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How to Raise a Creative Child – Step One: Back Off (2016)

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Re: How to Raise a Creative Child – Step One: Back Off (2016)

#141
post #112

Earlier quoted context omitted.

Maybe I'm biased because I'm a no-name physician at a community hospital, but the "best doctors" in my eyes are the ones with the best outcomes, lowest utilization, highest efficiency and highest patient satisfaction. These measures don't correlate well with the physician's credentials. I learned this in residency, which I did just down the street from a "top" university hospital. We out-performed that place on every…

What's ECMO?

https://en.wikipedia.org/wiki/Extracorporeal_membrane_oxygen...

Re: How to Raise a Creative Child – Step One: Back Off (2016)

#142

In adulthood, many prodigies become experts in their fields and leaders in their organizations. Yet only a fraction of gifted children eventually become revolutionary adult creators. My daughter is being treated for Leukemia by some amazing doctors at Boston Children's Hospital. To my knowledge, none of the health care professionals at this world-class institution have won Nobel Prizes in medicine. All the same, for…

Maybe I'm biased because I'm a no-name physician at a community hospital, but the "best doctors" in my eyes are the ones with the best outcomes, lowest utilization, highest efficiency and highest patient satisfaction. These measures don't correlate well with the physician's credentials. I learned this in residency, which I did just down the street from a "top" university hospital. We out-performed that place on every…

  the "best doctors" in my eyes are the ones with the best outcomes,
  lowest utilization, highest efficiency and highest patient 
  satisfaction. 
As a lay-person, how can I tell which institutions or doctors have the best outcomes, and patient satisfaction? How can I make smarter choices about where I take my family for medical help?

  I think those are the best doctors and it's what I'm striving to be.
As a doctor, how do you measure this? How do you know you're becoming better and in which areas you need to focus?

Also, have you seen this article? It might interest you: http://www.newyorker.com/magazine/2011/10/03/personal-best

Re: How to Raise a Creative Child – Step One: Back Off (2016)

#143

In adulthood, many prodigies become experts in their fields and leaders in their organizations. Yet only a fraction of gifted children eventually become revolutionary adult creators. My daughter is being treated for Leukemia by some amazing doctors at Boston Children's Hospital. To my knowledge, none of the health care professionals at this world-class institution have won Nobel Prizes in medicine. All the same, for…

I'm sorry for the awful situation but I'm glad her doctors are doing good work and helping her.

I wish her, you, and the rest of your family the best.

Re: How to Raise a Creative Child – Step One: Back Off (2016)

#144

Earlier quoted context omitted.

The problem for me, and perhaps many others, is that the "smart" are sorted out early and carted out of regular classrooms. If you miss the boat it gets substantially more difficult, almost impossible, to get back on that track. I remember my parents trying to get me into advanced classes in sixth grade but the school rules said it needed to be done by third grade. I couldn't skip a year either, it was too late. The…

So it's their failure and not yours? I have a comparable story; dropped out of school at 15 and didn't touch education since (>15 years ago now), then spent a few years high and drunk: but I'd learnt perl from the camel even before then. What do you think you are owed? If i hadn't read k&r or learning perl by myself I should then blame my teachers who hadn't read them either? Most of the best folk I've worked with fo…

You're making a false dichotomy.

Yes, you are personally responsible for your own circumstances and society isn't going to take care of you if you don't work.

However, it's also incredibly shitty that society let you down enough at 15 to stay "high and drunk" for several years, which, for most kids, doesn't turn out well.

There's enough blame to go around. Taking personal responsibility and blaming the system aren't mutually exclusive.

Re: How to Raise a Creative Child – Step One: Back Off (2016)

#145
post #141
post #112

Earlier quoted context omitted.

What's ECMO?

https://en.wikipedia.org/wiki/Extracorporeal_membrane_oxygen...

Whoa that's nuts! Sounds amazing for saving babies though after reading the article my next thought was using that plus a dialysis machine to create a Frankenstein body to cheat death.

