, they may have value in studying for Step 1,” but Hopkins has not vetted them so it doesn’t recommend them to students either.\u003c/p>\n\u003cp>The National Board of Medical Examiners, which works with state medical boards to set the minimum standards for medical licensing and administers the Step exam, also doesn’t endorse these products — or their use as hard lines for residency admissions, said Dr. Michael Barone, vice president of licensure programs. The group “is aware of some secondary uses of scores,” he said, but the test’s primary purpose is to report licensure alone.\u003c/p>\n\u003cp>So long as Step still requires intensive rote memorization, companies like SketchyMedical and Boards and Beyond will likely remain in business.\u003c/p>\n\u003cp>Both Berg and Ryan agree that physicians no longer need to memorize as much as they did in the past. Ryan’s grandmother was one of the first female physicians to graduate from her medical school in the 1940s. Back then, he said, she had to remember everything. “If she had to go to a book every time she saw a patient, she’d never be able to work through the day.”\u003c/p>\n\u003cp>Today, there’s much more to know, and medicine is evolving so rapidly — with new drugs, guidelines, and practices — that physicians can’t possibly remember it all. Instead, they look information up on their cellphones, using a variety of apps on the clinic floors. But preclinical students still need to commit board-tested material to memory, a task often compared to drinking from a firehose.\u003c/p>\n\u003cp>Needing to memorize for boards and learn in parallel for their institutions is the breeding ground for anxiety that Hueppchen said “has truly detracted from the joy of learning.” It has even detracted from the joy of teaching, she added.\u003c/p>\n\u003cp>Berg said he tries to bring joy to memorization: “I think that what I hope to contribute the most is making studying more fun.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This\u003ca href=\"https://www.statnews.com/2018/08/14/medical-students-skipping-class/\" target=\"_blank\" rel=\"noopener\"> story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The AWOL students highlight increasing dissatisfaction and anxiety that there’s a mismatch between what they’re taught in class during those years and what they’re expected to know.","status":"publish","parent":0,"modified":1534289227,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":44,"wordCount":2002},"headData":{"title":"Medical Students Skip Class in Droves, Making Lectures Increasingly Obsolete | KQED","description":"The AWOL students highlight increasing dissatisfaction and anxiety that there’s a mismatch between what they’re taught in class during those years and what they’re expected to know.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Medical Students Skip Class in Droves, Making Lectures Increasingly Obsolete","datePublished":"2018-08-15T19:00:54.000Z","dateModified":"2018-08-14T23:27:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"443962 https://ww2.kqed.org/futureofyou/?p=443962","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/08/15/medical-students-skip-class-in-droves-making-lectures-increasingly-obsolete/","disqusTitle":"Medical Students Skip Class in Droves, Making Lectures Increasingly Obsolete","source":"Health","nprByline":"Orly Nadell Farber\u003cbr />STAT","path":"/futureofyou/443962/medical-students-skip-class-in-droves-making-lectures-increasingly-obsolete","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The future doctors of America cut class. Not to gossip in the bathroom or flirt behind the bleachers. They skip to learn — at twice the speed.\u003c/p>\n\u003cp class=\"danger-zone\">Some medical students follow along with class remotely, watching sped-up recordings of their professors at home, in their pajamas. Others rarely tune in. At one school, attendance is so bad that a Nobel laureate recently lectured to mostly empty seats.\u003c/p>\n\u003cp class=\"danger-zone\">Nationally, nearly one-quarter of second-year medical students \u003ca href=\"https://www.aamc.org/download/488336/data/y2q2017report.pdf\" target=\"_blank\" rel=\"noopener\">reported\u003c/a> last year that they “almost never” attended class during their first two, preclinical years, a 5 percent increase from 2015.\u003c/p>\n\u003cp>The AWOL students highlight increasing dissatisfaction and anxiety that there’s a mismatch between what they’re taught in class during those years and what they’re expected to know — or how they’re tested — on national licensing exams. Despite paying nearly \u003ca href=\"https://www.aamc.org/data/tuitionandstudentfees/\" target=\"_blank\" rel=\"noopener\">$60,000 a year\u003c/a> in tuition, medical students are turning to unsanctioned online resources to prepare for Step 1, the make-or-break test typically taken at the end of the preclinical years.\u003c/p>\n\u003cp>These self-guided med students are akin to a group of American tourists wandering through Tokyo without a map. Like a tour guide hired on the street, the online learning tools — including memory aids, videos, and online quizzes — can enhance the educational journey, or send the students down a dead end.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lawrence Wang, a third-year M.D.-Ph.D. student at the University of California, San Diego, and the National Institutes of Health, said he relied heavily on these resources during his first two years of medical school.\u003c/p>\n\u003cp>“There were times that I didn’t go to a single class, and then I’d get to the actual exam and it would be my first time seeing the professor,” he said. “Especially, when Step was coming up, I pretty much completely focused on studying outside materials.”\u003c/p>\n\u003cp>Wang isn’t alone. According to 2017 data from the Association for American Medical Colleges, 1 in 4 preclinical students watches educational videos — like those on YouTube — on a daily basis. And according to two video developers, tens of thousands of medical students subscribe to their products — one of which costs $250 for two years, the other $370 for one year.\u003c/p>\n\u003cp>Leaders in medical education have begun to scramble. Some medical schools, like Harvard, have done away with lectures for the most part. Instead of spending hours in an auditorium, Harvard students learn the course content at home and then apply the knowledge in mandatory small group sessions.\u003c/p>\n\u003cp>Other institutions, like Johns Hopkins, are moving in the same direction, but have yet to make a full switch. Hopkins cut down on lectures and boosted sessions that require active student participation. Preclinical lecture attendance hovers around 30 to 40 percent, according to Dr. Nancy Hueppchen, associate dean for curriculum.\u003c/p>\n\u003cp>For many students, she said, licensing exam prep begins on day one of medical school: “They have this parallel curriculum going along with what we’re teaching them.”\u003c/p>\n\u003cp>Step 1, an eight-hour multiple choice test, is a big deal. Performance on the exam, though it’s taken before most students even begin training in a hospital, heavily influences which medical specialties they can eventually pursue after school and at what hospitals they can pursue them.\u003c/p>\n\u003cp>With medical schools grading pass-fail, the Step 1 score is an increasingly significant piece of information that’s used to sort through residency applications, Hueppchen said. When she took the exam, it was only used as a pass-fail test. Today, residency programs rely on the score more heavily; students and faculty suspect that it’s used as a cutoff for making admissions decisions.\u003c/p>\n\u003cp>Ryan Carlson, a third-year M.D.-Ph.D. student at the University of Washington, said that his school focused on teaching “what they thought was important for a physician to know.” But medical students have to know more than what is relevant to a practicing clinician to succeed on Step. The exam focuses on rare diseases and other minutiae, said Carlson, who now tutors for the test.\u003c/p>\n\u003cp>Hueppchen acknowledged that students at Hopkins and elsewhere “express some distrust that they’re getting everything they need — or that we’re being meticulous in pointing out what they need — to study for and excel on the Step 1 exam.”\u003c/p>\n\u003cp>\u003cstrong>Medical Tour Guides\u003c/strong>\u003c/p>\n\u003cp>That distrust has spawned a cottage industry of online study aids. Most are a far cry from your high school SAT prep course.\u003c/p>\n\u003cp>\u003ca href=\"https://www.sketchymedical.com/#!/home\" target=\"_blank\" rel=\"noopener\">SketchyMedical\u003c/a> is one of the most popular guides. The company, built in 2013 by three then-medical students at the University of California, Irvine, produces visual memory aids with elaborate illustrations to help students learn and retain the voluminous material they’re expected to know.\u003c/p>\n\u003cp>Dr. Andrew Berg and his co-founders, Drs. Saud Siddiqui and Bryan Lemieux, started sketching pictures and pairing them with stories while taking microbiology in their second year of medical school.\u003c/p>\n\u003cp>“We were just bombarded with different names of bacteria, viruses, and fungi, and we were having a tough time keeping them all straight,” he said.'\u003c/p>\n\u003cp>The sketches helped them, and now other students are using them, too.\u003c/p>\n\u003cp>Imagine it’s test day and a med student is asked which drug she would use to treat a patient’s postoperative gastrointestinal blockage. The student closes her eyes and mentally enters the world of “Acetyl-Cola,” a bustling port town that’s depicted in one of SketchyMedical’s cartoons. Outside a storefront, the student finds construction workers, motorcyclists wearing brain-shaped helmets, piles of dripping-wet fish, and a man sporting an adrenal gland-shaped beanie.\u003c/p>\n\u003cp>A colon-shaped mixing truck pouring out cement is an unfortunate, but effective, symbol for defecation, and a worker wearing a name tag reading “Beth” and drinking a cola reminds the student of the drug bethanechol, given to treat intestinal obstructions.\u003c/p>\n\u003cp>The illustrations are turned into narrated videos, which teach drug names and their mechanisms and side effects. SketchyMedical has also produced videos on microbiology and pathology.\u003c/p>\n\u003cp>\u003ca href=\"https://www.youtube.com/watch?v=8Dv3zZbDvig\" target=\"_blank\" rel=\"noopener\">Berg compares\u003c/a> the work of Sketchy to hieroglyphics in ancient Egypt. But for many, Sketchy evokes a different technique used a thousand years later in ancient Greece: method of loci, also called a memory palace or journey.