Tuesday, October 28, 2014

The Art and Science of Touch

Recently one of our own Women Surgeons, Dr. Carla Pugh, was an invited speaker at the popular TEDMED 2014 event.  In the session “Play is not a waste of time,” Dr. Pugh discussed Haptic Learning – the Art and Science of Touch – and her own experience with integrating this concept in surgical education.

Dr. Pugh started her talk with a powerful recollection of a difficult procedure in the emergency room – a thoracotomy. Dr. Pugh noted something made her seriously worried: the resident working with her seemed to have missed a critical finding while leading the thoracotomy, cardiac massage, and evaluation of the patient.

“As a surgical educator I am worried why my resident missed the blood clot around the heart, and things were moving so quickly that there was no time to discuss this great learning opportunity.”

I had the opportunity to interview Dr. Pugh to discuss her TEDMED talk and more.

In regards to the education opportunity that was missed with the resident, Dr. Pugh notes that providing feedback to residents is not built into the system. “The goal is to take care of patients & make money... Nobody gets paid to teach. Feedback is not built into the system... People who enjoy teaching do it, but it is not well-integrated. How do you teach residents how to be assertive? How to learn points of the operation? This is something that happens every day in medicine."

Unfortunately, Dr. Pugh has noted that this is something that has not changed since even her days in surgical residency. Despite high expectations, she notes that it is rare for people to provide direct detailed information/feedback.

This is how she got into Haptics.

Dr. Pugh holds a patent to a sensorized clinical exam model. She landed her first patent in 1998 during her postgraduate studies at Stanford University. The models can sense aspects of the physical exam such as tactile technique. One exciting finding to be published soon, was a model adapted for the clinical breast exam (CBE).

Dr. Pugh’s team was collecting data on CBE from experienced clinicians to help identify which technique was most sensitive to detect a mass in the breast. The data was supposed to help teach medical students the appropriate technique for CBE. A surprise finding was that 10-15% of clinicians were missing the mass in the model! Upon review of the data from her sensorized model, it was found that a specific examination technique was associated with being more likely to miss the mass. 

Dr. Pugh notes, "We must go beyond the paper and pencil test." The technology is now available to help assess clinical exam and surgical skills. Incorporating this type of feedback into medical education and continuing medical education will likely make a big difference for patients.

Dr. Pugh grew up in Berkeley, California, and has long been interested in science and medicine. At 5 years old she received her first stethoscope and "was listening to people's ankles at the grocery store." As a child she had her first run-in with the power of touch “I was always taking things apart,” she notes. It was during one of these play sessions in the living room, she was electrocuted at 5 years old. “My hand was stiff!”

How do I get involved?

Dr. Pugh has an active research lab, which usually consists of engineering students. She has had two residents working in her lab. In addition to traditional surgical meetings, Dr. Pugh attends conferences usually dominated by engineers, like NEXTMED where Medicine Meets Virtual Reality.

Thank you, Dr. Pugh, for reminding us to dream big and never forget the art and science of touch.


Minerva A. Romero Arenas, MD, MPH is a General Surgery Resident at Sinai Hospital of Baltimore. She recently completed a research fellowship in the Dept. of Surgical Oncology at The University of Texas MD Anderson Cancer Center in Houston, TX.  She received her MD and her MPH from The University of Arizona College of Medicine and the Zuckerman College of Public Health in 2009. She studied Cell Biology and French at Arizona State University as an undergraduate. 

Her interests include surgical oncology & endocrinology, global health, health disparities, quality improvement, and genomics. A native of Mexico City, Mexico, Dr. Romero Arenas is passionate about recruiting the next generation of surgeons and is involved in mentoring through various organizations.

She enjoys fine arts, films, gastronomy, and sports. She enjoys jogging, swimming, and kickboxing. Most importantly, Dr. Romero Arenas treasures spending time with her family and loved ones.

43 comments:

  1. This comment has been removed by a blog administrator.

    ReplyDelete
  2. This penetration has benefited the medical world as well as the patients. It is found that the latest approaches in surgeries are replacing the traditional methods which involved in bearing the torso and cutting open the abdomen. This is also beneficial for the medical world female surgeon Dubai.

    ReplyDelete
  3. Congratulations. We are all very proud of your achievements so far. The sky is not the limit , you shall rise beyond. Keep up the good work.

