FEEDBACK ON MEDICAL ANECDOTAL REPORTS
SAMPLES ONLY
Feedback on MAR – 2005
I am touched by your efforts to make your resident so aware of their deeper emotional reactions to the complex situations they are in and the wonderful people they come in contact with. More so to find beauty in the midst of destruction, misery and suffering. The practice of medicine surgical and non surgical is a dangerous ground for doctors as it is a field that can make one feel so powerful, dominant, critical and insensitive to self and others. I feel embarrassed that you the surgeon has done a “sensitivity” program while I have not done my bit to contribute make our work more humane and meaningful to others but more so to ourselves. You are an inspiration. Thank you. You deserve the accolades and recognition.
Connie Salazar-Aleta
Feb 16. 2005
Hi! I rarely open my email. Just got to read your anecdotal reports. Kudos! It’s something even we in the field of Psychiatry don’t even do. I might just do that with the psych residents. Thanks for the heart & the inspiration.
Ping Conanan
April 25, 2005
Thank you Sir for allowing us to hear the anecdotal reports of your residents. It gives us also opportunities to “re-live our surgical residency days”, to say the least. May we have the kind of humane and compassionate doctors and surgeons that you are trying to mold, I hopefully wish, fill up our world.
Randy
March 25, 2005
I read the interesting and touching Anecdote of Dr. Rommel de Leon. I admire his
patience and understanding and the incident reminded me of my days as a young PGH resident assigned to the ER. I met the same “MAKULIT” individuals, and yes, parents,too, I just can’t recall if I then demonstrated the same degree of patience as Rommel. Tell him I salute him and I have to admire you for stimulating your residents to share their experiences, pleasant or otherwise, or on tragic occasions like the Tsunami Story of one of your residents, sorry I can’t recall his name.
Tony
Feb 23, 2005
I could not help but feel for the emotional burden that Dr Hazel went through, to say the least. Because she was only a first year resident then, she had to
follow what was the “order”. I will not make any criticisms of the hospital and departmental policy but I believe we should always respect and uphold one’s
basic right to refuse a procedure, most of all in death. If we allow patients to refuse blood transfusions because of their religious beliefs even if this may mean the demise of our patients, then we must respect one’s religious belief when it comes to, the least of all, an autopsy. If this was already a Stage IV Gastric CA, would the autopsy have contributed much to how we would manage a similar case in the future? Or was the procedure an “academic exercise”? The pain of losing a loved one was too heavy a burden to carry for the husband. I also understand why he did what he did.
The anecdotes on the ileal perforation and Dr. Turingan”s advanced breast ca, again focus on personalized and complete patient care and religious follow up care. This is what we have been trying to teach our residents, and I hope more and more people will read these articles. Why not compile all of these anecdotes and make a book. It will serve a lot for young surgeons. The message of Dr. B. Devesa on family affairs is very timely. DON’T FORGET YOUR FAMILY, even how busy you are. Marc is becoming guilty of this, he sees us only once in three weeks, claiming he’s always tied up with work. I believe no matter how engaged one is in work, one will always find the time for certain obligations, like the family!!. Commend your residents for their excellent and timely contributions.
TONY
March 1, 2005
Convey to Dr. Guerra that I was impressed and liked very much his anecdote “Beyond Hospital Walls. It is very true that good patient care transcends hospital walls!! His article coincides perfectly with what I have always been teaching my students and residents on the ethical values of personalized patient care. Unfortunately, today, as I saw it in our own PGH, patient care by some of our doctors has become too mechanical and the human touch is LOST. I hope more residents will read Dr. Guerra’s article and again, Kudos to you for stimulating your residents to come up with much needed and thought provoking anecdotes like Dr. Guerra’s.
Tony
March 1, 2005
I appreciate very much the anecdote submitted by Dra. R. Chan. It distinctly shows her unprejudiced attention to details and true compassion and concern for a patient whether a law breaker or any ordinary patient. I am extremely hopeful that there will be more doctors like her. May her tribe increase. My hat’s off to her. KUDOS to Dra. R. Chan!
Tony
May 23, 2005
Thank you for writing to us. Your short e-mail surely tells us that there are certainly a lot of heroes in the medical profession working quietly to promote and retain the special values of caring and compassion. I visited the link that you shared with us, and based on the project write-up, I am confident, you must have touched a lot of physicians and their patients in some inspiring way through the insights gained from the reports.
