415 posts · 640,516 views
This is the personal blog of a Dutch psychiatrist working in a University hospital. His specialty in psychiatry is the treatment of depression. This explains his interest in electroconvulsive therapy and the development of new forms of neurostimulation for the treatment of depression. He is also involved in medical education. He does research in the treatment and neuroscience of depression. He mostly writes about these topics on this blog for fun and to keep up with recent developments. Besides writing about his work he also writes about other subjects that (neuro)stimulates him such as chocolate, computer gaming, gadgets, and Internet. The postings are based on what I want to write about and what I feel will be interesting to read.
Dr Shock MD PhD
415 posts
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- February 22, 2012
- 01:50 AM
- 698 views
What kind of chocolate eater are you?
by Dr Shock in Dr Shock MD PhD
Buffer Came across this funny article. It drew my attention because of my interest in chocolate. It seems from this research that their are three kinds of chocolate eaters: “fast chewers”, “thorough chewers” and “suckers”. The thorough chewers take a significant time for chewing on the chocolate and chew a lot more than the other [...]
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Carvalho-da-Silva, A., Van Damme, I., Wolf, B., & Hort, J. (2011) Characterisation of chocolate eating behaviour. Physiology , 104(5), 929-933. DOI: 10.1016/j.physbeh.2011.06.001
- February 6, 2012
- 01:49 AM
- 618 views
What Young Adults Say About Mental Health
by Dr Shock in Dr Shock MD PhD
Buffer The problem: young adults have a high prevalence of mental health problems (up to 25% in a year), the usually don’t tend to seek help for these problems. About 78% of American young adults look online for information about health. 18-39% of young adults write blogs or an online journal. A recent article was [...]
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Marcus, M., Westra, H., Eastwood, J., Barnes, K., & , . (2012) What Are Young Adults Saying About Mental Health? An Analysis of Internet Blogs. Journal of Medical Internet Research, 14(1). DOI: 10.2196/jmir.1868
- January 23, 2012
- 01:43 AM
- 754 views
Optimize self-presentation through facebook
by Dr Shock in Dr Shock MD PhD
Buffer Research shows you can improve your self-representation through faceboook and other social media with several techniques: spending more time with greater cognitive resources to edit the messages carefully selecting photographs highlighting your positive attributes presenting an ideal self having a deeper self-disclosure managing the styles of your language providing a set of links to [...]
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Chou, H., & Edge, N. (2011) “They Are Happier and Having Better Lives than I Am”: The Impact of Using Facebook on Perceptions of Others' Lives. Cyberpsychology, Behavior, and Social Networking, 2147483647. DOI: 10.1089/cyber.2011.0324
- January 16, 2012
- 01:18 AM
- 501 views
Two Approaches to Patient Safety
by Dr Shock in Dr Shock MD PhD
Buffer The two approaches to patient safety are the person approach and the system approach. The personal approach is the most encountered and outdated kind of approach in medicine. In short, errors are seen as shortcomings of medical personnel such as forgetfulness, inattention, poor motivation negligence and recklessness. The response is mostly naming, blaming, and [...]
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Reason, J. (2000) Human error: models and management. BMJ, 320(7237), 768-770. DOI: 10.1136/bmj.320.7237.768
- January 11, 2012
- 01:37 AM
- 793 views
Recruiting study participants through Facebook
by Dr Shock in Dr Shock MD PhD
Buffer Read an interesting article about this subject. Interesting not in the sense of costs or efficacy but mostly on how they did it. It’s done for an epidemiological study on a mother child cohort. They wanted to include pregnant women for their study with facebook beside other forms of recruitment such as: active collaboration [...]
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Richiardi, L., Pivetta, E., & Merletti, F. (2012) Recruiting Study Participants Through Facebook. Epidemiology, 23(1), 175. DOI: 10.1097/EDE.0b013e31823b5ee4
- January 10, 2012
- 01:36 AM
- 852 views
Escitalopram not efficacious in dysthymic disorder
by Dr Shock in Dr Shock MD PhD
Buffer Dysthymic disorder is a mood disorder consisting of chronic depression, with less severe but longer lasting symptoms than major depressive disorder. Since it’s less severe than depressive disorder often psychotherapy will be sufficient to treat this chronic. A recent Cochrane Library review found 17 placebo-controlled double-blind studies in DD, which generally have found significant [...]
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Hellerstein, D., Batchelder, S., Hyler, S., Arnaout, B., Toba, C., Benga, I., & Gangure, D. (2010) Escitalopram versus placebo in the treatment of dysthymic disorder. International Clinical Psychopharmacology, 25(3), 143-148. DOI: 10.1097/YIC.0b013e328333c35e
- January 9, 2012
- 01:35 AM
- 787 views
Patient Safety in Medical Education
by Dr Shock in Dr Shock MD PhD
Buffer When searching in pubmed for the two mesh terms “patient safety” and “medical education” results in 8 hits. Some research articles and editorials. One quote with literature reference about the extend of the problem is: Our health care system today has an adverse event rate approximately equal to that of driving an automobile putting [...]
