Summary Of Cowboys And Pit Crew By Atul Gawande

These APPE sites expose students to innovative healthcare delivery systems and treatment protocols. The majority of the sites are located in various areas of California, representing various segments of the general society, including medically underserved areas. Throughout the APPE curriculum, students will be exposed to diverse patient populations. Students will be expected to deliver evidence-based care to patients of diverse cultural, economic, geographic, and/or disease state-related backgrounds. Most APPE rotations will have a focus on interprofessional interaction and practice. Students are expected to collaborate with other healthcare team members to deliver evidence-based, patient centered care. As part of their professional development, students will have to provide

I strongly believe that becoming a physician mean a moral duty to help people who are less fortunate. As an undergraduate, my goal is to gain as much experience as possible in a clinical environment to prepare myself for the real world.

A major healthcare concern is making medicine available to those who are impoverished and live in underserved areas. I grew up in Gloversville, New York, a medium sized town that was at one point considered the most impoverished city in the state. Growing up in this region has given me understanding of what life is like in underserved areas. I 've witnessed first hand, the difference in opportunity between myself and students coming from a more urbanized background. It is easy to empathize with those who do not receive proper treatment due to demographic disadvantages. Growing up in an impoverished town, I make it my goal to give back and serve communities much like the one that I grew up in. Moreover, another aspiration of mine is to frequently

Ever since I can remember, I have had an interest in science. As a young child, I read anatomy books to learn about human physiology in my pastime. As I grew older, I watched instructional videos of procedures that physicians perform on patients that I used as an educational tool. The books and videos fascinated and motivated me to pursue a career in medicine. The thought of me becoming a doctor and attending to the needs of others is gratifying. My ability to investigate the source of an illness, empathize with patients, think critically and employ a treatment plan for a person 's ailments, intrigues me. The ever-present nature of health problems in my family made me realize that as a doctor I could treat the sufferers of pain and disease, and heal them so that they become stronger and healthier individuals.

I readjusted my grip on the saw and started again, not pushing so heavily that time around. The saw cut through the wood almost effortlessly. I carved through the last of the block and dusted off the misshapen lump that would soon be my pinewood derby car.

I would like to conduct my medical career in a setting that converges between urban and rural settings. My parents brought their strong work ethic from Ghana, cultivated on their family’s farms, to Austin, Texas where it was critical in encouraging my own desire to work in close contact with a diverse population of patients. My experiences in the communities I’ve lived in and health care have provided me with the insight to work within both types of areas. My most prominent experiences in health care have come from working in clinics that serve underserved populations. Even though these experiences were in dense urban populations, the one-on-one interaction there reminded me of some of the intimate clinics that I shadowed in rural areas of the Solomon Islands, where I worked on a communication for development project focused on helping local governmental and non-governmental organizations improve awareness of health issues to the indigent

This program offers me the ability to be responsible for a patient on a week-to-week basis. I have had three patients during my two years as a health coach. One patient unfortunately discontinued because of health concerns, but the first patient I was responsible for graduated from the program because he regained his health and did not return to the ER during my time with him. My current patient is on hospice and was told he had two months to live about two years ago. I serve as an extra support system for my patient and his wife. One of my favorite aspects of being their health coach is just simply talking with them. Learning about their lives fascinates me and helps me with learning to converse with patients while extracting information. I’ve learned that having a simple conversation, and being interested in learning about the patient is an important tool in building a good rapport. My patient loves to talk about his time in the Army, and all the places he was able to visit while in the service. It is important to gain their trust so that they are more likely to adhere to their medical plan. Health coaches has exposed me to the clinical side of treating chronically ill patients and the importance of working with an interdisciplinary healthcare team. This team allows us to give the best care for patients through multiple aspects of healthcare. This program has shown me that I belong in this career

Pit pat. The sound of rain was all Rob could hear. Rob was an archaeologist who was driving to British Columbia. Rob was looking for a lost staff. He stopped and pulled over to the side of the road. He was at the spot where you had to hike up the mountain. There was just one problem: there was no path. Rob realized he had to hike and cut his own path through the forest.

