KER UNIT

Key paper from our LUMC-Mayo Clinic's @KerUnit collab showing (a) shared decision making (SDM) present in about 90% of diabetes encounters and (b) how clinicians and patients dance across forms of SDM to make care fit ebm.bmj.com/content/early/… @MarleenKunneman @ihargraves

I am so proud of my team and awed by the work they do. Delivering the right care, at the right time, in the right place. And living by the @MayoClinic mission - the needs of our patients always come first.

Awards like this are only possible because of my many wonderful colleagues and collaborators over the years. A sincere Thank You to them all!

To learn more, support, and join this movement for care, visit patientrevolution.org @patientrev 12/12

In a world marred by war, incompetence, greed, and hateful intolerance, our belief in care may be naive. And yet, we believe that a radical commitment to care, for + about + with each other, and for our planet, is our compass out of this pandemic fog. 11/12

This will entail rehabilitating experienced but hurt clinicians and rekindling the motivation of compassionate people pursuing careers in healthcare, preparing them to care with both competence and compassion. And a radical shift in culture and policies. 10/12

A radical commitment to care and its re-humanisation is our compass out of this pandemic fog. This demands a stubborn, long hauled, and creative effort to eradicate cruelty, make time to care, and make healthcare services simpler, easier to use, and more respectful. 9/12

Importantly, it fails to address the fundamental problem with industrialised healthcare: the depletion of care. Industrial healthcare is not designed to support careful and kind care; the pandemic has shown us the need to act differently. 8/12

But more of the same will lead to healthcare that is increasingly dehumanised, transactional, generic, burdensome, and cruel. 7/12

Some see the way out of this fog as turning towards a higher tech, lower skilled, and even more industrialised healthcare. They see speeding up the flow of the production line as the answer to current healthcare challenges, such as ever rising demand and reduced resources. 6/12

Instead of a before and an after, a thick fog now envelops and disorients patients and healthcare professionals. 5/12

Covid-19 and its pandemic fog arrived as industrialised healthcare was reaching its apogee. A “new normal” was heralded beyond the covid-19 pandemic, but no threshold or dawn has become apparent in the transition from the pandemic to the post-pandemic world. 4/12

Industrial healthcare has exhausted caregivers and patients and morally injured, burned out, and spent clinicians, making it humanly unsustainable. 3/12

Relentlessly pursued, industrialised healthcare turns patients into widgets and clinicians into production line workers, the work of caring reduced to processing people through the system. 2/12

This thread excerpts the article I co-authored with @DrDominiqueAllw titled, “Careful, kind care is our compass out of the pandemic fog” published in @bmj_latest 1/12 @patientrev

I am truly honored for this recognition by @Chabad - a community defined by generosity, compassion, and love for all people. It is up to each of us to bring light into the world, dispelling the darkness, one day and deed at a time

This just out in open access: Shared decision making as a method of care (includes description of four different forms of #SDM that clinicians use in practice to respond to patients’ problematic situations) ebm.bmj.com/content/ebmed/….

I was asked to prepare a very brief introduction to GRADE for new members of a WHO guideline panel. The 11.5 minute result could be useful for any guideline group wanting to give their panel members a brief bird’s eye view of the GRADE process. vimeo.com/779978267

@KerUnit at #DIScience22 bringing work on the implementation of #SDM in #EHR and clinical workflows. @AcademyHealth @NCI_ImplSci

I am deeply grateful for the honor and privilege of being awarded the @CityofRochMN Mayor’s Medal of Honor this year for my community paramedic team’s work bringing health, healing, and hope to our community and especially the most vulnerable 🙏❤️