\u003c/p>\n\u003cp>Memory palaces are typically imagined spaces in which a person can store information like a string of numbers or a series of words. Each piece of information is placed somewhere inside the palace. When the palace builder wants to recall an item, she can take a mental stroll through the space to retrieve it. This technique famously enabled Cicero, the Roman statesman and philosopher, to commit his speeches to memory.\u003c/p>\n\u003cp>“We accidentally stumbled upon these visual learning techniques, but now looking back we see there’s a lot of evidence supporting visual learning,” Berg said.\u003c/p>\n\u003cp>SketchyMedical is not the only extracurricular resource students rely on. An entire industry cropped up in the last few years, marketing videos and self-quizzing features to preclinical students. Dr. Jason Ryan, the creator of Boards and Beyond, is a name (and voice) familiar to medical students across the country.\u003c/p>\n\u003cp>Ryan, a faculty member at University of Connecticut School of Medicine, creates explanatory videos that track along with the content in First Aid, a Step preparatory book that Ryan said is more like “an encyclopedia of terms” than a real study aid. Ask any medical student if they use First Aid, and they’ll point you to their heavily annotated, tattered copy.\u003c/p>\n\u003cp>While both Ryan and Berg consider their products supplements to regular medical education, many students view them as necessary investments for success. Choosing which ones to use can be a challenge, however.\u003c/p>\n\u003cp>“That was the biggest learning curve of med school — it wasn’t so much how do I do well in it, it was, how do I use all these crazy resources that are being marketed to me to best meet my goal of passing Step,” Carlson said.\u003c/p>\n\u003cp>\u003cstrong>Old Players React\u003c/strong>\u003c/p>\n\u003cp>This expanding corner of the medical education industry is both a product of a new attitude among students — born from anxiety surrounding exam prep — and a disrupter of the traditional classroom education. Med schools now have to think more creatively about how they train their future doctors, Berg said.\u003c/p>\n\u003cp>In 2015, Harvard Medical School revamped its curriculum for the first two years to enable clinical exposure and boost class attendance with a flipped-classroom model: Students learn the content at home, and then apply it during in-class exercises. Dr. Richard Schwartzstein, director of education scholarship, said the program now emphasizes problem-solving and critical thinking — skills seen as essential to practicing medicine — instead of factual recall.\u003c/p>\n\u003cp>But while medical schools are de-emphasizing pure memorization, the national licensing exams have yet to reconsider, he acknowledged. Still, Schwartzstein is not a huge fan of external resources, citing their focus on memorization and pattern recognition as major weaknesses.\u003c/p>\n\u003cp>“You don’t have to actually teach pattern recognition,” he said. “We all are born with the capability of recognizing pattern.” He advises students to stick to Harvard-developed videos and their recommended readings. Like many medical schools, Harvard gives students a dedicated study period — six to eight weeks without coursework — to “prepare in whatever way they deem most appropriate to take the boards,” he said.\u003c/p>\n\u003cp>Hueppchen said that the outside resources “may have value in day-to-day studying, they may have value in studying for Step 1,” but Hopkins has not vetted them so it doesn’t recommend them to students either.\u003c/p>\n\u003cp>The National Board of Medical Examiners, which works with state medical boards to set the minimum standards for medical licensing and administers the Step exam, also doesn’t endorse these products — or their use as hard lines for residency admissions, said Dr. Michael Barone, vice president of licensure programs. The group “is aware of some secondary uses of scores,” he said, but the test’s primary purpose is to report licensure alone.\u003c/p>\n\u003cp>So long as Step still requires intensive rote memorization, companies like SketchyMedical and Boards and Beyond will likely remain in business.\u003c/p>\n\u003cp>Both Berg and Ryan agree that physicians no longer need to memorize as much as they did in the past. Ryan’s grandmother was one of the first female physicians to graduate from her medical school in the 1940s. Back then, he said, she had to remember everything. “If she had to go to a book every time she saw a patient, she’d never be able to work through the day.”\u003c/p>\n\u003cp>Today, there’s much more to know, and medicine is evolving so rapidly — with new drugs, guidelines, and practices — that physicians can’t possibly remember it all. Instead, they look information up on their cellphones, using a variety of apps on the clinic floors. But preclinical students still need to commit board-tested material to memory, a task often compared to drinking from a firehose.\u003c/p>\n\u003cp>Needing to memorize for boards and learn in parallel for their institutions is the breeding ground for anxiety that Hueppchen said “has truly detracted from the joy of learning.” It has even detracted from the joy of teaching, she added.\u003c/p>\n\u003cp>Berg said he tries to bring joy to memorization: “I think that what I hope to contribute the most is making studying more fun.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This\u003ca href=\"https://www.statnews.com/2018/08/14/medical-students-skipping-class/\" target=\"_blank\" rel=\"noopener\"> story\u003c/a> was originally published by STAT, an online publication of Boston Globe Media that covers health, medicine, and scientific discovery.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/443962/medical-students-skip-class-in-droves-making-lectures-increasingly-obsolete","authors":["byline_futureofyou_443962"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73"],"tags":["futureofyou_190","futureofyou_61","futureofyou_595"],"collections":["futureofyou_1093"],"featImg":"futureofyou_443964","label":"source_futureofyou_443962"},"futureofyou_440766":{"type":"posts","id":"futureofyou_440766","meta":{"index":"posts_1591205157","site":"futureofyou","id":"440766","score":null,"sort":[1523559658000]},"guestAuthors":[],"slug":"male-ob-gyns-are-rare-but-is-that-a-problem","title":"Male OB-GYNs Are Rare, But Is That A Problem?","publishDate":1523559658,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>As she leaves a 12-hour-day on the labor and delivery shift, Dr. Katie Merriam turns off her pager.\u003c/p>\n\u003cp>\"I don't know what I'd do without it, you know? It's another limb. I always know where it is,\" she says and laughs.[contextly_sidebar id=\"YNjmmIvrIhdA4E5WvQFE9ShsbCebY22H\"]\u003c/p>\n\u003cp>The third-year resident in obstetrics and gynecology at the Carolinas Medical Center hospital in Charlotte, N.C., works in a medical specialty dominated by women, treating women. Merriam says she feels a special connection to her patients.\"You just, you can feel what they feel and understand why they feel certain ways. I do feel a special bond,\" she says.\u003c/p>\n\u003cp>Nationally, 82 percent of doctors \u003ca href=\"https://m.acog.org/~/media/BB3A7629943642ADA47058D0BDCD1521.pdf\" target=\"_blank\" rel=\"noopener\">matching into OB-GYN residency programs\u003c/a> are women. Many OB-GYN patients say they prefer female doctors. Merriam's residency class is a bit of an anomaly — half of its members are men. Though it's nice to work with so many women, Merriam says, she and some of her female colleagues also like the perspective that men bring to the work environment.\u003c/p>\n\u003cp>\"No one could really pinpoint about what balance they bring, but there's something nice about having them,\" she says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"xxd0pnJ8BiRSq6Um262jL74IFF2B4Gk9\"]It's important to have men in the field, she says, if only to continue to give patients options in their choice of providers. But most of her friends and other women she talks to, she says, want female doctors.\u003c/p>\n\u003cp>Blake Butterworth, a fourth-year obstetrics and gynecology resident at the Medical University of South Carolina in Charleston, says he doesn't take it personally when he hears that sort of thing from a patient.\u003c/p>\n\u003cp>\"I don't get discouraged; I don't get offended,\" Butterworth says. \"I gladly hand that patient off.\"\u003c/p>\n\u003cp>He's one of only two male residents in the program of 24 at MUSC and says he finds it rewarding when he can win a new patient's confidence.\u003c/p>\n\u003cp>\"I have patients that clearly express disdain to have to see a guy,\" he says. \"Then I develop rapport with her. And she says, 'I expected you to be x-y-z, and you were better than that.' \"\u003c/p>\n\u003cp>Butterworth says he chose obstetrics and gynecology because it lets him develop long-term relationships with patients — providing routine OB-GYN care and more complicated surgeries if need be.\u003c/p>\n\u003cp>\"Once you really get into it, and get involved in it, I don't think that bias [that the field is best left to women] holds true,\" he says.[contextly_sidebar id=\"JAYbqyJrlg0qXG2TGj01PA9aZ68oHdWG\"]\u003c/p>\n\u003cp>Butterworth believes it is incumbent on male OB-GYNs to talk to male medical students about the benefits of having men in the field. Students need to know it's OK to have an interest in the field, he says, and that they will find work.\u003c/p>\n\u003cp>In fact, says \u003ca href=\"http://academicdepartments.musc.edu/facultydirectory/Savage-Ashlyn\" target=\"_blank\" rel=\"noopener\">Dr. Ashlyn Savage \u003c/a>, an associate professor of obstetrics and gynecology at MUSC, it may be the opposite.\u003c/p>\n\u003cp>\"In an effort to really diversify the applicant pool, we will apply in some cases different screening standards to decide who we are going to interview,\" Savage says. \"For example, we might consider an applicant with a slightly lower board score — just to enhance how many men we are interviewing and considering.\"\u003c/p>\n\u003cp>It has been a challenge to find male OB-GYNs for the program, she says. The gender that at one time dominated the field is now at some schools considered a diversity hire. But Savage questions whether balancing the number of men and women in the specialty is as important as racial or ethnic diversity.