How to Do No Harm

How leaders can minimize harm in health care, in other industries, and in all areas of life. “How can we change this process to prevent this error from happening again?” the senior ward nurse asked the group. It is a common question, one that I have heard thousands of times from experienced and dedicated health… Read More How to Do No Harm

Your Permanent Record

A little boy couldn’t resist the urge to pull the hair of the girl sitting in front of him. Across the room, a little girl couldn’t help chatting with her friend while the teacher was talking. These incidents happen every day in thousands of classrooms across the United States. Modern teachers have a variety of… Read More Your Permanent Record

Medical Preparation for Humanitarian Missions

“Doctor, this will be a very long war if for every division I have facing the enemy, I must count on a second division in hospital with malaria and a third division convalescing from this debilitating disease.” General Douglas MacArthur to Colonel Paul F. Russell, US Army malaria consultant, May 1943. Just like soldiers going… Read More Medical Preparation for Humanitarian Missions

Medical Lectures

From Hippocrates (460-377 BC) through Galen (130-200 AD) through Osler (1849-1919) and until the present day, medical knowledge has been handed down from teachers to students through the spoken and written word. The excellent physician wields the weapons of science, art, and craftsmanship in his unending battle against disease and injury in his patients. The… Read More Medical Lectures

JTF Cap Med/NCR-MD Leadership Studies

Pursuant to the Base Realignment and Closure Law of 2005, the Joint Task Force National Capital Medicine (JTF Cap Med) was established in 2008. Its mission was to integrate military health care in the National Capital Region, including the merging of the Walter Reed Army Medical Center (WRAMC) and the National Naval Medical Center (NNMC),… Read More JTF Cap Med/NCR-MD Leadership Studies

The Future of the Military Health System

Introduction In the book Retribution: The Battle for Japan, 1944-1945, Max Hastings described how ships’ crews took on the characteristics of their commanders. One captain was not well liked but was respected because “he had a mind like a slide rule.” Most good commanders took care of their sailors. One characteristic of all effective commanders… Read More The Future of the Military Health System

How to Pick Your Fitness Goals

For the past two weeks many Americans have enjoyed the Olympic Games.  Watching the fastest runners and swimmers, the finest gymnasts, and the best teams in the world is both an inspiration and a thrill.  It stirs the heart to see the athletic prowess that these young stars can reach.  So moved, many people commit… Read More How to Pick Your Fitness Goals

Who is Responsible?

I was at a Preventive Medicine conference in February of 2011 and the speaker was discussing unhealthy lifestyle choices.  Her theme was that people really weren’t responsible for smoking cigarettes, being overweight or sedentary, or any other unhealthy choice.  Instead, they were victims of their genetics and their environment. At a conference on Emergency Medicine… Read More Who is Responsible?