Posts Tagged ‘team-based health care’

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August 17th, 2017

Primary Care’s Got Talent

There is one hour each day in the office that I refer to as the “golden hour” – from 6:30 to 7:30, either AM or PM. For the sake of my personal life, most days I aim to be at my desk for one of those two slots but not both. During this time, I’m usually […]


August 9th, 2017

Curing the Culture — A Gentle Nudge

You and I have covered a lot of ground this year. We exposed the fallout of a toxic workplace culture and discussed some of the first steps we can take to fix it. We reestablished respect for our patients. We adjusted some of the biggest problems with our sign-out process. We reminded ourselves of the power […]


April 14th, 2017

Is There an NP on Board?

It was a moment I’d anticipated for nearly 7 years — not with excitement, but with dread. Two weeks ago, I boarded a plane, having won the lottery known as the standby list. Due to heavy wind, all flights were departing from a single runway and because of delays, the airline had thrown in a […]


March 23rd, 2017

When Medicine Is Hard

My posts are usually lighthearted and (hopefully) informative observations on the differences between my experiences in medicine here in the U.K. versus the U.S. But today I am writing about something that’s both personal and cross-cultural —  something that has at times been a struggle for me and likely has been a struggle for health […]


February 13th, 2017

What’s Your Sign(out)?

My house is a disaster zone. After working a string of 12-hour shifts, there is a mountain of dishes in the sink and a minefield of dirty clothes on the floor. As I navigate that post-apocalyptic landscape, my mind tends to wander back to the hospital I just left. I sometimes pause on the small […]


December 14th, 2016

Welcome to the Theatre … the Operating Theatre

The OR here in the U.K. is called the theatre, or operating theatre. If you say OR, you’ll likely get a bemused expression, meaning you’re speaking like an actor from Grey’s Anatomy again. One of my supervising physicians here relayed a story to me from a British mentor of his who had practiced in the […]


October 19th, 2016

Fighting Decision Fatigue

It was an impossible choice. The seconds ticked by, but no matter how I strained my mind, I could not find a solution. She sighed and asked again. “Harrison, where do you want to eat?” I buried my face in my hands. How could this simple question stump a person who makes a hundred monumental choices each […]


August 3rd, 2016

It Takes a Village

The Democratic National Convention is taking place at the time I’m writing this blog post. During an opening speech last night, the current First Lady referenced this phrase made popular by a former First Lady: “it takes a village.” I’ll pause here to say that I’m not going to get political in this blog — […]


June 16th, 2016

When Is It A Good Time to Retire?

I am only 47 years old, but I have been thinking about retirement. It’s not that I want to retire now, but when is a good time? I have been working for the same company for 17 years, and the idea of spending another 20 years there before reaching retirement age seems daunting. So, how […]


March 22nd, 2016

The Art of Listening – Beyond Your Patient

Opening the door slowly, I poked my head in the dimly lit room and glimpsed my patient’s petite frame leaning forward in her bed. I sat on the edge of the mattress, noting how tired the patient looked. The physical therapist was concluding the last session prior to her discharge that afternoon. After inquiring how the […]


NP/PA Bloggers

NP/PA Bloggers

Elizabeth Donahue, RN, MSN, NP‑C
Alexandra Godfrey, BSc PT, MS PA‑C
Emily F. Moore, RN, MSN, CPNP‑PC, CCRN
Harrison Reed, PA‑C

Advanced practice clinicians treating patients in a variety of settings and specialties

Learn more about In Practice: Reflections from NPs and PAs.