procrastination, master physicians, VELOMOBILES!

what is it about us that makes us procrastinate?  from wikipedia:

Psychologists often cite procrastination as a mechanism for coping with the anxiety associated with starting or completing any task or decision. Psychology researchers also have three criteria they use to categorize procrastination. For a behavior to be classified as procrastination, it must be counterproductive, needless, and delaying.

isn’t it amazing when you finish a task?  i am horrible about laundry.  ideally i like to do it once a week, preferably on sunday morning before anyone wakes up.  i ended up doing it yesterday – a week and a half’s worth.  maybe it might help to get in-unit laundry.


did my exit interviews today.  what’s next you ask? first hospitalist.  need to get my feet wet.  i read a great article about how a physician develops from a novice => advanced beginner => competent => proficient => expert => master.  here’s the link: Clinical Teaching.

Novice physician: rule driven, analytic reasoning

Advanced beginner physician: sorts relevance, pattern recognition

Competent physician: responsible, sees the big picture

Proficient physician: intuitive, can live with ambiguity

Expert physician: aligns thoughts, feelings and action; clever

Master physician: beyond the big picture; reflects in, on, and for action

I know a few master physician.  It’s the ones that can smell schizophrenia from the doorway.  Or with one wave of a stethescope can prevent an admission and wasteful dollars being spent.  Like the horse-whisperer or something.

I think I’m at competent.  We’ll see.


one last quick thing.  check out velomobiles: Why you need one…


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