I’ve posted a recent med school lecture on some of the problems with medical education, how to learn medical care, and how to handle urgent medical conditions. I think you’ll like it.
Also has some more music from the album Tom Jolly and I put out in the mid-90’s.
Thanks for listening.
JY

Podcast: Play in new window | Download

In this podcast I begin the series of War Games Training cases. In conjunction with the information on the website (www.clinicalbraintraining.com) you can follow me as I go through the cases, explaining how the sessions can be conducted, and explaining my justification for grading and for which actions should be taken from walking into the patient’s room, to delivering the patient to the ICU.
Please let me know if this format is useful by commenting on the website, or by writing mail@clinicalbraintraining.com.
A little sax from a CD I recorded in the 90’s with Tom Jolly in NC is at the beginning and end.
Thanks.
JY

Podcast: Play in new window | Download

In this podcast I talk about measuring medical care, and determining whether you are doing it well or not. The pitfalls of measurement, and the gaming of metrics are also discussed.
JY

Podcast: Play in new window | Download

ICU patient presentations can be long, arduous, and filled with lots of data, and very little analysis and synthesis. I present a different model for critical care presentations that covers all the important issues, but demonstrates that the presenter is able to pick out important information, analyze and synthesize a response, plan and recommend treatment, and demonstrate the importance of follow up. It also stresses the important concept of risk reduction (removing lines, preventing stomach and skin ulcers, DVT prophylaxis, and activity) adds discussion of these issues routinely to every presentation.
I hope that people will listen and incorporate some of these principles into their current presentations.
JY

Podcast: Play in new window | Download

A recent graduate of the residency asked me to put down on audio what I tell people getting ready to take the surgery oral boards. Hope you find it useful. Others who have to take oral exams may find the advice helpful. Thanks for listening.
JY

Podcast: Play in new window | Download

PI is essential in any organization that provides care to patients. I describe the basic philosophy and some of the goals and pitfalls of PI efforts. I also tried to make it as interesting as possible. There’s also some original music from my old band Nightbreeze with Tom Jolly at the beginning and end. Thanks.

Podcast: Play in new window | Download

I talk about misperception of the patient’s true clinical state and how that is a significant cause of medical error. Also discussed are some strategies to avoid this problem.
JY.

Podcast: Play in new window | Download

This is a continuation of the case from last week. I discuss some points to consider in preparing for and treating patients in a multiple casualty incident. I also discuss the indications for, and the technique for performing a resuscitative thoracotomy in the ED.

Podcast: Play in new window | Download