Caleb Scheckel

Reflections Day 3

I think some time devoted to Gwen’s presentation on interprofessional teams is warranted. Just thinking of my own medical school experience, I really didn’t get much in the way of training as to the various members of a healthcare team and how to best leverage the individual skills and training to help patients. I think these knowledge gaps lend themselves to interprofessional tension and frustration as unrealized expectations inevitably occur. And from having supervised other junior physicians and observing their actions and interactions I think my experience was not unique.

Where I’ve seen the most interprofessional tension is between physicians and nurses. Some physicians see pages by nursing as a bother and see the issue reflective of differences in training. I’ve witnessed physicians ridicule nurses for their ‘dumb’ or ‘idiotic’ questions. Sometimes this is an internalized sentiment, sometimes this is a broadcasted feeling to colleagues or the nurse their self.… Continue reading

Reflections Day 2

So many powerful discussions today. To focus on one seems a disservice to the others. Be it the self-imposed deception of a ‘routine’ hospital encounter or the exceptional testimony of the panel of family of victims of medical error, it truly was a humbling day as a medical professional.

The session on caring for the caregiver and the fishbowl discussion afterwards was exceedingly important. I was really moved by the case that was shared and how the medical system failed to rally around this physician and help her heal. Even when a health system does not try to fire the physician on their path towards safety, the collateral damages to a healthcare provider’s life can be enormous. In this case it derailed a career. The humbling part for me is, had I been the physician taking care of that patient I would have responded the exact same way she did.… Continue reading

Reflection from Day 1

Thinking on the sessions we heard today there are so many I could reflect upon. Actually, the very notion of reflection warrants its own attention. Listening to Gwen’s presentation I was struck by the intentionality of reflection. This is not something that comes naturally and demands concerted effort. When I think of a typical day in the office of seeing patients, we do not really carve out time for reflection on the day or a particular patient encounter. In fact, the end of the day is more marred by wrapping up the documentation, making it in time to the karate lesson, or a million other things that we need to get work ‘over with’ so we can move on the rest of the day. But what are the consequences of not reflecting? How do trainees conduct a daily debrief to support the wellbeing of the collective?

My own personal experience… Continue reading

My AELPS Aspirations

I still remember it clearly. It was the beginning of my 2nd month of intern year. An elderly gentleman was admitted with a heart failure exacerbation. We had adjusted his medications and were able to successfully diurese him back to the point where he was comfortable discharging home. Two days later he’s back on our hospital team. I went and talked with the patient and said “What happened? We had a good plan in place to keep you thriving out of the hospital?” It turns out I was the problem. I had made a mistake when reconciling his medications in preparation for discharge and he tipped back into heart failure. I was so embarrassed but my attending at the time said “You can make mistakes and still be a good doctor. But you need to go and be honest with the patient that this is on you.” So I… Continue reading

AELPS 2022 Dates

BRECKENRIDGE, COLORADO:
- CMF Scholars (Week 1)*: 6/5/22 - 6/9/22
*Session exclusive to COPIC Medical Foundation Residents.
- Sorrel McElroy Scholars (Week 2): 6/12/22 - 6/16/22
 
ELLICOTT CITY, MARYLAND:
- Bennathan Scholars (Week 3): 7/19/22 - 7/23/22
 
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