\u003c/p>\n\u003cp>\"The interesting thing to me is the primary motivation to [seek a diverse candidate pool] is so that patients have the opportunity to seek out physicians who might ... feel like themselves,\" she says. \"In this particular case ... all of the patients for OB-GYNs are women.\"[contextly_sidebar id=\"SJnnFVMkAgJrTRRKA7yFicLNPD1xw46Z\"]\u003c/p>\n\u003cp>Among practicing OB-GYNs in the U.S., a \u003ca href=\"https://www.acog.org/Clinical-Guidance-and-Publications/The-Ob-Gyn-Workforce/The-Obstetrician-Gynecologist-Workforce-in-the-United-States\" target=\"_blank\" rel=\"noopener\">little less than half are men\u003c/a>, according to the American Congress of Obstetricians and Gynecologists. But ACOG predicts that 10 years from now, two-thirds of the doctors in that specialty will be female.\u003c/p>\n\u003cp>Still, male doctors hold a lot of the key positions in OB-GYN professional organizations.\u003c/p>\n\u003cp>\"Leadership tends to be held by people who are older,\" Savage says. \"And we are still in a scenario where [more of] our older faculty tend to be men.\"\u003c/p>\n\u003cp>A \u003ca href=\"https://journals.lww.com/greenjournal/Abstract/2017/10000/Geographic_Comparison_of_Women_in_Academic.26.aspx\" target=\"_blank\" rel=\"noopener\">study \u003c/a> published last fall found the women are underrepresented in leadership roles in medical school departments of obstetrics and gynecology all around the country. That ratio was most lopsided in men's favor in the South.\u003c/p>\n\u003cp>It's perhaps only a matter of time before that, too, changes. Savage says she just learned that her program's incoming class of OB-GYN residents next year will be all female.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of NPR's reporting partnership with WFAE and \u003c/em>\u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\" rel=\"noopener\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 WFAE. To see more, visit \u003ca href=\"http://www.wfae.org\" target=\"_blank\" rel=\"noopener\">WFAE\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Male+OB-GYNs+Are+Rare%2C+But+Is+That+A+Problem%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Heads of training programs now wonder if they should go out of their way to recruit more men.","status":"publish","parent":0,"modified":1523557947,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":830},"headData":{"title":"Male OB-GYNs Are Rare, But Is That A Problem? | KQED","description":"Heads of training programs now wonder if they should go out of their way to recruit more men.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Male OB-GYNs Are Rare, But Is That A Problem?","datePublished":"2018-04-12T19:00:58.000Z","dateModified":"2018-04-12T18:32:27.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"440766 https://ww2.kqed.org/futureofyou/?p=440766","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/04/12/male-ob-gyns-are-rare-but-is-that-a-problem/","disqusTitle":"Male OB-GYNs Are Rare, But Is That A Problem?","source":"Health","nprByline":"Alex Olgin\u003cbr />NPR Shots","nprImageAgency":"Alex Olgin/WFAE","nprStoryId":"596396698","nprApiLink":"http://api.npr.org/query?id=596396698&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/04/12/596396698/male-ob-gyns-are-rare-but-is-that-a-problem?ft=nprml&f=596396698","nprRetrievedStory":"1","nprPubDate":"Thu, 12 Apr 2018 10:51:00 -0400","nprStoryDate":"Thu, 12 Apr 2018 05:00:00 -0400","nprLastModifiedDate":"Thu, 12 Apr 2018 10:51:12 -0400","path":"/futureofyou/440766/male-ob-gyns-are-rare-but-is-that-a-problem","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As she leaves a 12-hour-day on the labor and delivery shift, Dr. Katie Merriam turns off her pager.\u003c/p>\n\u003cp>\"I don't know what I'd do without it, you know? It's another limb. I always know where it is,\" she says and laughs.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The third-year resident in obstetrics and gynecology at the Carolinas Medical Center hospital in Charlotte, N.C., works in a medical specialty dominated by women, treating women. Merriam says she feels a special connection to her patients.\"You just, you can feel what they feel and understand why they feel certain ways. I do feel a special bond,\" she says.\u003c/p>\n\u003cp>Nationally, 82 percent of doctors \u003ca href=\"https://m.acog.org/~/media/BB3A7629943642ADA47058D0BDCD1521.pdf\" target=\"_blank\" rel=\"noopener\">matching into OB-GYN residency programs\u003c/a> are women. Many OB-GYN patients say they prefer female doctors. Merriam's residency class is a bit of an anomaly — half of its members are men. Though it's nice to work with so many women, Merriam says, she and some of her female colleagues also like the perspective that men bring to the work environment.\u003c/p>\n\u003cp>\"No one could really pinpoint about what balance they bring, but there's something nice about having them,\" she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>It's important to have men in the field, she says, if only to continue to give patients options in their choice of providers. But most of her friends and other women she talks to, she says, want female doctors.\u003c/p>\n\u003cp>Blake Butterworth, a fourth-year obstetrics and gynecology resident at the Medical University of South Carolina in Charleston, says he doesn't take it personally when he hears that sort of thing from a patient.\u003c/p>\n\u003cp>\"I don't get discouraged; I don't get offended,\" Butterworth says. \"I gladly hand that patient off.\"\u003c/p>\n\u003cp>He's one of only two male residents in the program of 24 at MUSC and says he finds it rewarding when he can win a new patient's confidence.\u003c/p>\n\u003cp>\"I have patients that clearly express disdain to have to see a guy,\" he says. \"Then I develop rapport with her. And she says, 'I expected you to be x-y-z, and you were better than that.' \"\u003c/p>\n\u003cp>Butterworth says he chose obstetrics and gynecology because it lets him develop long-term relationships with patients — providing routine OB-GYN care and more complicated surgeries if need be.\u003c/p>\n\u003cp>\"Once you really get into it, and get involved in it, I don't think that bias [that the field is best left to women] holds true,\" he says.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Butterworth believes it is incumbent on male OB-GYNs to talk to male medical students about the benefits of having men in the field. Students need to know it's OK to have an interest in the field, he says, and that they will find work.\u003c/p>\n\u003cp>In fact, says \u003ca href=\"http://academicdepartments.musc.edu/facultydirectory/Savage-Ashlyn\" target=\"_blank\" rel=\"noopener\">Dr. Ashlyn Savage \u003c/a>, an associate professor of obstetrics and gynecology at MUSC, it may be the opposite.\u003c/p>\n\u003cp>\"In an effort to really diversify the applicant pool, we will apply in some cases different screening standards to decide who we are going to interview,\" Savage says. \"For example, we might consider an applicant with a slightly lower board score — just to enhance how many men we are interviewing and considering.\"\u003c/p>\n\u003cp>It has been a challenge to find male OB-GYNs for the program, she says. The gender that at one time dominated the field is now at some schools considered a diversity hire. But Savage questions whether balancing the number of men and women in the specialty is as important as racial or ethnic diversity.\u003c/p>\n\u003cp>\"The interesting thing to me is the primary motivation to [seek a diverse candidate pool] is so that patients have the opportunity to seek out physicians who might ... feel like themselves,\" she says. \"In this particular case ... all of the patients for OB-GYNs are women.\"\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Among practicing OB-GYNs in the U.S., a \u003ca href=\"https://www.acog.org/Clinical-Guidance-and-Publications/The-Ob-Gyn-Workforce/The-Obstetrician-Gynecologist-Workforce-in-the-United-States\" target=\"_blank\" rel=\"noopener\">little less than half are men\u003c/a>, according to the American Congress of Obstetricians and Gynecologists. But ACOG predicts that 10 years from now, two-thirds of the doctors in that specialty will be female.\u003c/p>\n\u003cp>Still, male doctors hold a lot of the key positions in OB-GYN professional organizations.\u003c/p>\n\u003cp>\"Leadership tends to be held by people who are older,\" Savage says. \"And we are still in a scenario where [more of] our older faculty tend to be men.\"\u003c/p>\n\u003cp>A \u003ca href=\"https://journals.lww.com/greenjournal/Abstract/2017/10000/Geographic_Comparison_of_Women_in_Academic.26.aspx\" target=\"_blank\" rel=\"noopener\">study \u003c/a> published last fall found the women are underrepresented in leadership roles in medical school departments of obstetrics and gynecology all around the country. That ratio was most lopsided in men's favor in the South.\u003c/p>\n\u003cp>It's perhaps only a matter of time before that, too, changes. Savage says she just learned that her program's incoming class of OB-GYN residents next year will be all female.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of NPR's reporting partnership with WFAE and \u003c/em>\u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\" rel=\"noopener\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 WFAE. To see more, visit \u003ca href=\"http://www.wfae.org\" target=\"_blank\" rel=\"noopener\">WFAE\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Male+OB-GYNs+Are+Rare%2C+But+Is+That+A+Problem%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/440766/male-ob-gyns-are-rare-but-is-that-a-problem","authors":["byline_futureofyou_440766"],"categories":["futureofyou_1","futureofyou_73"],"tags":["futureofyou_190","futureofyou_1182","futureofyou_61","futureofyou_595","futureofyou_275"],"featImg":"futureofyou_440767","label":"source_futureofyou_440766"},"futureofyou_74790":{"type":"posts","id":"futureofyou_74790","meta":{"index":"posts_1591205157","site":"futureofyou","id":"74790","score":null,"sort":[1450713602000]},"guestAuthors":[],"slug":"will-your-doctor-one-day-prescribe-food-as-medicine","title":"What if You Could Talk to Your Doctor About Cooking?","publishDate":1450713602,"format":"standard","headTitle":"Diabetes Management | KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Is your doctor your go-to for nutrition advice? Neither is mine. And why would I expect that?