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Wagner, D., Noel, M., Barry, H., & Reznich, C. (2011) Safe Expectations. Academic Medicine, 86(11). DOI: 10.1097/ACM.0b013e3182327c81
Aggarwal, R., & Darzi, A. (2011) Simulation to Enhance Patient Safety: Why Aren't We There Yet?. Chest, 140(4), 854-858. DOI: 10.1378/chest.11-0728
- January 2, 2012
- 02:07 AM
- 847 views
Principles for Patient Safety
by Dr Shock in Dr Shock MD PhD
Buffer Teaching patient safety starts in medical school. Hospitals can be weired chaotic places. It’s often a wonder everything keeps working as it should although failures do occur. Medical professionals come to realize that mistakes happen and they adapt their working procedures to those of the so called high reliability organizations such as aircrafts, airline [...]
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Prasanna, P., & Nagy, P. (2011) Learning From High-Reliability Organizations. Journal of the American College of Radiology, 8(10), 725-726. DOI: 10.1016/j.jacr.2011.06.020
- December 20, 2011
- 01:04 AM
- 762 views
Who Benefits from Serious Gaming?
by Dr Shock in Dr Shock MD PhD
Buffer Multimodality or using a combination of visual, auditory, haptic,and other sensory modalities in the presentation of knowledge in serious gaming improves learning outcome. Interactivity or the communication between player and the digital gaming system in serious gaming also improves learning outcome. But these are two design elements and not psychological attributes of users of [...]
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Lee, Y., Heeter, C., Magerko, B., & Medler, B. (2011) Gaming Mindsets: Implicit Theories in Serious Game Learning. Cyberpsychology, Behavior, and Social Networking, 2147483647. DOI: 10.1089/cyber.2011.0328
Ritterfeld, U., Shen, C., Wang, H., Nocera, L., & Wong, W. (2009) Multimodality and Interactivity: Connecting Properties of Serious Games with Educational Outcomes. CyberPsychology , 12(6), 691-697. DOI: 10.1089/cpb.2009.0099
- December 5, 2011
- 01:46 AM
- 898 views
Students use of social media
by Dr Shock in Dr Shock MD PhD
Buffer We have been trying to use twitter during lectures, especially since the group is so large about 100 to 200 can only follow the lecture from another lecture room on a monitor. It wasn’t a success, the question time during and after the lecture was hardly used. Only 8-10 questions were proposed via twitter. [...]
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Giordano C, & Giordano C. (2011) Health professions students' use of social media. Journal of allied health, 40(2), 78-81. PMID: 21695367
- November 30, 2011
- 01:22 AM
- 932 views
Virtual Reality for Stress Management
by Dr Shock in Dr Shock MD PhD
Buffer Going to a relaxing zone in a natural park such as the river, waterfall, lake of garden with virtual reality and doing relaxing exercises supported by a relaxing narrative effectively reduces stress and anxiety. Virtual reality showed better improvements than video or audio although the latter two also reduced stress and anxiety. We found [...]
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Villani, D., & Riva, G. (2011) Does Interactive Media Enhance the Management of Stress? Suggestions from a Controlled Study. Cyberpsychology, Behavior, and Social Networking, 2147483647. DOI: 10.1089/cyber.2011.0141
- November 29, 2011
- 01:50 AM
- 966 views
Online Disclosure greater than Offline Disclosure?
by Dr Shock in Dr Shock MD PhD
Buffer Most are afraid of greater online disclosure than offline disclosure. The computer luring us towards more information about ourselves than would probably be safe. Self-disclosure is the voluntary and verbal communication of personal information to a targeted recipient. It has three dimensions: frequency, breadth, and depth. Frequency of self-disclosure refers to the amount of [...]
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Nguyen, M., Bin, Y., & Campbell, A. (2011) Comparing Online and Offline Self-Disclosure: A Systematic Review. Cyberpsychology, Behavior, and Social Networking, 2147483647. DOI: 10.1089/cyber.2011.0277
- November 15, 2011
- 01:59 AM
- 810 views
Diagnostic Errors in Psychiatry
by Dr Shock in Dr Shock MD PhD
Buffer Diagnostic errors are hot these days. this subject is of importance for patient safety and as such attention on this subject has increased. Previously I wrote about a diagnostic error, the availability bias. There are many more possible cognitive diagnostic errors to be made by physicians. Some diagnostic errors are more common in psychiatry. [...]
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Croskerry, P. (2003) The Importance of Cognitive Errors in Diagnosis and Strategies to Minimize Them. Academic Medicine, 78(8), 775-780. DOI: 10.1097/00001888-200308000-00003
- November 11, 2011
- 02:06 AM
- 954 views
Themes of medical education research
by Dr Shock in Dr Shock MD PhD
Buffer From a content analysis on 10.168 abstracts extracted from the six most influential journals in medical education published since 1988, 29 major themes were identified for research in this field. In short most of the themes were about the preparation of medical students for professional practice. From the analysis the following topics were the [...]
