Auscandoc<p>How dangerous is health <a href="https://med-mastodon.com/tags/misinformation" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>misinformation</span></a> in Canada? | <a href="https://med-mastodon.com/tags/CMA" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CMA</span></a> <a href="https://www.cma.ca/healthcare-for-real/how-dangerous-health-misinformation-canada" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">cma.ca/healthcare-for-real/how</span><span class="invisible">-dangerous-health-misinformation-canada</span></a> “many lack access to a <a href="https://med-mastodon.com/tags/familyphysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>familyphysician</span></a>, so instead they go online with their questions. What they’re seeing there can lead them astray. Poor access to health care led 37% of Canadians to act on <a href="https://med-mastodon.com/tags/online" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>online</span></a> medical advice, and 31% admitted choosing it over advice from a medical professional. Among those groups, 23% experienced <a href="https://med-mastodon.com/tags/negativehealthoutcomes" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>negativehealthoutcomes</span></a> from following online medical advice.”</p>
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#familyphysician
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Ms. Que Banh<p>*Me, my Mom & my youngest brother are some of the many thousands of patients in <a href="https://beige.party/tags/BritishColumbia" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BritishColumbia</span></a> who have been on the <a href="https://beige.party/tags/WaitingList" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>WaitingList</span></a> for a new family <a href="https://beige.party/tags/doctor" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>doctor</span></a> since our previous GPs retired.*</p><p>When the province introduced its <a href="https://beige.party/tags/HealthConnectRegistry" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HealthConnectRegistry</span></a> in 2021, we were told this would help <a href="https://beige.party/tags/patients" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>patients</span></a> to find a <a href="https://beige.party/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a>.</p><p>About 900,000 <a href="https://beige.party/tags/BritishColumbians" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BritishColumbians</span></a> have no doctor, and while the <a href="https://beige.party/tags/Health" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Health</span></a> Ministry continues to announce the recruitment of new <a href="https://beige.party/tags/physicians" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>physicians</span></a>, that number has remained fairly constant for years.</p><p>Yet the <a href="https://beige.party/tags/inability" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>inability</span></a> of the Registry to make meaningful progress is only one of its failings.</p><p>More troubling is that the Registry makes no attempt to place patients based on their age or <a href="https://beige.party/tags/medical" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medical</span></a> condition. This conflicts with one of the basic principles underlying medical practice, that faced with an inability to treat everyone who needs help, those with the most pressing requirements should come first.</p><p><a href="https://www.timescolonist.com/opinion/editorial-tell-us-where-we-stand-in-queue-for-a-doctor-9358753?utm_source=Times+Colonist+Headline+News&utm_campaign=b06b386dfc-RSS_EMAIL_CAMPAIGN&utm_medium=email&utm_term=0_d22ba5c6e6-a978a9ba3c-%5BLIST_EMAIL_ID%5D&mc_cid=b06b386dfc&mc_eid=48512ab3b3" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">timescolonist.com/opinion/edit</span><span class="invisible">orial-tell-us-where-we-stand-in-queue-for-a-doctor-9358753?utm_source=Times+Colonist+Headline+News&utm_campaign=b06b386dfc-RSS_EMAIL_CAMPAIGN&utm_medium=email&utm_term=0_d22ba5c6e6-a978a9ba3c-%5BLIST_EMAIL_ID%5D&mc_cid=b06b386dfc&mc_eid=48512ab3b3</span></a></p><p><a href="https://beige.party/tags/BCpoli" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BCpoli</span></a> <a href="https://beige.party/tags/PublicHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PublicHealth</span></a> <a href="https://beige.party/tags/WeNeedFamilyDoctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>WeNeedFamilyDoctors</span></a> <a href="https://beige.party/tags/FireBonnieHenry" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FireBonnieHenry</span></a> <a href="https://beige.party/tags/HealthCareCrisis" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HealthCareCrisis</span></a> <a href="https://beige.party/tags/BChealthCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BChealthCare</span></a> <a href="https://beige.party/tags/StopEugenics" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>StopEugenics</span></a> <a href="https://beige.party/tags/BCPublicHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BCPublicHealth</span></a> <a href="https://beige.party/tags/BCNDP" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BCNDP</span></a> <a href="https://beige.party/tags/BCNewDeathParty" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BCNewDeathParty</span></a> <a href="https://beige.party/tags/BCgovernment" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BCgovernment</span></a> <a