Now I don’t want to go into “just medicine.” I want to go into pediatric medicine, and that is all because of one little boy. I have not always been interested in medicine. I jumped around a lot vis-à-vis careers. I went from lawyer, to teacher, and more. But medicine has always been something that fascinated me, although I never really considered it till a few years ago.

As far as I can remember, I aspired to be a pediatrician. Now, I believe that I have the capacity and commitment to fulfill my dream. LaBeouf’s words empower me through every difficult assessment/task in pursuit of my goal. His words remind me that I am

My years of service have taught me the compassion and kindness that form the foundation of the doctor-patient relationship. They also allowed me to gain insight into what comforts people when they are most vulnerable. For example, I was lucky enough to meet one of the children who benefitted from an operation funded by my organization, which touched me. The feeling of seeing the product of my efforts to help others was incredible and left me hungry for more. As a community advocate and close friend to those with whom I work with, I greatly value the role of communication in facilitating my work with

I shadowed a physician, a PA, and a nurse practitioner and observed the collaborative effort for the care management of patients with complex health care needs.

To build any effective collaborations contributions from individuals (both the provider and receiver or care), teams (medical care team and support group comprising family and friends) and organisations are crucial (Gilbert, Yan, & Hoffman, 2010). Individual (patient) can be empowered to make a meaningful contribution by improving their healthcare awareness through health education programs at school or in communities. Such programs should include aspects of general health literacy, improving self-care and disease management skill through training programs, and enhancing communication skills that can lead to participation in decision-making process, making them aware of the importance of adherence to prescribed medications. Such initiatives can help to prepare the patient for fruitful interactions with medical care professionals and organisations. Care providers or the team (medical care professional and family) should work in partnership with the patient and deliver care responsive to the needs and expectations of the patients. Medical professionals including doctors and nurses must make sure that the understand patient’s competence and involve them in the planning and management of their care and treatment and provide them support to make informed decisions about their care and treatment options (Aase, Hansen, Aase, & Reeves,

Consequently, I resolve to dedicate my career to one of service in and out of the clinical setting. Throughout my education and life experiences, I have grown to uphold the complexities of human life, especially in its developmental stages. I, like every person, was born furnished with unique faculties that required a nurturing and healthy environment in order to flourish. I was born into a modest family in Ghana, and although I was not raised in poverty, my parents worked arduously to ensure that our basic needs were met. Due to a sequence of fortunate events, I was able to access opportunities in the United States that molded and shaped my personal values. I stand as a testament to the importance of investing in the younger generation, regardless of background. Unfortunately, a significant percentage of my peers and younger people in my hometown can usually only imagine such opportunities. I intend to ameliorate this situation by establishing a medical practice in my hometown, which is a rural village among a collection of other communities. This facility, in collaboration with a library and a cultural center, will work in a network that will provide quality healthcare, mentorship, global exposure, and education especially to the younger generations. As a result, they will be able to access opportunities to develop their unique abilities and passions in a nurturing

Collaboration is described as “a process of common work with acceptable goals and philosophy, while the comprehension of particular characteristics of the individual is essential” (Dimitriadou, et al., 2008 p.141). Collaboration requires a group to be formed, which is “a human communication system composed of three or more individuals, interacting for the achievement of some common goal(s) who are influenced by each other” (Arnold & Boggs, 2016, p.136), which can be classified as a “health care team”. A health care team is not just nurses working together for a patient, it includes other health members, such as doctors, physicians, occupational therapists and more. This is due to the fact that a patient may have needs that involve more than one health profession. Collaborating with colleague’s through a health care team requires skills, that each occupation in the health care field must have. To ensure that the health care team is working efficiently, the members must communicate to each other, and work together to provide the best for their patients. Each member in the group, works together to achieve the same common goal, by following the group norms “unwritten behavioural rules” (Arnold & Boggs, 2016, p.138). This quality is important in the discipline of nursing due to the fact that this profession is based on providing the best, most efficient care toward the patient, that provides them with the best health