Q: What advice would you give rheumatologists interested in improving patient safety or physician satisfaction?
A: If you are not measuring something, start. For example, disease activity in rheumatoid arthritis. The ACR has tools to assist in this, as well as in all aspects of the challenges facing us in the coming years. You need to measure patient satisfaction with a validated tool in order to see areas that could be targeted to improve.
Q: What does this award mean to you?
A: I am humbled to receive it when I look at the distinguished rheumatologists who preceded me. To be recognized by my professional organization, which I am incredibly proud of, ranks as a highlight of my career.
ACR Distinguished Clinician Scholar Award
Stephen Paget, MD
Physician-in-Chief Emeritus, Professor of Medicine, Hospital for Special Surgery, Weill Cornell Medical College, New York
Background: An ACR Master, Dr. Paget is among the veterans of the field. He was physician-in-chief and chair of the division of rheumatology at the Hospital for Special Surgery (HSS) and the Joseph P. Routh Professor of Medicine and Rheumatic Disease at Weill for 15 years. He remains as director of HSS’s recently implemented Rheumatology Academy of Medical Educators and is on the board of directors for the hospital’s Lupus Clinical Trials Consortium. He is a member and former co-chair of the American Board of Internal Medicine (ABIM) rheumatology subspecialty board. A graduate of Downstate Medical Center in Brooklyn, N.Y., he completed his residency in internal medicine at Johns Hopkins Hospital in Baltimore, was a clinical associate at the Arthritis and Rheumatism Branch of the of NIH, and completed his rheumatology fellowship at HSS, where he has practiced since 1975.
Q: You have referred to the pedagogy of medical school as the weakest leg of academia. Why?
A: In the past, all of us have grown up with this “see one, do one, teach one” concept. It’s basically like being in a craft and you learn, whether it’s making a table or doing a spinal tap. You basically learn from people who learned before…and much of the focus because of funding, reputation, etc., has been on research and clinical work. Now don’t get me wrong, medical schools are wonderful learning environments and they do know how to teach and assess education…But of the doctors that are actually face to face with the medical students, residents, and fellows, few of them really understand what education is all about.