href="https://beige.party/tags/HealthCareFailures" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HealthCareFailures</span></a> <a href="https://beige.party/tags/AdrianDix" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AdrianDix</span></a> <a href="https://beige.party/tags/BonnieHenry" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BonnieHenry</span></a> <a href="https://beige.party/tags/EbyTheEnabler" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>EbyTheEnabler</span></a> <a href="https://beige.party/tags/DavidEby" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>DavidEby</span></a> <a href="https://beige.party/tags/FamilyPhysicians" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysicians</span></a> <a href="https://beige.party/tags/WeNeedDoctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>WeNeedDoctors</span></a> <a href="https://beige.party/tags/OathbreakerBonnie" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>OathbreakerBonnie</span></a> <a href="https://beige.party/tags/BootBonnieHenry" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BootBonnieHenry</span></a> <a href="https://beige.party/tags/CDNpoli" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CDNpoli</span></a></p>
Auscandoc<p>Impact of the <a href="https://med-mastodon.com/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a> shortage on <a href="https://med-mastodon.com/tags/BCspecialists" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BCspecialists</span></a>’ health and well-being | <a href="https://med-mastodon.com/tags/BritishColumbiaMedicalJournal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BritishColumbiaMedicalJournal</span></a> <a href="https://bcmj.org/articles/impact-family-physician-shortage-bc-specialists-health-and-well-being" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">bcmj.org/articles/impact-famil</span><span class="invisible">y-physician-shortage-bc-specialists-health-and-well-being</span></a> “Participants reported an increase in the number of patients who do not have a primary care physician. This has affected specialists’ ability to discharge patients, which has resulted in longer wait lists and a greater work burden. (1/2)</p>
Auscandoc<p><a href="https://www.cbc.ca/news/politics/primary-care-canada-10-000-canadians-report-1.7125990" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">cbc.ca/news/politics/primary-c</span><span class="invisible">are-canada-10-000-canadians-report-1.7125990</span></a> "Despite the diversity of the voices that we heard from, it was clear there is so much people in <a href="https://med-mastodon.com/tags/Canada" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Canada</span></a> agreed on. They want everyone to have access to <a href="https://med-mastodon.com/tags/PrimaryCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PrimaryCare</span></a>," Kiran told CBC News.</p><p>"Primary care is falling short. Far too many people don't have access to what is the front door to the health-care system. We're a country of have and have-nots.” <a href="https://med-mastodon.com/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a></p>
Auscandoc<p><a href="https://www.cbc.ca/news/politics/ottawa-student-loan-forgiveness-doctors-nurses-1.7113468" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">cbc.ca/news/politics/ottawa-st</span><span class="invisible">udent-loan-forgiveness-doctors-nurses-1.7113468</span></a> “To draw more practitioners to areas where the shortage is particularly acute, Employment Minister Randy Boissonnault said Ottawa is offering a 50 per cent increase in <a href="https://med-mastodon.com/tags/ForgivableLoans" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ForgivableLoans</span></a> for <a href="https://med-mastodon.com/tags/doctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>doctors</span></a> and <a href="https://med-mastodon.com/tags/nurses" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>nurses</span></a> who work in <a href="https://med-mastodon.com/tags/rural" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>rural</span></a> and <a href="https://med-mastodon.com/tags/remote" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>remote</span></a> communities.</p><p>Boissonnault said up to $60,000 will be forgiven for a <a href="https://med-mastodon.com/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a> or family medicine resident, and up to $30,000 for a nurse or <a href="https://med-mastodon.com/tags/NursePractitioner" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>NursePractitioner</span></a> with a <a href="https://med-mastodon.com/tags/CanadaStudentLoan" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CanadaStudentLoan</span></a>.”</p>
Brian Pierce MD<p><span class="h-card" translate="no"><a href="https://mastodon.social/@dangillmor" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>dangillmor</span></a></span> <br>Just cancelled a subscription. I liked supporting the author, a <a href="https://med-mastodon.com/tags/familyphysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>familyphysician</span></a> in <a href="https://med-mastodon.com/tags/maine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>maine</span></a> like me, so made sure I left a comment on one of hisarticles explaining why I'm no longer supporting him on <a href="https://med-mastodon.com/tags/substack" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>substack</span></a></p>
