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Category Archives: Neurology
Neurology Institute Presentation – Video
An overview of the services provided at the Neurology Institute.
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Neurology Institute Presentation - Video
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Myopia, the most common refractive error, has a prevalence of 10-30% in Western countries, but as high as 80% in Asia
Myopia (nearsightedness), the most common form of refractive error, has a prevalence of about 10-30% in most Western countries, but this figure is as high as 80% in parts of Asia. Furthermore, myopic refractive error is likely to progress during school years, and maintaining appropriate spectacle correction requires regular services for children in these age groups.
A study of self correction of refractive error among young people in rural China showed that although visual acuity was slightly worse with self refraction than automated or subjective refraction, acuity was excellent in nearly all these young people with inadequately corrected refractive error at baseline. Inaccurate power was less common with self refraction than automated refraction.
Self refraction could decrease the requirement for scarce trained personnel, expensive devices, and cycloplegia in children’s vision programs in rural China.
References:
Self correction of refractive error among young people in rural China: results of cross sectional investigation. BMJ 2011; 343 doi: 10.1136/bmj.d4767 (Published 9 August 2011).
Nearsightedness (myopia) becoming more frequent, affects 42% of Americans
Correcting refractive error in low income countries. BMJ 2011; 343 doi: 10.1136/bmj.d4793 (Published 9 August 2011).
Image source: OpenClipArt.org.
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Any difference between a Mac and a PC?
Permanent link to this comic: http://xkcd.com/934
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"Medical systems are made of holes and stacked like slices of Swiss cheese"
From the NYtimes:
"In 2000, the British psychologist James Reason wrote that medical systems are stacked like slices of Swiss cheese; there are holes in each system, but they don’t usually overlap. An exhausted intern writes the wrong dose of a drug, but an alert pharmacist or nurse catches the mistake. Every now and then, however, all the holes align, leading to a patient’s death or injury."
We have to fix the systems.
References:
The Phantom Menace of Sleep Deprived Doctors. NYTimes, 2011.
Image source: OpenClipArt.org, public domain.
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Best Practices for Social Media Use in Medical Education
This is a video presentation and summary by one of the best medical bloggers, Mike Cadogan of Life in the Fast Lane:
The Cycle Of Social Media In Medical Education he mentions is based in part on my concept of TIC, Two Interlocking Cycles for Physician and Patient Education.
Dr. Cadogan asked me for feedback on a few questions that he used to prepare the presentations a few weeks ago. The answers are listed below:
1) What are your TOP 3 TIPS for the intrepid doctors starting out on their social media crusade?
1. Post 3 times a week. Schedule posts in advance. In reality, 95% of medical bloggers probably quit within one year.
2. Use your blog to collect interesting ideas and share/comment on health news.
3. Write some original content, if you can, but if you don't have time, that's OK. You have a more important job as a physician in real world.
2) What are your TOP 3 TIPS for WHAT NOT TO DO on this crusade?
1. Don't disclose patient information.
2. Don't offend people.
3. Don't be unprofessional. If you use your real name, it's better to let your employer know about your social media activities. It's OK to start an anonymous blog/Twitter account to test the waters.
3) What are the top 3 benefits YOU see for the role of social media in medicine?
1. Provide expert info on health news and diseases. You, as a doctor, are the one who actually knows what he is talking about - if you stick to your area of expertise.
2. Collaborate with like-minded people.
3. Gather feedback (including critical feedback) for your ideas.
4. Grow your practice by providing high-quality actionable info to patients.
4) What (in your opinion) are the MOST USEFUL 'platforms/apps' in the social media revolution (e.g. Twitter, G+, Slideshare, Facebook, etc.)?
1. Start a blog.
2. Get useful feeds in Google Reader.
3. Share ideas and communicate on Twitter and Facebook.
Speaking from personal experience, I've started more than 30 blogs and still keep around about 7. It's important to find a purpose for your blog and other social media activities. If you don't enjoy it, you will stop eventually. Set limits and respect other priorities. Your family and your patients come first, blogs and social media are a distant second - if you spend most of your time in clinical medicine, of course. Stay away from trolls and online personas looking to start a fight. Ask for help when you need it.
References:
The Social Media Conversation
Social Media In Medical Education
Why blog? Notes from Dr. RW. A perfectly reasonable list. All doctors should consider blogging. It's do-it-yourself CME.
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MedStudy Neurology – Video
This is an excerpt from the 2011 MedStudy Video Board Review of Pediatrics. For more information please visit http://www.medstudy.com
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MedStudy Neurology - Video
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