Associate Dean

In the course of my career, I’ve unfortunately had many occasions to deliver “bad news” to patients and their families. This usually involves making them aware that treatments are either not working or no curative options are available, and that the end is imminent. In these moments, reactions are personal, individual and usually unpredictable. No matter how much one rationally … Continue reading

The following note was sent by one of our fourth year students to her community preceptor at the end of her Integrated Community Clerkship. Both parties have graciously agreed to allow me to share it with you. Dear Dr. McLean Thanks for: Teaching me Medicine Trusting me with your patients Introducing me to Perth Letting me be wrong Helping me … Continue reading

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Sarah (fictitious name to protect the innocent) is a second year medical student attending my Cardiology clinic for an “observership”. Like her peers, Sarah had an outstanding academic career prior to entering medical school, as well as a variety of personal experiences that demonstrated an interest in the human condition and commitment to public service. Since entering medical school, she … Continue reading

At last month’s Convocation, we celebrated the beginning of 102 new medical careers. As the new graduates walked across the stage of Grant Hall, they stepped from their shared four-year undergraduate experience, into a diversity of career paths. Twenty-six will begin training programs in Family Medicine. Fourteen have chosen Internal Medicine. Eleven are entering Anaesthesia. Six in Pediatrics. Six in … Continue reading

Each year, our graduating class is asked to nominate a member to speak on their behalf at the Convocation ceremony. Last week, Yan Sim delivered an address on behalf of the Meds 2014 class. Yan’s heartfelt remarks certainly seemed to capture the sentiments of his colleagues and resonated with everyone in Grant Hall that afternoon.   It seemed clear that his … Continue reading

Dear Meds 2014, Since this picture was taken in September 2010, you have successfully undertaken no fewer than 38 courses of study, as well as numerous projects, reflections, surveys, and various exercises intended to prepare you to be effective physicians.  In doing so, you have engaged and answered (usually correctly) several thousand individual questions of various types. I have one … Continue reading

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The term “ivory tower” apparently has its origin in the Song of Solomon (7:4) where the writer describes the beauty of his beloved with a list of poetic terms, including “your neck is like a tower of ivory”.  The image found its way into descriptions of venerable figures, as depicted in “Hunt of the Unicorn Annunciation” (circa 1500).  For obscure … Continue reading

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A few years ago, with Lynel Jackson’s capable assistance, I established a confidential portal on MedTech which allows students to submit commentary to me in a completely anonymous fashion.  Over the years, it’s proven to be a remarkably effective means for students to articulate concerns that are of a sensitive nature or which, for a variety of reasons, they are … Continue reading

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Striving for a Culture of Competency A few days ago walking through the hospital I ran into a very excited third year medical student who was anxious to tell me about a recent clinical experience.  Apparently she’d admitted a patient with a complex array of medical problems and, after considering the differential diagnosis, ordered a test that confirmed the presence … Continue reading

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I’ve often wondered what makes Mike Krzyzewski so incredibly successful. For those of you not familiar, he is a highly accomplished college basketball coach. In the 34 years he has coached at Duke University, his teams have won 76% of their games. He has won 4 national championships, 13 ACC championships, been named Coach of the Year 5 times. He … Continue reading

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Out of adversity, gifts of learning.
Published Mon, July 28, 2014

In the course of my career, I’ve unfortunately had many occasions to deliver “bad news” to patients and their families. This usually involves making them aware that treatments are either not working or no curative options are available, and that the end is imminent. In these moments, reactions are personal, individual and usually unpredictable. No matter how much one rationally … Continue reading

MD Program Executive Committee Meeting Highlights – Wednesday July 16, 2014 at 4:30 pm
Published Mon, July 28, 2014

MD PEC Participation: In recognition of the importance of input from our faculty and staff in the governance of the MD program, MD PEC would like to encourage faculty and staff to attend its meetings. Guests to these meeting will be non-voting “Gallery members” and may be asked to leave during particular discussions, if deemed necessary by the Chair. Interested … Continue reading

A great read: Faculty Focus Blog
Published Wed, July 23, 2014

As part of your summer reading list, may I encourage you to look at Faculty Focus, higher ed teaching strategies from Magna Publications. Whenever Maryellen Weimer writes, I sit up and pay attention, but actually the other contributers have great ideas, and provide evidence for them too.  This is not just for medical education, but for all educators in general. … Continue reading

How to integrate science into clinical courses and vice versa
Published Tue, July 22, 2014

How hard is this?  Not too hard.  Here are some ways to integrate science into the clinical courses (and vice versa) Hi all:  I’m recycling a recent post, having drastically reduced it.  I hope to write more about examples of integration and integrators from our curriculum in the future. You may think you don’t use basic science knowledge anymore.  Think … Continue reading

Thank you Dr. McLean
Published Mon, July 14, 2014

The following note was sent by one of our fourth year students to her community preceptor at the end of her Integrated Community Clerkship. Both parties have graciously agreed to allow me to share it with you. Dear Dr. McLean Thanks for: Teaching me Medicine Trusting me with your patients Introducing me to Perth Letting me be wrong Helping me … Continue reading