\u003c/p>\n\u003cp>\u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">According to recent polls\u003c/a>, fewer than a quarter of doctors say they've had sufficient training to provide nutritional advice to their patients. We all know about the Hippocratic Oath, but how about that other thing Hippocrates said: \"Let Food Be Thy Medicine.\"\u003c/p>\n\u003cp>For the American medical profession to live up to that, there'd have to be more than \u003ca href=\"http://www.drweil.com/\" target=\"_blank\">one doctor\u003c/a> in the country \u003ca href=\"http://www.drweil.com/drw/u/RCP00235/broccoli-pancakes.html#_ga=1.123472264.20458383.1450482611\" target=\"_blank\">widely known for prescribing broccoli\u003c/a>. Most medical schools aren't particularly dedicated to teaching their students about food.\u003c/p>\n\u003cp>That's \u003ca href=\"http://qz.com/545110/the-future-of-medicine-is-food/\" target=\"_blank\">beginning to change\u003c/a>, though, as schools like \u003ca href=\"http://tulane.edu/som/\" target=\"_blank\">Tulane University School of Medicine \u003c/a>in New Orleans, Louisiana, start thinking differently.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/12/FOY-cooking.gif\" rel=\"attachment wp-att-86425\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/12/FOY-cooking.gif\" alt=\"gif docs cooking\" width=\"480\" height=\"270\" class=\"alignright size-full wp-image-86425\">\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Would-be doctors at Tulane aren't just learning about nutrition. They're learning how to cook.\u003c/p>\n\u003cp>Dr. Timothy Harlan, known in the food media world as \u003ca href=\"http://www.drgourmet.com/pr/index.shtml#.VnSmYvkrJpg\" target=\"_blank\">Dr. Gourmet\u003c/a>, is also executive director at \u003ca href=\"http://tmedweb.tulane.edu/mu/teachingkitchen/\" target=\"_blank\">The Goldring Center for Culinary Medicine\u003c/a> at Tulane. Harlan says the program isn't just about helping students understand nutrition. The focus is on practical talk about food. Harlan wants Tulane-educated doctors to be able to teach their patients everyday skills in how to cook, what to cook and why.\u003c/p>\n\u003cp>\"Physicians talk about nutrition and diet all the time, but they don't talk about it in a way that communicates change to their patients,\" Harlan says, \u003ca href=\"https://www.youtube.com/watch?v=L0vWLn0lU5k&feature=youtu.be\" target=\"_blank\">in a video \u003c/a>produced by the school.\u003c/p>\n\u003cp>The students learn to make the most of low-cost ingredients, so they can cater to low-income communities. And Harlan says the school also provides cooking classes to practicing doctors and the public.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=L0vWLn0lU5k]\u003c/p>\n\u003cp>These skills are sorely needed in New Orleans. In 2010, 64 percent of adults \u003ca href=\"https://www.nola.gov/nola/media/Health-Department/Publications/Healthy-Lifestyles-in-New-Orleans-Community-Health-Data-Profile-final.pdf\" target=\"_blank\">were classified as obese or overweight\u003c/a>. That results in higher rates of diabetes, heart disease and high blood pressure.\u003c/p>\n\u003cp>\"We know from the literature that when people go home and start cooking from real ingredients for themselves that their health improves,\" Harlan says. \"We also know that they don't really know how to do that.\"\u003c/p>\n\u003cp>Cheryl Spann took part in the community cooking class, and says she's learned what good carbs are and how to cut back on sugar.\u003c/p>\n\u003cfigure id=\"attachment_74791\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-74791\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Screen-Shot-2015-11-29-at-4.45.36-PM-800x445.png\" alt=\"The writing on the wall at Tulane's center for Culinary Medicine. \" width=\"800\" height=\"445\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Screen-Shot-2015-11-29-at-4.45.36-PM-800x445.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Screen-Shot-2015-11-29-at-4.45.36-PM-400x222.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Screen-Shot-2015-11-29-at-4.45.36-PM.png 833w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The writing on the wall at Tulane's center for Culinary Medicine. \u003ccite>(Tulane University)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"My health is getting so much better now,\" Spann says in the school's video. \"And I do believe that when I see my primary care physician in the next month, I will no longer be taking hypertensive medicine and I will no longer be taking diabetes medicine.\"\u003c/p>\n\u003cp>Tulane's medical school was among the first to take on a licensed chef as an instructor. Its curriculum, \u003ca href=\"http://qz.com/545110/the-future-of-medicine-is-food/\" target=\"_blank\">developed in partnership\u003c/a> with the College of Culinary Arts at \u003ca href=\"https://experience.jwu.edu/\" target=\"_blank\">Johnson & Wales University\u003c/a>, has been sold to sixteen other medical schools.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If you're thinking this is the wrong time of year to talk about healthy food, Dr. Gourmet has \u003ca href=\"http://tulane.edu/news/newwave/121715_christmas-recipe_shitaki-cranberry-pork-loin.cfm\" target=\"_blank\">a luscious menu\u003c/a> for you. And you can tell your guests, when they're licking their fingers, that your holiday meal was recommended by a doctor. When's the last time you got to say that in a sentence?\u003c/p>\n\n","blocks":[],"excerpt":"Tulane University isn't just teaching would-be doctors about nutrition. It is teaching them how to cook. ","status":"publish","parent":0,"modified":1477272904,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":553},"headData":{"title":"What if You Could Talk to Your Doctor About Cooking? | KQED","description":"Tulane University isn't just teaching would-be doctors about nutrition. It is teaching them how to cook. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"What if You Could Talk to Your Doctor About Cooking?","datePublished":"2015-12-21T16:00:02.000Z","dateModified":"2016-10-24T01:35:04.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"74790 http://ww2.kqed.org/futureofyou/?p=74790","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/12/21/will-your-doctor-one-day-prescribe-food-as-medicine/","disqusTitle":"What if You Could Talk to Your Doctor About Cooking?","source":"KQED Future of You","path":"/futureofyou/74790/will-your-doctor-one-day-prescribe-food-as-medicine","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Is your doctor your go-to for nutrition advice? Neither is mine. And why would I expect that?\u003c/p>\n\u003cp>\u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">According to recent polls\u003c/a>, fewer than a quarter of doctors say they've had sufficient training to provide nutritional advice to their patients. We all know about the Hippocratic Oath, but how about that other thing Hippocrates said: \"Let Food Be Thy Medicine.\"\u003c/p>\n\u003cp>For the American medical profession to live up to that, there'd have to be more than \u003ca href=\"http://www.drweil.com/\" target=\"_blank\">one doctor\u003c/a> in the country \u003ca href=\"http://www.drweil.com/drw/u/RCP00235/broccoli-pancakes.html#_ga=1.123472264.20458383.1450482611\" target=\"_blank\">widely known for prescribing broccoli\u003c/a>. Most medical schools aren't particularly dedicated to teaching their students about food.\u003c/p>\n\u003cp>That's \u003ca href=\"http://qz.com/545110/the-future-of-medicine-is-food/\" target=\"_blank\">beginning to change\u003c/a>, though, as schools like \u003ca href=\"http://tulane.edu/som/\" target=\"_blank\">Tulane University School of Medicine \u003c/a>in New Orleans, Louisiana, start thinking differently.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/12/FOY-cooking.gif\" rel=\"attachment wp-att-86425\">\u003cimg src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/12/FOY-cooking.gif\" alt=\"gif docs cooking\" width=\"480\" height=\"270\" class=\"alignright size-full wp-image-86425\">\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Would-be doctors at Tulane aren't just learning about nutrition. They're learning how to cook.\u003c/p>\n\u003cp>Dr. Timothy Harlan, known in the food media world as \u003ca href=\"http://www.drgourmet.com/pr/index.shtml#.VnSmYvkrJpg\" target=\"_blank\">Dr. Gourmet\u003c/a>, is also executive director at \u003ca href=\"http://tmedweb.tulane.edu/mu/teachingkitchen/\" target=\"_blank\">The Goldring Center for Culinary Medicine\u003c/a> at Tulane. Harlan says the program isn't just about helping students understand nutrition. The focus is on practical talk about food. Harlan wants Tulane-educated doctors to be able to teach their patients everyday skills in how to cook, what to cook and why.\u003c/p>\n\u003cp>\"Physicians talk about nutrition and diet all the time, but they don't talk about it in a way that communicates change to their patients,\" Harlan says, \u003ca href=\"https://www.youtube.com/watch?v=L0vWLn0lU5k&feature=youtu.be\" target=\"_blank\">in a video \u003c/a>produced by the school.\u003c/p>\n\u003cp>The students learn to make the most of low-cost ingredients, so they can cater to low-income communities. And Harlan says the school also provides cooking classes to practicing doctors and the public.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/L0vWLn0lU5k'\n title='//www.youtube.com/embed/L0vWLn0lU5k'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>These skills are sorely needed in New Orleans. In 2010, 64 percent of adults \u003ca href=\"https://www.nola.gov/nola/media/Health-Department/Publications/Healthy-Lifestyles-in-New-Orleans-Community-Health-Data-Profile-final.pdf\" target=\"_blank\">were classified as obese or overweight\u003c/a>. That results in higher rates of diabetes, heart disease and high blood pressure.\u003c/p>\n\u003cp>\"We know from the literature that when people go home and start cooking from real ingredients for themselves that their health improves,\" Harlan says. \"We also know that they don't really know how to do that.\"\u003c/p>\n\u003cp>Cheryl Spann took part in the community cooking class, and says she's learned what good carbs are and how to cut back on sugar.