As this Post Graduate Year 39 draws to a close, I have a few minutes to think ... before I resume my Critical Care Duties at 8 AM on Monday, June 25, 2012. Next week will close PGY 39 and open PGY 40 ... the significance of which is ... to be determined. However, there are some absolutely predictable events because the most experienced residents will move up a notch and the new interns will come in to start from scratch. That means, the burden on the faculty will increase as soon as the shift takes place.
From my perspective as a "player-coach" in the front lines of the Critical Care arena, this is the most challenging time of the year. This is the peak of "trauma season" for many reasons, not the least of which include warm weather, increased outdoor activities, increased tourism (more population at risk), recreational drug/alcohol use and many more ... combine that with the weakest house staff and things can get a bit ... difficult, or worse.
On the larger front, it is time to take inventory ... to look at the year and make plans for the future ... which will include working at Geisinger in Danville, PA. This will start in Critical Care and we will see how things go from there.
As I transition out from WVU and into Geisinger, I will do my best to develop some links between the two. But, things like this are not predictable, as Monster Institutions have their own ways of doing things ... for better or worse. They say that Geisinger is an "institution with a heart" ... we shall see. I have completed "orientation" there, and, so far so good. Everyone has been extremely helpful to facilitate the usual credentialing and other preliminary nonsense. Orientation is always disturbing ... with lots of time wasted. But, minimal time waste was noted at Geisinger. By accident, or design ... one can hope by design ... it was mostly one on one, so my specifit concerns could be addressed as we went through the formalities of each "required" piece. I am optimistic about Geisinger and hope this is a place worthy of my efforts to optimize patient care in as dictated by the Hippocratic Oath.
My efforts to set up The Non-Profit Doctor-Patient Cooperative, will continue. David Mascia and I expect to launch this by the end of 2012. We have a few tentative board members lined up, but there will be room for more on the Board of Trustees and Founding Members list.
From the largest perspective, who knows what the future will hold.
Enjoy your day and days, have fun and be careful out there. LEAD with your HEART and DRIVE with your BRAIN!
Life is Love™© so StepWisely®™©
Love and Good Fortune to ALL.
To be continued ...
Dr. Mike
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