"It turns out that we learn best when new information is linked
to existing information. New information should be maximally
related to what we know already . Loose facts are forgotten
unless we attach meaning to them, even if it is only in the form of
an aid-of-memory. In the area of communication in a medical
school we are fortunate, because students have been communicating
almost 20 years before we see them. They have much
experience, even though they may not be aware of it. We can make
use of this experience, by asking students to demonstrate what
they think is good communication with a patient, either real or a
simulated. When medical students enter our schools, they are
mostly motivated by: caring for people. They are clever and
compassionate people. It makes sense to use that motivation and
that experience and start our communication programme at day
one of medical school.”
Jan van Dalen, Communication skills in context: Trends and perspectives, Patient Education and Counseling, Available online 27 June 2013, ISSN 0738-3991, http://dx.doi.org/10.1016/j.pec.2013.05.020.
I’m doing a project and writing a paper on physician communication and how it affects patient satisfaction and value based purchasing. I came across this article which highlights some interesting points:
Scared of going on birth control because of weight gain? Don’t be! Because recent research at the University of Gothenburg, Sweden shows that hormonal birth control does not directly cause weight gain. The only factors which did were age and smoking.
Changes in hormone levels may cause mood-swings…and many of us lament over a bowl of ice cream to calm down leading to weight gain. However, after a few months, your body should adjust to the changes and you’ll achieve a balance. The first few months can be a little crazy (increase/decrease appetite, moody, acne) but things settle after a few months. If you are sensitive to the pill, I suggest looking into Nuvaring which releases a constant amount of hormones throughout the day making it easier to adapt to. Taking a pill once a day creates peaks and valleys of hormone levels which can throw off your system.
So don’t stop your birth control unless you want some of these Shrek Babies…