\u003c/p>\n\u003cfigure id=\"attachment_74791\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-74791\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/Screen-Shot-2015-11-29-at-4.45.36-PM-800x445.png\" alt=\"The writing on the wall at Tulane's center for Culinary Medicine. \" width=\"800\" height=\"445\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/Screen-Shot-2015-11-29-at-4.45.36-PM-800x445.png 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Screen-Shot-2015-11-29-at-4.45.36-PM-400x222.png 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/Screen-Shot-2015-11-29-at-4.45.36-PM.png 833w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The writing on the wall at Tulane's center for Culinary Medicine. \u003ccite>(Tulane University)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"My health is getting so much better now,\" Spann says in the school's video. \"And I do believe that when I see my primary care physician in the next month, I will no longer be taking hypertensive medicine and I will no longer be taking diabetes medicine.\"\u003c/p>\n\u003cp>Tulane's medical school was among the first to take on a licensed chef as an instructor. Its curriculum, \u003ca href=\"http://qz.com/545110/the-future-of-medicine-is-food/\" target=\"_blank\">developed in partnership\u003c/a> with the College of Culinary Arts at \u003ca href=\"https://experience.jwu.edu/\" target=\"_blank\">Johnson & Wales University\u003c/a>, has been sold to sixteen other medical schools.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If you're thinking this is the wrong time of year to talk about healthy food, Dr. Gourmet has \u003ca href=\"http://tulane.edu/news/newwave/121715_christmas-recipe_shitaki-cranberry-pork-loin.cfm\" target=\"_blank\">a luscious menu\u003c/a> for you. And you can tell your guests, when they're licking their fingers, that your holiday meal was recommended by a doctor. When's the last time you got to say that in a sentence?\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/74790/will-your-doctor-one-day-prescribe-food-as-medicine","authors":["3252"],"series":["futureofyou_308"],"categories":["futureofyou_1060"],"tags":["futureofyou_426","futureofyou_80","futureofyou_595"],"featImg":"futureofyou_74811","label":"source_futureofyou_74790"},"futureofyou_62039":{"type":"posts","id":"futureofyou_62039","meta":{"index":"posts_1591205157","site":"futureofyou","id":"62039","score":null,"sort":[1446571016000]},"guestAuthors":[],"slug":"nyu-doctors-are-now-required-to-learn-big-data","title":"NYU Medical Students Are Now Required to Learn 'Big Data'","publishDate":1446571016,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>Medicine, meet big data.\u003c/p>\n\u003cp>For generations, physicians have been trained in basic science and human anatomy to diagnose and treat the individual patient.\u003c/p>\n\u003cp>But now, massive stores of data about what works for which patients are literally changing the way medicine is practiced.\u003c/p>\n\u003cp>“That’s how we make decisions; we make them based on the truth and the evidence that are present in those data,” says \u003ca href=\"http://www.med.nyu.edu/biosketch/triolm01\" target=\"_blank\">Marc Triola\u003c/a>, an associate dean at New York University School of Medicine.\u003c/p>\n\u003cp>Figuring out how to access and interpret all that data is not a skill that most physicians learned in medical school. In fact, it’s not even been taught in medical school, but that’s changing.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“If you don’t have these skills, you could really be at a disadvantage,” says Triola, “in terms of the way you understand the quality and the efficiency of the care you’re delivering.\u003c/p>\n\u003cp>That’s why every first and second year student at NYU Medical School is required to do what’s called a \u003ca href=\"http://education.med.nyu.edu/ace\" target=\"_blank\">“health care by the numbers”\u003c/a> project. Students are given access to a database with more than 5 million anonymous records — information on every hospital patient in the state for the past two years. “ Their age, their race and ethnicity, what zip code they came from,” Triola lists, as well as their diagnosis, procedures and the bills paid on their behalf.\u003c/p>\n\u003cp>The project, funded in part by an effort of the \u003ca href=\"http://www.npr.org/sections/health-shots/2015/04/09/390440465/medical-schools-reboot-for-21st-century\" target=\"_blank\">American Medical Association\u003c/a> to update what and how medical students are taught, also includes a companion database for roughly 50,000 outpatients. It’s called the Lacidem Care Group. (Lacidem? That’s “medical,” backwards). It contains data from NYU’s own faculty practices — scrubbed to ensure that neither the patients nor the doctors can be identified.\u003c/p>\n\u003cfigure id=\"attachment_62041\" class=\"wp-caption alignright\" style=\"max-width: 570px\">\u003cimg class=\"size-full wp-image-62041\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/nyu-docs-2-570.jpg\" alt=\"(Left to right) Christine Schindler, Mary Quien and Micah Timen hold a study session. Timen worked as an accountant before medical school; his database project tracked the relative costs of a hip replacement throughout New York compared to the relative costs of a fast-food hamburger.\" width=\"570\" height=\"380\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/nyu-docs-2-570.jpg 570w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/nyu-docs-2-570-400x267.jpg 400w\" sizes=\"(max-width: 570px) 100vw, 570px\">\u003cfigcaption class=\"wp-caption-text\">(Left to right) Christine Schindler, Mary Quien and Micah Timen hold a study session. Timen worked as an accountant before medical school; his database project tracked the relative costs of a hip replacement throughout New York compared to the relative costs of a fast-food hamburger. \u003ccite>( Cindy Carpien/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Students can use tools provided by the project to “look at quality measures for things like heart failure, diabetes, smoking, and high blood pressure,” says Triola. “And drill down and look at the performance of the practice as a whole and individual doctors.”\u003c/p>\n\u003cp>For his project, Timen wanted to know if the cost to patients of hip replacement surgery around the state vary as much as the cost of a fast-food hamburger. Timen says they tried comparing hip replacement costs using \u003cem>The Economist\u003c/em> magazine’s famous \u003ca href=\"http://www.economist.com/content/big-mac-index\" target=\"_blank\">Big Mac Index\u003c/a>, which measures purchasing power between currencies.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I really have no statistical background. I don’t even know how to use Excel well.'\u003cbr>\n\u003ccite>Justin Feit, second year student at NYU's medical school \u003c/cite>\u003c/aside>\n\u003cp>“But when you call McDonald’s, they don’t give you prices over the phone,” he said. So he tried Plan B: “Burger King gave it to me.”Some students have taken to the assignment with relish. Second-year student Micah Timen is one. Timen likes numbers. A lot. A former accountant before applying to med school, he keeps a spreadsheet to track his study hours before a test. An upcoming test is on the digestive system. “\u003c/p>\n\u003cp>So I know I have 18 hours and 40 minutes left to make sure I feel comfortable walking into my exam,” he says.\u003c/p>\n\u003cp>Using his “Whopper Index” instead, Timen found, not surprisingly, that the price of a giant burger sandwich is higher in New York City than, say, Albany. So, too was the amount patients paid for their hip replacements. But the margin was much wider for health care than for hamburgers, meaning patients are paying more in some places than simple geography would suggest. Timen says he’d like to explore why that might be, “but unfortunately med school is a little bit time-consuming,” so that may have to wait.\u003c/p>\n\u003cp>Still, it turns out the classes appeal not just to data “junkies,” like Timen, but also to those who were not already steeped in crunching data.\u003c/p>\n\u003cp>“I really have no statistical background,” says Justin Feit, also a second year student. “I don’t even know how to use Excel well.”\u003c/p>\n\u003cp>So Feit was partnered with Jennifer Lynch, who already has a PhD — in physics. She says that if medicine wasn’t moving in the direction of more data interpretation, “I don’t know if I would have gone into medicine.”\u003c/p>\n\u003cp>Together Feit and Lynch looked at the rates of cesarean births around the state – and, like the cost of hip replacements, found that C-section rates varied widely. But their project will get more than just a grade. A faculty member at NYU is using it as part of a bigger research project headed for publication.\u003c/p>\n\u003cp>Triola says he hopes that will happen more and more.\u003c/p>\n\u003cp>“With literally millions of records, these in-class student projects often involved more patients than the published literature. It’s incredible,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And the concept of having students learn to use health data is catching on quickly. Triola says NYU is offering its database and program to other medical schools; seven are already incorporating it into their curriculum.\u003c/p>\n\n","blocks":[],"excerpt":"Now, massive stores of data about what works for which patients are literally changing the way medicine is practiced.","status":"publish","parent":0,"modified":1446571082,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":933},"headData":{"title":"NYU Medical Students Are Now Required to Learn 'Big Data' | KQED","description":"Now, massive stores of data about what works for which patients are literally changing the way medicine is practiced.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"NYU Medical Students Are Now Required to Learn 'Big Data'","datePublished":"2015-11-03T17:16:56.000Z","dateModified":"2015-11-03T17:18:02.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"62039 http://ww2.kqed.org/futureofyou/?p=62039","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/11/03/nyu-doctors-are-now-required-to-learn-big-data/","disqusTitle":"NYU Medical Students Are Now Required to Learn 'Big Data'","nprByline":"Julie Rovner ","path":"/futureofyou/62039/nyu-doctors-are-now-required-to-learn-big-data","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Medicine, meet big data.\u003c/p>\n\u003cp>For generations, physicians have been trained in basic science and human anatomy to diagnose and treat the individual patient.\u003c/p>\n\u003cp>But now, massive stores of data about what works for which patients are literally changing the way medicine is practiced.\u003c/p>\n\u003cp>“That’s how we make decisions; we make them based on the truth and the evidence that are present in those data,” says \u003ca href=\"http://www.med.nyu.edu/biosketch/triolm01\" target=\"_blank\">Marc Triola\u003c/a>, an associate dean at New York University School of Medicine.