tag:blogger.com,1999:blog-14184878.post3108349380836691312..comments2023-10-15T10:29:12.991+01:00Comments on Karyn's erratic learning journey: Managing expectationsThe upsychohttp://www.blogger.com/profile/06345558899662051670noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-14184878.post-84806345050327288482007-10-11T09:19:00.000+01:002007-10-11T09:19:00.000+01:00Sounds like Mark Oehlert's natural element!Sounds like Mark Oehlert's natural element!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-14184878.post-6529523627695089032007-10-11T02:11:00.000+01:002007-10-11T02:11:00.000+01:00You hit the nail on the head, Karyn. The cultures ...You hit the nail on the head, Karyn. The cultures & tribes in the medical field all do their own thing, and the surgeons are the ruling caste. <BR/><BR/>I was previously employed as a Hospital Administrator and one of the reasons I left was because I could see no way to make any real changes unless I was a doctor. A great book that shows why the aviation industry is so accident free while the medical field is filled with accidents and problems is Kim Vicente's "The Human Factor". <BR/><BR/>It's all about culture.Harold Jarchehttps://www.blogger.com/profile/11462304722726586155noreply@blogger.comtag:blogger.com,1999:blog-14184878.post-43614735968293212562007-10-10T10:11:00.000+01:002007-10-10T10:11:00.000+01:00Sounds like a great model, Harold. However, I woul...Sounds like a great model, Harold. However, I would like to see it extended to include the surgeons. <BR/><BR/>Our (admittedly limited) experience is that the surgeon is often treated like some sort of deity, and everything is geared to suit him/her, with the patient seen as the life support system for the pathology. I would like to see a model which places the patient in the position of customer, and the surgeon as service provider, with everything (as far as is practical) being geared to suit the customer.<BR/><BR/>Perhaps it's like that in private clinics - on this occasion (long story), we were forced to go the National Health route.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-14184878.post-22551193909287691862007-10-06T16:08:00.000+01:002007-10-06T16:08:00.000+01:00The medical profession is still predicated on a de...The medical profession is still predicated on a delivery and acute care model, kind of like the education & training field. <BR/><BR/>Several years ago I worked with a healthcare region in Quebec that was moving to the McGill Nursing Model. The previous models had been disease-centric and later patient-centric, but the McGill model is learning-centric, and it is focused on using the patient's entire network to learn about one's health and take control.<BR/><BR/>There isn't much info available on the Web, but here is an abstract:<BR/><BR/>"According to the model, the central goal of nursing is to maintain, strengthen, and develop the patient's health by actively engaging him or her in a learning process. Because health is a learned phenomenon and the family is considered the primary socializer in this learning, the family is the focus of nursing. The nurse strives to structure a learning environment that enables the patient to participate as fully as possible. The nurse and patient together set goals and, building on the patient's strengths and resources, devise means of achieving them."<BR/><BR/>As Churchill said, "First we shape our structures ... Then, our structures shape us"Harold Jarchehttps://www.blogger.com/profile/11462304722726586155noreply@blogger.com