Tuesday, August 24, 2010

Galena, IL

While at family beer and liquor in East Dubuque, IL I received a recommendation via voicemail to head to Galena, IL 20 miles down the road. What a great idea! Galena is an old Lead mining town with an old fashioned main street. I am sitting now in e new but classy Rendezvous coffee bar (with free wifi). I will attach pictures once I am home, but this place is very cool. Charcoal drawings courtesy of the owner adorn the wall, old style furniture, and expensive But tasty coffee. Dinner lies ahead!


One of the oddities of this trip is an opportunity to dine alone. Given a challenge I received recently to "eat, sleep, or do something significant" in all 50 states, I am heading to Wisconsin for dinner. I have family in Madison, but that is a bit far for the evening. Instead, at the recommendation of the nurses at the clinic, I set my sights on Potosi. That's
Right, Potosi, Wisconsin, population around 700 and home of the Old Potosi brewery.

The dinner was delicious,and I recommend the Beglian WIT to anyone travelling through. This is two nights in a rowof dining outside, and two nights of swatting flies. The country drives are beautiful... At least in the summer.

Journal from the road 2, Iowa

First disclaimer.. There will be three posts in a row dated today, but I promise they are representative of the last few days. Also, blame all typos on the iPad keyboard with its no feedback keyboard.

So I am in Iowa. This is the result of a negotiation with a mentor and a great opportunity. As you may have figured out by now, I endeavor to disrupt and improve primary care through redesign and entrepreneurship. I am here in Dubuque, IA, the city by the river, to spend time studying the practice of a known innovator. Look for the summary piece in the SGIM Forum October edition. While not at the clinic, I have had some time to explore.

On arrival, my lovely hosts picked me up at the airport in their sweet Audi convertible and we drove first to their home with a great view of the hills and onto downtown where I will be staying. We stopped for dinner at the Star brewery on the Mississippi river for dinner. The river is a bit different all the way up here. I am tempted to send a message in a bottle to my old home at the other end of it.

Chris and Tom are wonderful hosts, showing me around and sharing the history of this storied town, which they themselves moved to from Wisconsin. For those not up on their Hawkeye geography, Dubuque is nestled right up against Wisco and Illinois. Tonight I sleep in my temporary home, borrowed from a kind friend of a friend.

Wednesday, August 18, 2010

Journal from the road (train)

My residency has kindly granted me a few weeks time dedicated to my Area of Concentration (AOC), usually time to do research or another scholarly pursuit. As usual, my interests are a bit different than everyone else, and so I have been using this time to travel and learn from a physician-entrepreneur in the world of primary care redesign. We have met with venture capitalists, union leadership, large corporations and we are currently on the way to meet with a health plan (hence the train). All of it is fascinating.

A recurring theme of all of these meetings is that health care is a big problem, redesigning primary care is the start of the solution, and there is now interest in being a first mover.

More from the road!

Thursday, August 12, 2010

On medical education

As part of the traveling during my AOC research time I have had a chance to continue/catch up on some reading. In this case, in one of the final chapters of The Innovator's Prescription, I can across this gem:

Two different faculty groups have emerged at most medical schools... Members of e science faculty teach the first two years of science courses, and typically conduct leading edge, NIH-funded research in the fields in which they teach. The clinical faculty members teach the bedside art of diagnosing and treating patients in the third and fourth years. Because the faculty are different, and because of student limitations as to how well they can retain what they learn, some of what is taught in the first two years, though deemed important by the faculty, is seldom if ever used in clinical practice... In other words, the first two years in these medical schools are not and efficient experience.

I am proud to have attended a medical school that recognized this basic issue and worked like crazy, even through certain destruction from natural disaster to improve this model.

Schutzblog from the iPad

Quite an impressive little device, especially considering that it will help accomplish what no one or thing ever has before... Schutzbank doing research! Any word on an OS4 release date? I am already finding needs to multitask.