\u003c/p>\n\u003cp>Figuring out how to access and interpret all that data is not a skill that most physicians learned in medical school. In fact, it’s not even been taught in medical school, but that’s changing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If you don’t have these skills, you could really be at a disadvantage,” says Triola, “in terms of the way you understand the quality and the efficiency of the care you’re delivering.\u003c/p>\n\u003cp>That’s why every first and second year student at NYU Medical School is required to do what’s called a \u003ca href=\"http://education.med.nyu.edu/ace\" target=\"_blank\">“health care by the numbers”\u003c/a> project. Students are given access to a database with more than 5 million anonymous records — information on every hospital patient in the state for the past two years. “ Their age, their race and ethnicity, what zip code they came from,” Triola lists, as well as their diagnosis, procedures and the bills paid on their behalf.\u003c/p>\n\u003cp>The project, funded in part by an effort of the \u003ca href=\"http://www.npr.org/sections/health-shots/2015/04/09/390440465/medical-schools-reboot-for-21st-century\" target=\"_blank\">American Medical Association\u003c/a> to update what and how medical students are taught, also includes a companion database for roughly 50,000 outpatients. It’s called the Lacidem Care Group. (Lacidem? That’s “medical,” backwards). It contains data from NYU’s own faculty practices — scrubbed to ensure that neither the patients nor the doctors can be identified.\u003c/p>\n\u003cfigure id=\"attachment_62041\" class=\"wp-caption alignright\" style=\"max-width: 570px\">\u003cimg class=\"size-full wp-image-62041\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/11/nyu-docs-2-570.jpg\" alt=\"(Left to right) Christine Schindler, Mary Quien and Micah Timen hold a study session. Timen worked as an accountant before medical school; his database project tracked the relative costs of a hip replacement throughout New York compared to the relative costs of a fast-food hamburger.\" width=\"570\" height=\"380\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/11/nyu-docs-2-570.jpg 570w, https://ww2.kqed.org/app/uploads/sites/13/2015/11/nyu-docs-2-570-400x267.jpg 400w\" sizes=\"(max-width: 570px) 100vw, 570px\">\u003cfigcaption class=\"wp-caption-text\">(Left to right) Christine Schindler, Mary Quien and Micah Timen hold a study session. Timen worked as an accountant before medical school; his database project tracked the relative costs of a hip replacement throughout New York compared to the relative costs of a fast-food hamburger. \u003ccite>( Cindy Carpien/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Students can use tools provided by the project to “look at quality measures for things like heart failure, diabetes, smoking, and high blood pressure,” says Triola. “And drill down and look at the performance of the practice as a whole and individual doctors.”\u003c/p>\n\u003cp>For his project, Timen wanted to know if the cost to patients of hip replacement surgery around the state vary as much as the cost of a fast-food hamburger. Timen says they tried comparing hip replacement costs using \u003cem>The Economist\u003c/em> magazine’s famous \u003ca href=\"http://www.economist.com/content/big-mac-index\" target=\"_blank\">Big Mac Index\u003c/a>, which measures purchasing power between currencies.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I really have no statistical background. I don’t even know how to use Excel well.'\u003cbr>\n\u003ccite>Justin Feit, second year student at NYU's medical school \u003c/cite>\u003c/aside>\n\u003cp>“But when you call McDonald’s, they don’t give you prices over the phone,” he said. So he tried Plan B: “Burger King gave it to me.”Some students have taken to the assignment with relish. Second-year student Micah Timen is one. Timen likes numbers. A lot. A former accountant before applying to med school, he keeps a spreadsheet to track his study hours before a test. An upcoming test is on the digestive system. “\u003c/p>\n\u003cp>So I know I have 18 hours and 40 minutes left to make sure I feel comfortable walking into my exam,” he says.\u003c/p>\n\u003cp>Using his “Whopper Index” instead, Timen found, not surprisingly, that the price of a giant burger sandwich is higher in New York City than, say, Albany. So, too was the amount patients paid for their hip replacements. But the margin was much wider for health care than for hamburgers, meaning patients are paying more in some places than simple geography would suggest. Timen says he’d like to explore why that might be, “but unfortunately med school is a little bit time-consuming,” so that may have to wait.\u003c/p>\n\u003cp>Still, it turns out the classes appeal not just to data “junkies,” like Timen, but also to those who were not already steeped in crunching data.\u003c/p>\n\u003cp>“I really have no statistical background,” says Justin Feit, also a second year student. “I don’t even know how to use Excel well.”\u003c/p>\n\u003cp>So Feit was partnered with Jennifer Lynch, who already has a PhD — in physics. She says that if medicine wasn’t moving in the direction of more data interpretation, “I don’t know if I would have gone into medicine.”\u003c/p>\n\u003cp>Together Feit and Lynch looked at the rates of cesarean births around the state – and, like the cost of hip replacements, found that C-section rates varied widely. But their project will get more than just a grade. A faculty member at NYU is using it as part of a bigger research project headed for publication.\u003c/p>\n\u003cp>Triola says he hopes that will happen more and more.\u003c/p>\n\u003cp>“With literally millions of records, these in-class student projects often involved more patients than the published literature. It’s incredible,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And the concept of having students learn to use health data is catching on quickly. Triola says NYU is offering its database and program to other medical schools; seven are already incorporating it into their curriculum.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/62039/nyu-doctors-are-now-required-to-learn-big-data","authors":["byline_futureofyou_62039"],"categories":["futureofyou_1"],"tags":["futureofyou_29","futureofyou_80","futureofyou_595"],"featImg":"futureofyou_62040","label":"futureofyou"},"futureofyou_42815":{"type":"posts","id":"futureofyou_42815","meta":{"index":"posts_1591205157","site":"futureofyou","id":"42815","score":null,"sort":[1443121238000]},"guestAuthors":[],"slug":"seven-21st-century-skills-doctors-wished-theyd-learned-in-medical-school","title":"Seven 21st-Century Skills Doctors Wish They'd Learned in Medical School","publishDate":1443121238,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"site":"futureofyou"},"content":"\u003cp>In the past decade, the practice of medicine has transformed in a big way.\u003c/p>\n\u003cp>Today's doctors are jotting notes on an iPad, and navigating various electronic medical record systems. And payment models are shifting to reward physicians for improving patient outcomes, rather than for ordering expensive tests and procedures.\u003c/p>\n\u003cp>The top medical schools are adapting slowly to these changes. Many schools are in the process of exploring which new skills should be taught to young doctors, either through the core curriculum or as an elective, and which are better learned as part of professional development. The American Medical Association recently doled out $11 million to about a dozen schools for new programs on the \u003ca href=\"http://www.ama-assn.org/sub/accelerating-change/index.shtml\">future of medical education.\u003c/a>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We need to have the emotional intelligence to understand how patients are really feeling.'\u003ccite>Alex Djuricich, University of Indiana\u003c/cite>\u003c/aside>\n\u003cp>\"We're grappling with this big question of what should be the job of the medical school in the 21st-century,\" said Lawrence Sherman, a New York-based medical educator \u003ca href=\"https://www.youtube.com/watch?v=YpSd5u_di9w\">and TED speaker\u003c/a>. \"We're still determining what the new skills should be, how they're taught and when they're taught.\"\u003c/p>\n\u003cp>KQED asked more than 20 doctors of all ages and specialties about the skill they wished they had learned (or learned about in more detail) in medical school. Some physicians wanted help understanding the new technologies; others saw benefit in focusing more on keeping their patients healthy, rather than just treating the sick. Here are their top picks:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Data Science and Statistics \u003c/strong>\u003c/p>\n\u003cp>A handful of physicians said they could benefit from a richer understanding of data science. It's not just businesses, but also medical practices and hospitals that are dealing with a deluge of data.\u003c/p>\n\u003cp>Top academic hospitals like Mount Sinai in New York are forging ahead with initiatives to \u003ca href=\"http://www.fastcoexist.com/3022050/futurist-forum/in-the-hospital-of-the-future-big-data-is-one-of-your-doctors\">collect data about a large patient population \u003c/a>and connect that to outcomes in order to understand disease and improve treatment.\u003c/p>\n\u003cp>\"Medicine is increasingly data-driven,\" said Michael Turken, an internal medicine resident at \u003ca href=\"https://stanfordhealthcare.org/\">Stanford Healthcare\u003c/a> and a graduate of UCSF's medical school. \"And yet, almost none of us is equipped to understand the data as fully as we should, as fully as we need to.\"\u003c/p>\n\u003cp>\u003cstrong>Nutrition and Disease Prevention \u003c/strong>\u003c/p>\n\u003cp>Do you regularly talk to your doctor about nutrition and exercise? If so, you're an anomaly. \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">According to recent polls\u003c/a>, fewer than 25 percent of doctors say they got sufficient education to give nutritional or fitness advice to a patient. In fact, the number of hours dedicated to teaching nutrition in medical school has declined in recent years.\u003c/p>\n\u003cp>\"We received two or three hours of instruction on nutrition in four years of medical school,\" said Amanda Angelotti, a UCSF medical school graduate and clinical systems designer at primary care chain \u003ca href=\"http://www.onemedical.com/\">One Medical Group\u003c/a>. \"Lifestyle diseases drive some of the biggest costs in healthcare and have some of arguably the biggest impacts on patients' lives.