Judgment in Medicine

“Only God can judge me.” Tupac Shakur rapped these famous lyrics in his All Eyez on Me Album in 1996. Although this song stands far removed from the field of medicine, the statement “only God can judge me” is a reflection of one of our modern culture’s values: we simply do not like being judged.
This truth seems to resonate particularly in clinics and hospitals throughout the US. Physicians see patients of all different colors, shapes, and sizes and many of these patients enter into clinics with emotional wounds inflicted from previous physicians’ lack of judgmental tact. These patients have been negatively looked upon because of their skin color, weight, gender and countless other reasons resulting in an understandable defensiveness towards any medical professional. In addition, a fair number of patients, myself included, while not completely jaded, have had significant negative experiences with doctors. One of the most dangerous pathologies identified in a doctor’s office, ironically has nothing to do with actual “medicine”. What hurts the most is diagnosing the prejudice influencing our physicians’ health care.

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A U.S. Medical Student’s Experience in Germany

As a medical student from the U.S., it is always fascinating to experience how medical care is delivered in other countries. As our health care expenditures balloon to unprecedented levels, the topics of medical care and medicine in general have never been more pervasive. From this dialogue, comparisons between the U.S. and international health care systems are naturally made, but few people outside of those who do medical tourism, international rotations, or medical humanitarian work actually experience the differences firsthand. Experiencing medicine in countries with drastically different systems than the U.S. is highly valuable for U.S. medical students, both in clinical practice and in understanding the business and legal aspects of medicine.

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20 Questions: Diana Marie Padgett, MD, Pathology

Diana Marie Padgett, MD, an anatomic and clinical pathologist, is president and treasurer at Pathology Associates of Harrisonburg (Virginia), as well as medical advisor to Blood Bank and Point of Care Testing. She received her bachelor’s degree in biology with a minor in biochemistry from University of Tennessee, Knoxville, where she graduated summa cum laude (1998). She received her MD from University of Tennessee Health Sciences Center in Memphis, where she graduated summa cum laude (2003). She also has a one-year degree in Dutch studies from Leiden University (1997), and has successfully completed USMLE Step 1 (2001), Step 2 (2003) and Step 3 (2005). Dr. Padgett completed a residency in combined anatomic and clinical pathology at University of Virginia Health System in Charlottesville (2003-2007), and a fellowship in pediatric and development pathology at University of Tennessee Health Science Center/St. Jude Children’s Research Hospital/LeBonheur Children’s Medical Center in Memphis (2007-2008).
Dr. Padgett is board certified in combined anatomic and clinical pathology and pediatric pathology. She previously worked at St. Jude’s Research Hospital Department of Structural Biology in the Professional Oncology Education Program (1999), as well as University of Tennessee, Memphis, Department of Ophthalmology as a senior research assistant (1998-1999). Dr. Padgett has been published in the American Journal of Surgical Pathology, Infection and Immunity, Surgical Neurology, Archives of Pathology & Laboratory Medicine, American Journal of Neuroradiology, and Ophthalmic Research.

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20 Questions: Jennifer Hatfield MHS, CCC, SLP

Jennifer Hatfield, MHS, CCC, SLP, is owner, president and speech language pathologist at Therapy and Learning Services, Inc. serving the greater Chicago and northern Indiana areas, as well as the creator of both Little Fingers Speak (an infant sign language program) and The Munch Bunch (a food exploration group for picky eaters). Hatfield received a bachelor’s degree in communication disorders with a minor in psychology from Valparaiso University in Indiana (1992). She received her master of health science degree (MHS) from Governor’s State University (1996).

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20 Questions: Beth Seltzer, MD, MPH, Preventive Medicine

 

Dr. Beth Seltzer

Beth Seltzer’s path to MD and MPH was not a straight line. She started out as a documentary filmmaker in San Francisco, where she created award-winning documentaries with a national reach, shared in creative decisions from idea to final edit, hired and supervised staff, conducted community outreach campaigns, wrote grant proposals, and managed finances. While there, she co-produced programs that garnered long list of honors such as Northern California Area Emmy Award; Gold Apple, National Educational Media Festival; Gold Hugo, Chicago International Film Festival; Best Documentary Short, Nashville Independent Film Festival; and Finalist, IDA Documentary Awards.
Beth received her MD from Case Western Reserve University School of Medicine, Cleveland, in 2003, and her MPH from Columbia University Mailman School of Public Health (NY) in 2008. Her residencies included general preventive medicine and public health at Stony Brook University School of Medicine, and a transitional year at Lehigh Valley Hospital in Allentown. Beth is board certified in Public Health and General Preventive Medicine, and is a medical consultant and writer, creating original, nonfiction works for wide audiences, including 101 Careers in Public Health, a comprehensive career guide from Springer Publishing Company, which has been endorsed as “first-rate advice” by the American Public Health Association.

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Getting Ready For Private Practice

I remember the time I was a senior resident. It was the beginning of my final year of postgraduate training. I knew I had decisions to make. I was conflicted. Would I go into academics or would I go into private practice? This was the first question I needed to answer.
Throughout medical school and residency, the allure of academics and the urging of my professors had led me down the path of academics. The collegiality and sense of purpose with academics made this a difficult choice for me. I did not want to disappoint my professors. However, I wanted to get into private practice. Honestly, I wanted to make some money. It had been a long haul, and twelve years of education and training had brought me to this juncture. I had no debt, thankfully. But I had no money either.

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