Showing posts with label residency. Show all posts
Showing posts with label residency. Show all posts

Wednesday, July 30, 2008

So long and thanks for all the fish.....


Well my time at Scott and White has come to a close. On July 31st I will leave my employment at this fine institution where I have worked for 8 years. I realize that some folks look at 8 years in a place and think ‘Hey that’s a pretty good start’. I have never been one of those people. I do not know if it the youth that I spent moving every 4 years as we crossed the state form job to job, or if I just have an inherently restless streak . Either way, I cannot seem to stay in one place for an extended period of time.

Eight years seems like a long time in my mind, until I look back on what I have gotten done that I set out to accomplish during my time at Scott and White. First and foremost, I completed my Family Medicine training which was my paramount goal. Along the way toward completing that training I got to do some pretty cool things. I got a chance to learn a great deal about teaching through the Faculty Development Fellowship that I took through Waco Faculty Development Center it laid the foundation for what was to follow and without their guidance I could not have achieved all that I have as a teacher. It was through them that I challenged myself to try and become the ideal teacher that I wanted to have when I was being trained, and to their credit I got closer than I ever thought possible. During that process I made some very dear friends whom I will very much miss.

So what was it I wanted to try and change that prompted me to stay for eight years? Well, I wanted to do what I could to help make the Family Medicine residency become the best program possible. Toward that end I was able to make some incremental changes in the way we conducted morning report so that it would better serve the needs of all the participants. I also managed to change the way in which we conducted the Morbidity and Mortality report so that it provided a better teaching moment for all concerned. I was lucky enough to work with Dr Marc Via and through his example became a much better clinician through my understanding and ultimately teaching of Evidence Based Medicine, and it was this step that allowed me to really teach the things I had wanted to understand when I had been in practice in Utah all those years ago in the Army.
Along the way I had the chance to work with many wonderful and inquisitive students that challenged me to become a better teacher. I worked with residents who prompted me to continually stay on top of medical advances through their probing questions about why I chose to do any particular thing. Finally my colleagues who through their gentle rivalry spurred me to improve my medical practice. All of these things were wonderful and without them I would not be the physician that I am today. But their time has passed and the next adventure waits as I move forward to meet those new goals.

So today as I look back and give thanks for all that has been I am excited as I look forward to all that has yet to become.