Children's Healthcare

Flashback to Knoxville, spring of 2012

Speaking at Social Slam 2012 in Knoxville, TN

I am very embarrassed that I neglected to post this video before now. As many of you know I was a speaker last spring at Social Slam 2012 in Knoxville.

I promised to show you the video of my talk. Hmmm…

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on the art of reflecting

I must say I am a bit disappointed. I anticipated that my last post would have generated millions of comments, or at least a couple. I was anticipating posting your thoughts and insights into the process of reflection. Oh well, such is the plight of the blogger. They say fewer than 1 per cent of readers ever leave a comment. I guess “they” are correct. So, in case you missed it, I asked you to look at five photos of sunsets. They were basically of the same scene from my vacation, but taken under varying conditions.

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reflections on reflection

As I have written recently, I am working with the pediatric residents on enhancing professionalism in our practice of pediatrics. Part of this entails the process of reflecting upon situations or cases that exemplify issues which either pose a challenge to one of the pillars of professionalism, or have presented personal challenges in response to difficult situations.

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what's the big deal about budget season?

Those of you who know me in person may have detected a bit of increased tension over the last few weeks. I find I am not as fun to be around as usual. I am probably scowling more than I am smiling. I have frequent headaches.

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a first step toward humanism

I have become rather obsessed lately with how to facilitate the development of professionalism in physicians.

Humanism is important in medical practice, and is included as a component in most definitions of medical professionalism. A healthcare practitioner who acts humanely thinks about the person under his or her care in a holistic manner, and behaves accordingly. Such a practitioner considers multiple perspectives and includes the patient and family in the decision-making process, identifies where the patient's perspectives might conflict with his own, or with societal norms and values, and finally acts in a way that puts the patient's perspectives and values first.

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the worst case

This is the first "story" in my intermittent ongoing series on child abuse, sometimes called "child maltreatment"  or "non-accidental trauma." I have found this one very difficult to write.

I have been working on it for over two weeks, although it has been begging to be written for over two decades.

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learning to walk

My babies were delivered the third week of June. They spent two weeks getting fed a variety of information, most of which they have probably already forgotten. Then, on Monday, July 2, they began their three-year journey toward becoming the world’s best pediatricians.

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how to comment on a blog

I routinely have folks approach me in the halls, or through my email inbox with comments about my blog. When I ask them why they don’t write a comment on the blog page, they look at me as if I have asked them to light themselves on fire. What? Me? I can’t comment on your blog! I am not ___ enough (insert any adjective you like, I have heard them all). Really? Some people also think that the blog will yield up too much information about them. Not this blog. So I thought I would take a few minutes and offer advice for first-time commenters.

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Have you ever wondered how some people face terrible adversity in their lives and just seem to be able to pick themselves up and start all over?

Do you think these folks are less affected by their adversity than others? Are they less “emotional”?

Well, I have been thinking a lot about resilience lately, and thought I would share some of my thoughts. Those of you who have been reading this blog for a while know that I often take inspiration for my posts by reflecting upon observations I make of birds in my back yard.

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my babies are coming

Well, you and I both know they aren't really babies, but they will feel like my children for the next three years--and probably for the rest of my life. Our first pediatric residents arrive on Monday, June 18.


They will spend two weeks getting oriented and acclimated to their new "home" and will start working as physicians on July 1 or 2. Today I received their blackberry numbers and their photos. They all have institutional email addresses. Most of them probably don't know this information yet. I am so excited I can barely contain myself.

I see this time as a "coming of age" of our pediatric program.

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