Clare Landefeld, MD
BWH Internal Medicine
Resident
PGY2
01/29/2020
Clare Chren Landefeld, MD |
I am training in General
Medicine, and more specifically Primary Care, because I am struck at how broken
our health care system is, and I feel pulled to work on the front lines. So
much of my clinical work as a resident feels like putting bandaids on problems,
treating clinical manifestations of upstream factors. It has become clear to me
that the work needed to address these upstream factors is not valued in our
health care system.
With this background, I
was so grateful for the opportunity to participate in the 3 day course,
Value-Based Health Care Delivery at Harvard Business School. Even in preparing
for the course and reading fascinating cases of health care systems across the
country and world, I felt like I was learning a new language, and like I finally
had a framework with which to conceptualize possible ways forward.
The course itself did
not disappoint; leaving the harried but familiar world of the hospital and entering a new campus felt refreshing and like an invitation to think
differently from my typical mental pathways of diagnoses and treatments.
Meeting my fellow trainees from all specialties and hearing their perspectives
on these complex issues was also an unexpected highlight – we have few
opportunities to gather as trainees and learn from each other. And then there
were the cases; each one thoughtfully designed to bring out key points in a
curriculum on Value-Based Health Care.
I left each day with
more questions and ideas than I have had in a long time. I left with a renewed
sense of purpose, and a sense of empowerment; topics and ideas that previously
felt intimidating now felt accessible. I feel empowered to work to bring value
to Primary Care settings, and am eager to continue learning more.
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