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Rotgans, J. (2011) The themes, institutions, and people of medical education research 1988–2010: content analysis of abstracts from six journals. Advances in Health Sciences Education. DOI: 10.1007/s10459-011-9328-x
- November 7, 2011
- 01:50 AM
- 1,016 views
How Facebook saved the day for an emergency department
by Dr Shock in Dr Shock MD PhD
Buffer A 34 year old female was brought in to the emergency department Friday afternoon. She was a mother and a quick search of her belongings provided her business card. It was the card of a obviously successful businesswoman; however, it did not provide any further useful information to explain her presentation. The family doctor [...]
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Ben-Yakov, M., & Snider, C. (2011) How Facebook Saved Our Day!. Academic Emergency Medicine. DOI: 10.1111/j.1553-2712.2011.01199.x
Strausburg, M. (2011) How Facebook Almost Ended My Career With a Single Click. Academic Emergency Medicine. DOI: 10.1111/j.1553-2712.2011.01198.x
- October 24, 2011
- 01:42 AM
- 1,074 views
Why are doctors more accurate with difficult cases?
by Dr Shock in Dr Shock MD PhD
Buffer Because with difficult cases doctors tend to use refelective reasoning for diagnostic decisions. Reflective reasoning is effortful, conscious analysis of features exhibited by a case. When engaged in reflection for solving a case, physicians tend to more carefully consider case findings, search for alternative diagnoses, and examine their own thinking. A recent study indicated [...]
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Mamede S, Schmidt HG, Rikers RM, Penaforte JC, & Coelho-Filho JM. (2008) Influence of perceived difficulty of cases on physicians' diagnostic reasoning. Academic medicine : journal of the Association of American Medical Colleges, 83(12), 1210-6. PMID: 19202502
- October 17, 2011
- 01:59 AM
- 727 views
Explaining Diagnostic Errors
by Dr Shock in Dr Shock MD PhD
Buffer One possible mechanism for diagnostic errors made by physicians is the availability bias. Clinical reasoning is one of the most important achievements after med school. Flaws in clinical reasoning can result in diagnostic errors and medical mistakes. Availability bias is the doctor who diagnoses a certain disease more often since it comes to mind [...]
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Mamede, S., van Gog, T., van den Berge, K., Rikers, R., van Saase, J., van Guldener, C., & Schmidt, H. (2010) Effect of Availability Bias and Reflective Reasoning on Diagnostic Accuracy Among Internal Medicine Residents. JAMA: The Journal of the American Medical Association, 304(11), 1198-1203. DOI: 10.1001/jama.2010.1276
- October 10, 2011
- 01:39 AM
- 978 views
Do Admission Interviews Predict Performance in Residency?
by Dr Shock in Dr Shock MD PhD
Buffer Since we’re busy selecting new residents for our program an article about the subject caught my eye. This article was about whether a structured, behavior-based applicant interview predicts future success in an obstetrics and gynecology residency program. Interesting question since little is known about the use of residency interview in predicting the applicant’s future [...]
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Goepfert, A. (2011) Making the best match: can we select the right residents for obstetrics and gynecology and for our own programs?. American Journal of Obstetrics and Gynecology, 204(5), 369-370. DOI: 10.1016/j.ajog.2011.02.023
Strand, E., Moore, E., & Laube, D. (2011) Can a structured, behavior-based interview predict future resident success?. American Journal of Obstetrics and Gynecology, 204(5), 4460-2147483647. DOI: 10.1016/j.ajog.2011.02.019
- October 5, 2011
- 01:14 AM
- 1,163 views
Using Google Body to teach undergraduate anatomy
by Dr Shock in Dr Shock MD PhD
Buffer Google Body is a novel open education resources interface (). It is simple to operate and its intuitive user interface allows even inexperienced computer users to make good use of it. The med students first had classical lectures on anatomy. Next they were presented simulations of complex anatomical structures. They had to search and [...]
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Kelc, R., & Dinevski, D. (2011) Using Google Body® to teach undergraduate anatomy. Medical Education. DOI: 10.1111/j.1365-2923.2011.04132.x
- October 4, 2011
- 01:54 AM
- 1,097 views
Social Media in Medical Education
by Dr Shock in Dr Shock MD PhD
Buffer This animation film was submitted by a med student to YouTube for the instructor of a course about ‘Narratives of Ageing:Exploring Creative Approaches to Dementia Care’. Students visited a locked unit at a care facility for people with Alzheimer’s disease. They used YouTube to watch streamed video made by Alzheimer’s disease advocacy groups, twitter [...]
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George, D., & Dellasega, C. (2011) Social media in medical education: two innovative pilot studies. Medical Education. DOI: 10.1111/j.1365-2923.2011.04124.x
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