Susan EBL Enriquez
National Coordinator – Joy of Caring Advocacy
Biomedis, Inc.
2005
2006 Feedback on MAR
15 Residents
What do you like most in OMMC Surgery MAR and why?
It gives us the opportunity to express our actual experiences in managing and interacting to our patients. This is a good training ground for us to develop our physician-patient relationship. It is also nice that we are required to report it thru e-mail and thru actual presentation. This way others may learn and vice-versa the reporter also learns from them based on their comments.
The narration of the experience of the surgeon
The thinking process, wherein you are looking at your experience as a whole, not just the good side but also the bad side and learning from it.
The technical writing I guess because I’m not a good writer. I have some hard times putting my feelings and ideas into words.
It helps me express my thoughts and emotions as well as enriched my vocabulary in writing narrations about patients and their management
Learning what others are thinking that they usually fail to share.
Learning from the success stories of others as well as from other’s mistakes (not to commit them), MAR opens the eye to a number of perspectives on a similar scenario, mostly from the reactions from the audience after presenting a MAR
The thing I like most about MAR is that it is an avenue to for me and for the other MAR writers to share our experiences which would otherwise not be considered as informative in other for a. It breaks down barriers in such a way that we can share emotions felt, the feelings involved in being a doctor. Through this form of sharing, other persons will learn from our experiences. What would otherwise be a personal or intimate lesson becomes a lesson shared for others to digest.
As the saying goes “experience is our best teacher”. MAR gives us the opportunity to make a reflection of our own experiences in dealing with our patient and everybody in the hospital. Then we learn in the process.
It is through this project that we, residents are able to share our experiences that eventually become venue for self growth, personal and training wise. Moreover, MAR developed our English and literary writing skills.
It helps me see things from a different prospective. I was able to learn things based on my experience and the experiences of my co-resident.
It gave me the opportunity to share my stories and insights about it to other residents
MAR gives me the opportunity to express myself and share some stories about my life as a doctor. This helps me in becoming a well- rounded person.
It is a piece of writing wherein one is given the opportunity to reflect on the psychosocial aspect of our profession. The sharing of emotions that exhibits the humane facet of the mechanical world of surgery. It also brings the consultants and residents to a carefree moment during conferences thus building camaraderie between us.
It’s an effective way of learning insights from the different levels of surgery training from Level I to level V residents including the consultants. Each anecdotes presented in the MAR is viewed differently by each members of the Department and each member has an opportunity to express their views during the open discussion.
MAR serves as a very effective training tool for us residents, not just for us to discuss, analyze, and interact with one another the clinical aspect of our training. It also help us to polish our attitudes, stimulate us to change toward good behavior, serve as a constant reminder to avoid mistakes. It is also an effective tool to polish our grammar and sharpen our writing skills.
It helped me realized that treating patient is not only by giving medicine but also understanding them as well and also it helped to express my own experiences to my co residents and listen to their own stories as well.
What do you like least in OMMC Surgery MAR and why?
Residents still need to improve on English written skills.
Became a routine.
English composition skills of many are painful to the ear. After 3years of MAR, they haven’t improved since they just let others edit their compositions as needed.
It’s nice to share experience but its difficult to make because its hard to make a literary form.
Doing it on a monthly basis. mostly I ran out of interesting stories to tell.
Sometimes, I ran out of stories to share because it is done on a monthly basis.
Having to squeeze out a story when there is nothing interesting to write about. Being creative is tricky when one is out of material for inspiration.
In the hospital we have so many experiences regarding patients, but formulating a topic is somewhat difficult
Recommendations for improvement?
Every 2 mos
Should be open for discussion, and revised extensively thereafter.
Open discussion to the medical students for insights and reactions, furthermore, a MAR from their experience as a medical clerk in the hospital.
I like to see our fruits of labor (MAR) be published.
Submit stories every 2months
It is possible that we do it once in every 2 months
Longer time interval between anecdotal presentations. Time and experience brings out better MAR.
We have some of our MAR posted at the ward. I suggest we pick up some MAR that was presented this year and post it in our hospital lobby (tarpoulene).
Encourage everybody to make it a habit to prepare their MAR days before the expected presentation and avoid cramming so as to produce good compositions.
We should fast track the publication of the MARs.
ROJ@11dec26