JOHN SHUFELDT, MD, JD, MBA, FACEP Recently, I had the amazing opportunity to be admitted to the Bar of the United States Supreme Court, which simply means that I could conceivably argue cases in front of the Court. After being sworn in by Chief Justice Roberts, our group of newly admitted attorneys was privileged to have front-row seats to hear two landmark cases, the second of which I will share with you in detail. The …
Read MorePreventing the “Delta Uniform,” or, Malpractice Reduction in the Urgent Care Center
John Shufeldt, MD, JD, MBA, FACEP A few years ago, I flew over to San Diego to watch the Red Bull Air Races. A friend of mine who is pilot occupied the right seat and another friend (also a pilot) was in the back of the plane seated with another friend. As we got closer to San Diego, I noticed that a thick inversion layer (dense fog) blanketed the coast. The lack of visibility required …
Read MoreThe Checklist – Part 3
John Shufeldt, MD, JD, MBA, FACEP (Dr. Shufeldt began a three-part discussion of the importance of procedural checklists in the September issue of JUCM. The first two installments are available at www.jucm.com). Billy was a cocky, disingenuous, trying-to-be aviator who had a hangar next to mine until he left in the middle of the night to avoid paying his overdue invoices. I like pretty much everybody, at least initially. Despite trying, I did not like …
Read MoreThe Checklist – Part 2
John Shufeldt, MD, JD, MBA, FACEP (Dr. Shufeldt began a three-part discussion of the importance of procedural checklists in the September issue of JUCM. That column is available at www.jucm.com.) I went to Mardi Gras two years ago. One of the events I attended was called the MOMs Ball. MOMs is an acronym for Mystic Orphans and Misfits; it’s a party by invite only, and only those with costumes and ticket are admitted. I was …
Read MoreCleared for Takeoff
JOHN SHUFELDT, MD, JD, MBA, FACEP I like checklists. I use them while treating patients, flying, cooking, and training. Despite the fact that I have a few thousand hours behind the controls of a variety of aircraft, I still use them every time I fly. Why then, if I believe I am a fairly competent pilot, do I need to rely on something as pedestrian as a checklist for things that I have done countless …
Read MoreTransitions
John Shufeldt, MD, JD, MBA, FACEP I participated in my first triathlon in 18 years last weekend in a town named for a card game. Show Low sits at 6,412 feet at the base of the White Mountains in northern Arizona. Remember the first scene in Chariots of Fire, where a group of men are running barefoot, effortlessly through the crashing waves on a beautiful beach with the orchestra playing an inspiring melody in the …
Read MoreHarmony in the Urgent Care
John Shufeldt, MD, JD, MBA, FACEP My kids might offer a dissenting opinion, but I think I am pretty hip. And, although I have no idea what these lyrics mean … I want your ugly I want your disease I want your everything As long as it’s free I want your love Love-love-love I want your love … I still have Lady Gaga on in my iTunes. In fact, I kind of like these lyrics; …
Read MoreA Slip of the Lip Can Sink a Practice
When I was 11, attending Our Lady of the Wayside, I was on the wrong side of this exchange during a Marriage and the Catholic Family class, taught by a “largess nun” named Sister Marie Magdalena, whom the entire seventh grade called “MooMoo.” MooMoo: “Sexual relations are a very beautiful thing and can only occur between a husband and a wife.” JS after being called upon: “How would you know how beautiful it is?” Now, …
Read MoreToo Big to Fail—Urgent Care Lessons from Toyota
John Shufeldt, MD, JD, MBA, FACEP In his book, How the Mighty Fall: And Why Some Companies Never Give In, Jim Collins discusses the five markers or stages of decline and how a company can identify these stages and reverse itself even after large-scale defeats along the way. (Or, as Bluto (John Belushi) said in Animal House, “Was it over when the Germans bombed Peral Harbor?”) Applying those stages to the rough patch of road …
Read MoreUsing Evidence-based Care Paths
Oscar Wilde was quoted as saying, “Life imitates art far more than art imitates life.” This was never more apparent to me than a few Mondays ago when I was paraded in front of a number of primary care doctors who questioned the use of “care paths” in urgent care medicine. The leader of the mob was a gentleman who was the patriarch of a local family practice clinic. The meeting opened this way. “I …
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