    ReplyDelete
  4. I must say you had done a tremendous job,I appreciate all your efforts.Thanks alot for your writings......Waiting for a new 1.. Packers And Movers Bangalore

    ReplyDelete

  5. Meaningful information I found on this page…..Thanking you for sharing
    Memorial Day
    Memorial Day Saying

    ReplyDelete

  6. Awesome information I found on this page…..Thanking you for sharing
    Memorial Day Status
    Memorial Day Weekend

    ReplyDelete
  7. Have Lovely and Beautiful Salwar Suit And Many More…
    We Have Some For You In Your Budget For more…
    Plz visit:- Designer lehenga

    ReplyDelete
  8. Have Lovely and Beautiful Salwar Suit And Many More…
    We Have Some For You In Your Budget For more…
    Plz visit:- Ladies Suit

    ReplyDelete

  9. You can buy from our large and diverse collection of salwar kameez, party wear suits, bollywood collection, cotton kurtis, Anarrkali suits,Bollywood saree and many other products.....
    We Have Some For You In Your Budget For more…
    Plz visit:- Wedding Dresses

    ReplyDelete
  10. Hi - It's good to read interesting content dry. I agree with much of what is written here and I'll be coming back.
    Thanks again for posting such great reading material !! To get more information visit here relevant |
    Packers and Movers Mumbai

    ReplyDelete
  11. As India celebrates its 70th Independence Day on 15 August 2017, its citizens rejoice celebrating a different kind of freedom - the freedom to travel, explore, and unwind. The Indian citizens are all perked up for a much awaited long weekend during Independence Day.
    Please visit Independence Day

    India is known worldwide for its rich heritage and cultural beliefs. For the richness and sweetness attained, the country pays tribute to various people who played an influential role in this attainment.
    Please visit Independence Day Status

    ReplyDelete
  12. A wedding Dresses or Bridal Dress is the clothing worn by a bride during a wedding
    ceremony. Color, style and ceremonial importance of the gown can depend on
    the religion and culture of the wedding participants.
    Plz visit:- WeddingDress

    ReplyDelete
  13. The Contemporary style of Punjabi suits exclusively available on stylizone.com does offer picturesque of luxury, royalty and elegance. Be it flaring or twirling Ghera dress, with the simple clicks thousand of new styles and patterns are available. According to festivities and Seasons, the exemplary styles of fabric do make a heart throbbing impressions in the minds of wearer.
    For more.... Please visit Punjanbi Dresses

    ReplyDelete
  14. India is the country of culture Festival.People in india are so crazy about festivals.Diwali is the biggest festival of India.It is the Festival Of Lights.
    Christmas is the New Year of Christians.
    Plz visit:- Happy Diwali Status
    Merry Christmas Status
    Happy New Year Status

    ReplyDelete
  15. You can buy Lehenga, Patiala salwar suits,Anarkali Suit, Gown, Salwar Suit, Saree and get an exquisite design for you. There is something for everyone here. We even offer customized tailoring. Visit at..
    Anarkali Dress
    Punjabi Dress
    Wedding Saree
    Lehenga Choli
    Ghagra Choli
    Silk Saree
    Ladies Suit
    Indian Saree
    Designer Dress
    Bridal Dresses

    ReplyDelete
  16. Designer clothes are the reflection of personality of a person. It's very necessary to choose the wear according to an ocassion. In India,Designer Bridal Saree are the most obvious choice for the Young Ladies & Girls. Many more Collection is available at our site. For More....
    Ladies Suit
    Indian Saree
    Designer Dress
    Bridal Dress
    Kurti
    Designer Kurti
    Wedding Dresss
    Punjabi Suit

    ReplyDelete
  17. India is a land of varied culture and religion and throughout the year a series of interesting events and festivals take place here. So, it can be expected that if you will ever visit India you will get opportunity to enjoy at least a few such occasions.
    Happy Diwali Status
    Merry Christmas Images
    Happy New Year Wishes

    ReplyDelete
  18. An adorable personality partnered with a perfect choice for Designer Dress unbeatable. Even before the blossom of modernization in Indian culture, kurta, sarees, and salwar kameez had been part of India's unique civilization. There are many Designer Salwar Kameez in our site...
    For more... Salwar Kameez

    ReplyDelete
  19. A movie is used for an entertainment of busy people.
    By seeing movie person experiences refreshment from their day to day life.
    For watching movie plz visit following site:-
    kingsman: the golden circle full movie download kickass torrent
    kingsman: the golden circle full movie the piratebay

