The Well-Tempered Clinic: The Clinical and Educational Importance of Cardiovascular Surgical Clinics (With a nod to Johann Sebastian Bach)

Authors

  • Curt Tribble, MD Division of Cardiac Surgery, University of Virginia, Charlottesville, VA, USA

DOI:

https://doi.org/10.1532/hsf.3363

Abstract

A common assertion regarding the trajectory of surgeons from training to independent practice is that the first five years after completing training encompass the steepest learning curve of a young surgeon’s career. That assertion is often made in the context of beginning to perform operations independently.  However, it is likely that an under-recognized but equally steep learning curve will occur as newly minted surgeons begin to run their own clinics. In fact, it is likely that there is no aspect of surgical training with a greater discrepancy between the educational value for and the interest by surgical trainees than preoperative, postoperative, and follow-up clinics for surgical patients.

References

Franklin B. https://www.brainyquote.com/quotes/benjamin_franklin_138217 (Accessed 2-10-20).

Bernstein, L. https://www.classicfm.com/composers/bernstein-l/guides/leonard-bernstein-quotes/great-things/ (Accessed 2-10-20.

King S. https://www.goodreads.com/quotes/134620-i-write-to-find-out-what-i-think (Accessed 2-7-20).

Maya Angelou https://www.goalcast.com/2017/04/03/maya-angelou-quotes-to-inspire-your-life/ (Accessed 1-21-20).

Tribble C. 2017. Grandmother Rules. Heart Surg Forum 20 (1): E002-6.

Fadiman, A. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. New York: Farrar, Strauss and Giroux, 1997.

Levinson, W. 2002. Surgeon’s tone of voice: A clue to malpractice history. Surgery 132: 5-9.

Tribble C. 2016. Gimme 3 Steps. Heart Surg Forum 19 (1): 1-2.

Springsteen, B. 1992. Human Touch. www.azlyrics.com. (Accessed 2-7-20).

Meador, C. A Little Book of Doctors’ Rules III. 2018. https://www.cliftonkmeador.com/little-book-of-doctors-rules-3. (Accessed 1-21-20)

Tribble, C, Julliard W. 2019. First, We Do Harm. Heart Surg Forum 22 (5): 423-8.

Siegel, B. How to Live Between Office Visits: A Guide to Life, Love and Health. 1993. HarperCollins Publishers, Inc. New York, NY.

Osler W. https://www.brainyquote.com/quotes/william_osler_386616 (Accessed 2-7-20).

Cheung W, Ho K, Wang M. 2019. Effectiveness of a Brief Self-determination Theory-Based Smoking Cessation Intervention for Smokers at Emergency Departments in Hong Kong, A Randomized Clinical Trial. JAMA Intern Med. doi:10.1001/jamainternmed.2019. Published online December 2, 2019

William Li. 2019. Eat to Beat Disease: The New Science of How Your Body Can Heal Itself. Grand Central Publishing, Hachette Book Group.

Sole-Smith V. 2013. 6 Lifesaving Lessons from The ER, Courtesy of The Doctors’ Travis Stork, MD. https://www.prevention.com/life/g20495666/lifesaving-lessons-from-travis-stork/?slide=3 (accessed 1-31-20).

Walt Stack. https://en.wikipedia.org/wiki/Walt_Stack (Accessed 1-31-20.)

Masterson T, Dawn K, Levetan R, Ball J. 2004. Weekly Calendar: Diabetes Planner. International Medical Publishing, Inc. McLean, Virginia

Arthur Ashe. https://www.brainyquote.com/quotes/arthur_ashe_371527 (Accessed 2-4-20).

The ACAC Physician Referred Exercise Program. https://acac.com/charlottesville/p-r-e-p/ (Accessed 2-7-20).

Shute D. 2019. Does a Real Physician-Patient Relationship Exist Anymore? https://www.medscape.com/viewarticle/922378 (accessed 1-30-20).

Gawande, A. 2000. Creating the Educated Surgeon in the 21st Century. Am J Surg 181: 551-6.

Pirsig R. Zen and the Art of Motorcycle Maintenance: An Inquiry into Values. 1974 & 1999. HarperCollins Inc. New York, New York.

Gay Talese. https://www.cbsnews.com/news/gay-talese-sense-of-wonder/ (Accessed 2-7-20).

Verghese A. 2017. https://www.medscape.com/viewarticle/887249 (Accessed 2-7-20).

Levine, G. 2019. The Mind-Heart-Body Connection. Circulation 140: 1363-5.

Schwarm B. The Well-Tempered Clavier. Encyclopaedia Britannica. https://www.britannica.com/topic/The-Well-Tempered-Clavier-BWV-846-893 (Accessed 2-7-20).

Published

2020-10-02

How to Cite

Tribble, C. (2020). The Well-Tempered Clinic: The Clinical and Educational Importance of Cardiovascular Surgical Clinics (With a nod to Johann Sebastian Bach). The Heart Surgery Forum, 23(5), E712-E717. https://doi.org/10.1532/hsf.3363

Issue

Section

Articles