\"\u003c/p>\n\u003cfigure id=\"attachment_43352\" class=\"wp-caption alignleft\" style=\"max-width: 307px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png\">\u003cimg class=\" wp-image-43352\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png\" alt=\"Cardiologist Eric Topol says he would have benefited from ultrasound imaging training.\" width=\"307\" height=\"359\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png 449w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM-400x469.png 400w\" sizes=\"(max-width: 307px) 100vw, 307px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cardiologist Eric Topol says he would have benefited from ultrasound imaging training. \u003ccite>(Ed Uthman/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Ultrasound Training\u003c/strong>\u003c/p>\n\u003cp>Ultrasound imaging is now pervasive, but many doctors said they lacked sufficient training in medical school. Instead, they learned how to leverage the technology over time and on an ad-hoc basis.\u003c/p>\n\u003cp>Eric Topol, a cardiologist and the chief academic officer for Scripps Health, said \u003ca href=\"http://www.cnet.com/news/smartphone-ultrasound-device-hits-market/\">ultrasound technology has evolved in the past decade\u003c/a> to be portable and compatible with mobile devices. These days, he said, \"exquisite\" imaging can be achieved with a probe connected to a smartphone. \"But I need remedial training.\"\u003c/p>\n\u003cp>\u003cstrong>Information Technology 101 \u003c/strong>\u003c/p>\n\u003cp>Doctors are increasingly using technology in their practices, whether it's to record notes or store patient data in an electronic medical record. Some doctors are using the newest telemedicine tools to consult with patients online.\u003c/p>\n\u003cp>Mia Finkelston, a medical director and practicing physician at \u003ca href=\"https://www.linkedin.com/company/online-care-group\">Online Care Group\u003c/a>, said she wished she'd learned basic word-processing skills, and shortcuts such as how to copy and paste in different formats. \"It would have saved me time on so many levels.\"\u003c/p>\n\u003cp>\u003cstrong>Communications and Empathy \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_43355\" class=\"wp-caption alignright\" style=\"max-width: 347px\">\u003cimg class=\" wp-image-43355\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1.jpeg\" alt=\"Continuing medical education expert Alex Djuricich said medical schools are recruiting communications experts.\" width=\"347\" height=\"347\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-32x32.jpeg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-64x64.jpeg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-96x96.jpeg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-128x128.jpeg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-75x75.jpeg 75w\" sizes=\"(max-width: 347px) 100vw, 347px\">\u003cfigcaption class=\"wp-caption-text\">Continuing medical education expert Alex Djuricich said medical schools are recruiting communications experts. \u003ccite>(Alex Djuricich/Twitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The most effective doctors understand how to communicate with patients. That doesn't mean rattling off a diagnosis and sending them home. It requires picking up on the subtle indications that a patient has not understood something, or is too upset to take in information.\u003c/p>\n\u003cp>\"[We need] ways to sustain empathy and provide reassurance to patients,\" said David Scales, a resident physician of internal medicine from the \u003ca href=\"http://www.challiance.org/Main/Home.aspx\">Cambridge Health Alliance\u003c/a> in Massachusetts and a graduate of Yale Medical School. \"And that goes beyond trying to teach doctors how to be nice people.\"\u003c/p>\n\u003cp>Some medical schools do teach communications skills, but several graduates said the instructors were often senior physicians, rather than people with training or credentials. \"That's starting to change,\" said Alex Djuricich, the associate dean for continuing medical education at the University of Indiana. \"A lot of schools are looking to bring in communications experts. We need to have the emotional intelligence to understand how patients are really feeling.\"\u003c/p>\n\u003cp>\u003cstrong>Personal Finance\u003c/strong>\u003c/p>\n\u003cp>The average doctor today graduates with a massive $166,750 in medical school debt. Meanwhile, many doctors' salaries are dropping, \u003ca href=\"http://www.cbsnews.com/news/1-million-mistake-becoming-a-doctor/\">according to recent survey\u003c/a> from personal finance tool \u003ca href=\"https://www.nerdwallet.com/\">NerdWallet\u003c/a>.\u003c/p>\n\u003cp>It's now imperative that doctors learn to manage their money, or they risk drowning in debt. Several recent medical school graduates said they could benefit from some formal education about how to use the latest web and mobile tools to manage their finances.\u003c/p>\n\u003cfigure id=\"attachment_43353\" class=\"wp-caption alignleft\" style=\"max-width: 301px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png\">\u003cimg class=\" wp-image-43353\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png\" alt=\"Connie Chen, cofounder of Vida Health, said medical students need more exposure to management training. \" width=\"301\" height=\"350\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png 426w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM-400x466.png 400w\" sizes=\"(max-width: 301px) 100vw, 301px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Connie Chen, cofounder of Vida Health, said medical students need more exposure to management training. \u003ccite>(Josh Cassidy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Management and Leadership \u003c/strong>\u003c/p>\n\u003cp>Connie Chen, a San Francisco-based physician and entrepreneur with \u003ca href=\"https://www.vida.com\">Vida Health\u003c/a>, said physicians are often placed in leadership roles early in their careers. Even in their residency years, doctors have to run teams of interns, coordinate with other physicians and nurses, and align families around shared treatment goals, she said.\u003c/p>\n\u003cp>\"And yet there is almost no training on how to succeed in the working world,\" she said.\u003c/p>\n\u003cp>Chen said she would have benefited from basic management skills, such as providing feedback and motivating others, as well as tips on how to collaborate and manage projects. Cyrus Yamin, a Harvard Medical School graduate who now works at \u003ca href=\"https://healthy.kaiserpermanente.org/html/kaiser/index.shtml\">Kaiser Permanente\u003c/a>, said medical students could use training on how to lead a room full of people with different roles, experiences and emotions, especially in the trauma bay.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[\u003cem>Editors' Note:\u003c/em> I received a fantastic response questioning the premise of the article. It's from Chris Chen, a second-year resident in internal medicine at Massachusetts General Hospital: \"We all know 20 percent of patients consume 80 percent of healthcare resources and our energy as doctors: The old, the chronically ill, the functionally limited. But in med school, we spend 80 percent of our time on 20 percent of diseases, including a litany of esoteric rare disorders that are academically illuminating but most clinicians will never see in their entire careers. I don't need to know the enzyme defect in Fabry disease. I need to know how to manage dementia; to manage pain thoughtfully; to assess patient home safety. I suspect the biggest gap in 21st century medical training is a lack of old-school skills, and not high-tech coding.\"]\u003c/p>\n\n","blocks":[],"excerpt":"Medical schools are rethinking education for tomorrow's doctors, in light of dramatic changes in medical practice.","status":"publish","parent":0,"modified":1443123278,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1268},"headData":{"title":"Seven 21st-Century Skills Doctors Wish They'd Learned in Medical School | KQED","description":"Medical schools are rethinking education for tomorrow's doctors, in light of dramatic changes in medical practice.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Seven 21st-Century Skills Doctors Wish They'd Learned in Medical School","datePublished":"2015-09-24T19:00:38.000Z","dateModified":"2015-09-24T19:34:38.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"42815 http://ww2.kqed.org/futureofyou/?p=42815","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/09/24/seven-21st-century-skills-doctors-wished-theyd-learned-in-medical-school/","disqusTitle":"Seven 21st-Century Skills Doctors Wish They'd Learned in Medical School","path":"/futureofyou/42815/seven-21st-century-skills-doctors-wished-theyd-learned-in-medical-school","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In the past decade, the practice of medicine has transformed in a big way.\u003c/p>\n\u003cp>Today's doctors are jotting notes on an iPad, and navigating various electronic medical record systems. And payment models are shifting to reward physicians for improving patient outcomes, rather than for ordering expensive tests and procedures.\u003c/p>\n\u003cp>The top medical schools are adapting slowly to these changes. Many schools are in the process of exploring which new skills should be taught to young doctors, either through the core curriculum or as an elective, and which are better learned as part of professional development. The American Medical Association recently doled out $11 million to about a dozen schools for new programs on the \u003ca href=\"http://www.ama-assn.org/sub/accelerating-change/index.shtml\">future of medical education.\u003c/a>\u003c/p>\n\u003caside class=\"pullquote alignright\">'We need to have the emotional intelligence to understand how patients are really feeling.'\u003ccite>Alex Djuricich, University of Indiana\u003c/cite>\u003c/aside>\n\u003cp>\"We're grappling with this big question of what should be the job of the medical school in the 21st-century,\" said Lawrence Sherman, a New York-based medical educator \u003ca href=\"https://www.youtube.com/watch?v=YpSd5u_di9w\">and TED speaker\u003c/a>. \"We're still determining what the new skills should be, how they're taught and when they're taught.