    ReplyDelete
  20. We Provide Best Packers And Movers Mumbai List for Get Free Best Quotes, Compare Charges, Save Money And Time,
    Household Shifting Services @
    Packers And Movers Pune

    ReplyDelete
  21. I am really impressed after reading this blog post. I would like to thank you for sharing this amazing post with us and i will share it too.
    Happy 4th Of July Photos
    4th Of July Quotes Images
    4th Of July Greetings Messages

    ReplyDelete
  22. Happy Friendship Day Images 2018: Friendship Day Pictures, Photos, Pics, HD Wallpapers, Friendship Day 2018 Images Funny Meme Clipart Free Download
    Happy Friendship Day 2018 Messages

    ReplyDelete
  23. Reviews you can find in the site theicoshowcase.com. List your upcoming icos in the site given and attract crypto investors and community to your project across the world in 2018. Our daily updated Ico list containsactive icos, Upcoming, ended & Pre-ICOs listed on the portal. Keep yourself updated on-time every time. Find the latest cryptocurrency in the ICO, as well as all specific information about it online. Theicoshowcase maintains the complete ico calendar of all active, ended and upcoming ICOs (Initial Coin Offerings), token sales, & crowd sales etc.

    ReplyDelete
  24. The writers are the best at it as this elaborates the on this site as the best source of understanding and providing the relevant data to the students in order to give them a new life in writing.

    ReplyDelete
  25. An association of the science is working here for the best phase of the life. You can also visit more pages from this area and can get the real blog archives from this zone. With the link of https://radiology.residencypersonalstatements.net/radiology-residency-personal-statement-sample/ you can find the real pattern of your life.

    ReplyDelete
  26. For the new art of science you can find the best techniques for your life and can visit the new pages for the better management. With the link of http://www.rheumatologyfellowship.com/interesting-stats-and-facts-about-rheumatologist-career/ you can enjoy the new section of the blog archives and gather the best section of the life.

    ReplyDelete
  27. A great cute persona combined using a best selection regarding Artist Outfit unbeatable. http://www.cspersonalstatements.com/how-to-write-internal-medicine-residency-personal-statement/ Also ahead of the flower regarding modernization inside Native indian tradition, kurta, sarees, and also salwar kameez was section of India's special world. There are numerous Artist Salwar Kameez inside our web site.

    ReplyDelete
  28. The particular Modern day design of Punjabi matches specifically available on http://www.cardiologyfellowship.net/duke-cardiology-fellowship-program/ does offer picturesque of luxury, royalty and elegance. Be it flaring or twirling Ghera dress, with the simple clicks thousand of new styles and patterns are available. According to festivities and Seasons, the exemplary styles of fabric do make a heart throbbing impressions in the minds of wearer..

    ReplyDelete
  29. Dentist in Hamilton

    Dentists in Hamilton are really helpful and when you search for dentists Hamilton nj, you will find that you are being displayed a number of dentist in Hamilton nj and dentist in Trenton nj. But when you have to pick one, Hamilton Dental Care is the best option for you to choose.

    It is not just the regular dentistry procedures that make the Hamilton Dental Care stand out but also the cosmetic dentistry in Hamilton. When you will search for Cosmetic Dentistry in Hamilton, you are looking for the best dental health services in Hamilton.

    So next time when you are looking for a dentist in Hamilton nj, you must go to Hamilton Dental Care.

    ReplyDelete
  30. The affordable online boutique is a leading store for the fashion loving women, and it offers classy, designer and trendy outfits at economical prices. Boutique in Atlanta offers a wide range of shopping options for women of all age groups. If you are looking for women's trendy tops or boutique dresses then affordable online boutique is the destination for you. The highlighting aspect of the southern boutique is the seasonal dressing offers. It offers a wide variety from boutique summer dresses to trendy sweaters that keeps you warm. The online boutique also specializes in rompers, jumpsuits, two-piece sets, coats, vests, cardigans, boutique tops, and women's accessories. Yes! Along with the trendy tops for women, you can also get the matching accessories like hair accessories to stand out of the crowd.

    Online Boutique Store:https://www.bermere.com
    Instagram Profile: https://instagram.com/shopbermere
    Facebook Profile: https://www.facebook.com/shopbermere

    ReplyDelete