The recently publicized news that the American Psychological Association (APA) “colluded” with US governmental agencies to create ethical guidelines permitting psychologists to participate in “harsh interrogations” of military detainees is appalling. […]
William Cayley
William Cayley: Diagnosis—what it’s not . . .
“Phew! At least you don’t have something bad.” “I know doc, but what is it?” I’m afraid that in medicine, we too often focus on the former, and not enough […]
William Cayley: Planning for uncertainty
Martin Marshall could not have said it better in his recent blog—the idea of the 10 minute consultation is a travesty . . . except that sometimes it is not. […]
William Cayley: To doctor is to diagnose
I appreciated Richard Smith’s recent discussion of mental models—too often, I think, we simply carry on with practice as usual (or, “life as usual”) without sufficient critical attention to the […]
William Cayley: Less is more
Both seasoned clinicians and learners in today’s medical environment receive both explicit and unspoken messages that the best medicine involves advanced technology, the latest medications, and highly specialized care. Evidence […]
William Cayley: Are you depressed?
“Do you feel down, depressed, or hopeless? Are you bothered by little interest or pleasure in doing things?” Now that the practice I work for is part of an accountable […]
William Cayley: Who are you?
“The Patient” is everywhere. He is in consult notes, she is in hospital admission notes, he is in letters, and she is even in my daily dictations and procedure notes. […]
William Cayley: About what are we being precise?
I’ve been too swamped with the day to day realities of teaching, patient care, and just plain real life lately to be very reflective, but Zackary Berger and Dave deBronkart finally […]
William Cayley: What are the (hidden) costs?
“The economics of education are changed dramatically by delivering online courses to large numbers, making expensive education much cheaper.” That line in Richard Smith’s blog post describing a proposed “global […]
William Cayley: “Enjoy in struggling”
“Struggling is the meaning of life. Victory and defeat are in the hands of God, so one must enjoy in struggling.” The saying above the doorway caught my attention as […]