\"\u003c/p>\n\u003cp>KQED asked more than 20 doctors of all ages and specialties about the skill they wished they had learned (or learned about in more detail) in medical school. Some physicians wanted help understanding the new technologies; others saw benefit in focusing more on keeping their patients healthy, rather than just treating the sick. Here are their top picks:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Data Science and Statistics \u003c/strong>\u003c/p>\n\u003cp>A handful of physicians said they could benefit from a richer understanding of data science. It's not just businesses, but also medical practices and hospitals that are dealing with a deluge of data.\u003c/p>\n\u003cp>Top academic hospitals like Mount Sinai in New York are forging ahead with initiatives to \u003ca href=\"http://www.fastcoexist.com/3022050/futurist-forum/in-the-hospital-of-the-future-big-data-is-one-of-your-doctors\">collect data about a large patient population \u003c/a>and connect that to outcomes in order to understand disease and improve treatment.\u003c/p>\n\u003cp>\"Medicine is increasingly data-driven,\" said Michael Turken, an internal medicine resident at \u003ca href=\"https://stanfordhealthcare.org/\">Stanford Healthcare\u003c/a> and a graduate of UCSF's medical school. \"And yet, almost none of us is equipped to understand the data as fully as we should, as fully as we need to.\"\u003c/p>\n\u003cp>\u003cstrong>Nutrition and Disease Prevention \u003c/strong>\u003c/p>\n\u003cp>Do you regularly talk to your doctor about nutrition and exercise? If so, you're an anomaly. \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/06/23/your-doctor-says-he-doesnt-know-enough-about-nutrition-or-exercise/\">According to recent polls\u003c/a>, fewer than 25 percent of doctors say they got sufficient education to give nutritional or fitness advice to a patient. In fact, the number of hours dedicated to teaching nutrition in medical school has declined in recent years.\u003c/p>\n\u003cp>\"We received two or three hours of instruction on nutrition in four years of medical school,\" said Amanda Angelotti, a UCSF medical school graduate and clinical systems designer at primary care chain \u003ca href=\"http://www.onemedical.com/\">One Medical Group\u003c/a>. \"Lifestyle diseases drive some of the biggest costs in healthcare and have some of arguably the biggest impacts on patients' lives.\"\u003c/p>\n\u003cfigure id=\"attachment_43352\" class=\"wp-caption alignleft\" style=\"max-width: 307px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png\">\u003cimg class=\" wp-image-43352\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png\" alt=\"Cardiologist Eric Topol says he would have benefited from ultrasound imaging training.\" width=\"307\" height=\"359\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM.png 449w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.44.01-PM-400x469.png 400w\" sizes=\"(max-width: 307px) 100vw, 307px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cardiologist Eric Topol says he would have benefited from ultrasound imaging training. \u003ccite>(Ed Uthman/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Ultrasound Training\u003c/strong>\u003c/p>\n\u003cp>Ultrasound imaging is now pervasive, but many doctors said they lacked sufficient training in medical school. Instead, they learned how to leverage the technology over time and on an ad-hoc basis.\u003c/p>\n\u003cp>Eric Topol, a cardiologist and the chief academic officer for Scripps Health, said \u003ca href=\"http://www.cnet.com/news/smartphone-ultrasound-device-hits-market/\">ultrasound technology has evolved in the past decade\u003c/a> to be portable and compatible with mobile devices. These days, he said, \"exquisite\" imaging can be achieved with a probe connected to a smartphone. \"But I need remedial training.\"\u003c/p>\n\u003cp>\u003cstrong>Information Technology 101 \u003c/strong>\u003c/p>\n\u003cp>Doctors are increasingly using technology in their practices, whether it's to record notes or store patient data in an electronic medical record. Some doctors are using the newest telemedicine tools to consult with patients online.\u003c/p>\n\u003cp>Mia Finkelston, a medical director and practicing physician at \u003ca href=\"https://www.linkedin.com/company/online-care-group\">Online Care Group\u003c/a>, said she wished she'd learned basic word-processing skills, and shortcuts such as how to copy and paste in different formats. \"It would have saved me time on so many levels.\"\u003c/p>\n\u003cp>\u003cstrong>Communications and Empathy \u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_43355\" class=\"wp-caption alignright\" style=\"max-width: 347px\">\u003cimg class=\" wp-image-43355\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1.jpeg\" alt=\"Continuing medical education expert Alex Djuricich said medical schools are recruiting communications experts.\" width=\"347\" height=\"347\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-32x32.jpeg 32w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-64x64.jpeg 64w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-96x96.jpeg 96w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-128x128.jpeg 128w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/afe3d43342c389a2cbf6e5de66b16704_400x400-1-75x75.jpeg 75w\" sizes=\"(max-width: 347px) 100vw, 347px\">\u003cfigcaption class=\"wp-caption-text\">Continuing medical education expert Alex Djuricich said medical schools are recruiting communications experts. \u003ccite>(Alex Djuricich/Twitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The most effective doctors understand how to communicate with patients. That doesn't mean rattling off a diagnosis and sending them home. It requires picking up on the subtle indications that a patient has not understood something, or is too upset to take in information.\u003c/p>\n\u003cp>\"[We need] ways to sustain empathy and provide reassurance to patients,\" said David Scales, a resident physician of internal medicine from the \u003ca href=\"http://www.challiance.org/Main/Home.aspx\">Cambridge Health Alliance\u003c/a> in Massachusetts and a graduate of Yale Medical School. \"And that goes beyond trying to teach doctors how to be nice people.\"\u003c/p>\n\u003cp>Some medical schools do teach communications skills, but several graduates said the instructors were often senior physicians, rather than people with training or credentials. \"That's starting to change,\" said Alex Djuricich, the associate dean for continuing medical education at the University of Indiana. \"A lot of schools are looking to bring in communications experts. We need to have the emotional intelligence to understand how patients are really feeling.\"\u003c/p>\n\u003cp>\u003cstrong>Personal Finance\u003c/strong>\u003c/p>\n\u003cp>The average doctor today graduates with a massive $166,750 in medical school debt. Meanwhile, many doctors' salaries are dropping, \u003ca href=\"http://www.cbsnews.com/news/1-million-mistake-becoming-a-doctor/\">according to recent survey\u003c/a> from personal finance tool \u003ca href=\"https://www.nerdwallet.com/\">NerdWallet\u003c/a>.\u003c/p>\n\u003cp>It's now imperative that doctors learn to manage their money, or they risk drowning in debt. Several recent medical school graduates said they could benefit from some formal education about how to use the latest web and mobile tools to manage their finances.\u003c/p>\n\u003cfigure id=\"attachment_43353\" class=\"wp-caption alignleft\" style=\"max-width: 301px\">\u003ca href=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png\">\u003cimg class=\" wp-image-43353\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png\" alt=\"Connie Chen, cofounder of Vida Health, said medical students need more exposure to management training. \" width=\"301\" height=\"350\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM.png 426w, https://ww2.kqed.org/app/uploads/sites/13/2015/09/Screen-Shot-2015-09-23-at-4.46.57-PM-400x466.png 400w\" sizes=\"(max-width: 301px) 100vw, 301px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Connie Chen, cofounder of Vida Health, said medical students need more exposure to management training. \u003ccite>(Josh Cassidy/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Management and Leadership \u003c/strong>\u003c/p>\n\u003cp>Connie Chen, a San Francisco-based physician and entrepreneur with \u003ca href=\"https://www.vida.com\">Vida Health\u003c/a>, said physicians are often placed in leadership roles early in their careers. Even in their residency years, doctors have to run teams of interns, coordinate with other physicians and nurses, and align families around shared treatment goals, she said.\u003c/p>\n\u003cp>\"And yet there is almost no training on how to succeed in the working world,\" she said.\u003c/p>\n\u003cp>Chen said she would have benefited from basic management skills, such as providing feedback and motivating others, as well as tips on how to collaborate and manage projects. Cyrus Yamin, a Harvard Medical School graduate who now works at \u003ca href=\"https://healthy.kaiserpermanente.org/html/kaiser/index.shtml\">Kaiser Permanente\u003c/a>, said medical students could use training on how to lead a room full of people with different roles, experiences and emotions, especially in the trauma bay.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>[\u003cem>Editors' Note:\u003c/em> I received a fantastic response questioning the premise of the article. It's from Chris Chen, a second-year resident in internal medicine at Massachusetts General Hospital: \"We all know 20 percent of patients consume 80 percent of healthcare resources and our energy as doctors: The old, the chronically ill, the functionally limited. But in med school, we spend 80 percent of our time on 20 percent of diseases, including a litany of esoteric rare disorders that are academically illuminating but most clinicians will never see in their entire careers. I don't need to know the enzyme defect in Fabry disease. I need to know how to manage dementia; to manage pain thoughtfully; to assess patient home safety. I suspect the biggest gap in 21st century medical training is a lack of old-school skills, and not high-tech coding.\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/42815/seven-21st-century-skills-doctors-wished-theyd-learned-in-medical-school","authors":["3252"],"categories":["futureofyou_452"],"tags":["futureofyou_190","futureofyou_80","futureofyou_595"],"featImg":"futureofyou_42881","label":"futureofyou"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. 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