Re: How to Raise a Creative Child – Step One: Back Off (2016)

#146

In adulthood, many prodigies become experts in their fields and leaders in their organizations. Yet only a fraction of gifted children eventually become revolutionary adult creators. My daughter is being treated for Leukemia by some amazing doctors at Boston Children's Hospital. To my knowledge, none of the health care professionals at this world-class institution have won Nobel Prizes in medicine. All the same, for…

Maybe I'm biased because I'm a no-name physician at a community hospital, but the "best doctors" in my eyes are the ones with the best outcomes, lowest utilization, highest efficiency and highest patient satisfaction. These measures don't correlate well with the physician's credentials. I learned this in residency, which I did just down the street from a "top" university hospital. We out-performed that place on every…

I feel like I've read some research that patient satisfaction is sometimes inversely correlated with other measures of doctors' skill. This is because the sickest patients tend to seek out the most skilled doctors, but doctors are not miracle workers. If you receive a higher fraction of people in marginal condition, you may get worse outcomes, despite having better outcomes than a similarly situated, less skilled doctor. Patients don't know this, being able to see only their own situation, and knowing only that they had a bad outcome.

There is some name for this apparent statistical paradox, but I forget what it is. In any case, the main problem with your criteria is that the "best" doctor would be one that treated only the healthiest patients. They would have low utilization, high satisfaction, good outcomes, and very good efficiency.

Re: How to Raise a Creative Child – Step One: Back Off (2016)

#147

In adulthood, many prodigies become experts in their fields and leaders in their organizations. Yet only a fraction of gifted children eventually become revolutionary adult creators. My daughter is being treated for Leukemia by some amazing doctors at Boston Children's Hospital. To my knowledge, none of the health care professionals at this world-class institution have won Nobel Prizes in medicine. All the same, for…

I wouldn't worry if I were you. I live in a poor country where corruption is huge even in hospitals. But even here a girl diagnosed with Leukemia is being offered the best treatment and doctors care about these things, without expecting anything in return.

Re: How to Raise a Creative Child – Step One: Back Off (2016)

#149
post #77
post #13

Earlier quoted context omitted.

From one of the comments on the article > Backing off will no more produce a creative genius than pushing your child. Neither strategy makes the slightest difference to what is essentially an autonomous process. Beethoven's father did not back off. And Lars von Trier's parents left him to his own devices. Both are geniuses and both hated their childhood. > My guess is that most parents who follow Adam Grant's spuriou…

> Both are geniuses and both hated their childhood. I don't know anything about their respective childhoods, and I have greatly enjoyed some of Mr Trier's films, but I fear this is a dangerously egalitarian notion of "genius."

We can't all be Beethovens.

Re: How to Raise a Creative Child – Step One: Back Off (2016)

#150

Earlier quoted context omitted.

Maybe I'm biased because I'm a no-name physician at a community hospital, but the "best doctors" in my eyes are the ones with the best outcomes, lowest utilization, highest efficiency and highest patient satisfaction. These measures don't correlate well with the physician's credentials. I learned this in residency, which I did just down the street from a "top" university hospital. We out-performed that place on every…

I agree 100%. I didn't mean this as a knock against doctors at local hospitals either. The pediatrician who diagnosed my daughter is a perfectly solid practitioner in a small town in New Hampshire. Not every doctor is going to make a breakthrough on the order of Marshall & Warren, Banting & Best, or other Nobel Laureates. That's ok. The middle of the road physician will save millions of man years worth of lives over…

Interesting that you bring up Marshall & Warren - in my opinion the truly interesting part of that story is their fight for truth above dogma.

I think you want that in a doctor - a capacity and preparedness to fight the system when it is wrong, unfair, of hurting your patient. Is that a creative skill? I don't know but I doubt it's born out of conformity.

Incidentally I know Dr Marshall, he's an academic at my medical school. He actually paid me to teach him and his team Ruby.

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