role models

I can’t let my patients see

I almost broke down in the theater tonight.
I fought back tears as the main character tried to navigate a confusing, capricious world.
I fought back tears when his parents argued about how best to care for him.
I fought back tears as he bravely sought answers to tough questions.
I almost broke down in the theater tonight.

I started an elective in Palliative Care last week.
I remained supportive but stoic as my patients tried to navigate a confusing, capricious existence.
I remained supportive but stoic when their families worried how to best care for their loved ones.
I remained supportive but stoic as they bravely sought answers to tough questions.
I started an elective in Palliative Care last week.

I almost broke down in the theater tonight.
I can’t let my patients see.

It’s the only model I have learned.
This is how a doctor behaves.

Right?

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“Follow me: I’m a role model”

Source: Keepcalm-o-matic.co.uk

Though significant improvements to health can be achieved through policy change (making healthier choices the default option) and through the smart use of behavioral economic principles (like rewards and incentives), many health promotion programs suffer from an inherent bias: they primarily help only those who are ready to help themselves. People who are “pre-contemplative” and not yet considering behavior change are overlooked.

This is a troublesome situation. Any program or organization committed to health should make a conscious effort to “recommit to serving the most vulnerable” people, as Project Renewal recently did. By constantly striving to reach the toughest and most recalcitrant of cases, we as a society will avoid the complacency and poundage associated with simply “cream-skimming.”

How can we realize this goal? (more…)