Brian Pierce MD<p><span class="h-card" translate="no"><a href="https://mastodon.social/@mattotcha" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>mattotcha</span></a></span> <br>As a <a href="https://med-mastodon.com/tags/familyphysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>familyphysician</span></a> , I'd love to try an <a href="https://med-mastodon.com/tags/AI" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AI</span></a> assistant to help look up information on diagnosis and management. Searching <a href="https://med-mastodon.com/tags/uptodate" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>uptodate</span></a> <a href="https://med-mastodon.com/tags/dynamed" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>dynamed</span></a> and <a href="https://med-mastodon.com/tags/pubmed" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>pubmed</span></a> is very limited and too time consuming for some cases. <br>Searching on <a href="https://med-mastodon.com/tags/clinicalkey" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>clinicalkey</span></a> or <a href="https://med-mastodon.com/tags/tufts" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>tufts</span></a> university's library is horribly ineffective most of the time <br><a href="https://med-mastodon.com/tags/sciencebasedmedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>sciencebasedmedicine</span></a> <br><a href="https://med-mastodon.com/tags/evidencebasedmedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>evidencebasedmedicine</span></a> <a href="https://med-mastodon.com/tags/primarycare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>primarycare</span></a> <a href="https://med-mastodon.com/tags/llm" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>llm</span></a> <a href="https://med-mastodon.com/tags/medmastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medmastodon</span></a></p>
joe•iuculano :mastodon:<p><a href="https://masto.ai/tags/HumanRightd" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HumanRightd</span></a> lawyer <a href="https://masto.ai/tags/JuliusGrey" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>JuliusGrey</span></a> is continuing his battle against <a href="https://masto.ai/tags/Quebec" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Quebec</span></a>'s <a href="https://masto.ai/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a> allocation system.</p><p>He is expected to be heard by the <a href="https://masto.ai/tags/CourtOfAppeal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CourtOfAppeal</span></a> on Thursday morning in <a href="https://masto.ai/tags/Montreal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Montreal</span></a> in the hope of having the measure declared unreasonable.</p><p><a href="https://montreal.ctvnews.ca/don-t-have-a-family-doctor-it-could-be-because-you-live-in-montreal-1.6617358" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">montreal.ctvnews.ca/don-t-have</span><span class="invisible">-a-family-doctor-it-could-be-because-you-live-in-montreal-1.6617358</span></a></p>
Auscandoc<p>“Changes at the level of systems and organizations, and attention to personal factors, in addition to educational enhancements, are essential. These include paying attention to administrative burdens and work–life balance, and spotlighting societal and professional perceptions of the <a href="https://med-mastodon.com/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a>.”</p>
Auscandoc<p>Does the Longitudinal <a href="https://med-mastodon.com/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a> Payment Model improve <a href="https://med-mastodon.com/tags/HealthCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HealthCare</span></a>, including sustainability? | <a href="https://med-mastodon.com/tags/BCMJ" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>BCMJ</span></a> <a href="https://bcmj.org/articles/does-longitudinal-family-physician-payment-model-improve-health-care-including" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">bcmj.org/articles/does-longitu</span><span class="invisible">dinal-family-physician-payment-model-improve-health-care-including</span></a> “The introduction of the <a href="https://med-mastodon.com/tags/LFP" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>LFP</span></a> Payment Model holds promise for improved access to primary care in BC. The quality of <a href="https://med-mastodon.com/tags/PrimaryCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PrimaryCare</span></a> medicine may also improve, because the increased time per patient encounter allows for the practice of “slow medicine,” defined as “a careful evaluation of medical evidence and a desire not to ‘<a href="https://med-mastodon.com/tags/overdiagnose" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>overdiagnose</span></a>’ or ‘<a href="https://med-mastodon.com/tags/overtreat" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>overtreat</span></a>.’”</p>
Auscandoc<p>Michael Warner @drmwarner<br>“1st year <a href="https://med-mastodon.com/tags/residents" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>residents</span></a> with $250K in <a href="https://med-mastodon.com/tags/EducationalDebt" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>EducationalDebt</span></a> are now paying ~ 35% of their after-tax income to cover just the interest on their line of credit.<br>At a time when thousands do not have a <a href="https://med-mastodon.com/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a>, we should consider how debt level can affect <a href="https://med-mastodon.com/tags/specialty" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>specialty</span></a> choice.”<br>Via <span class="h-card"><a href="https://bird.makeup/users/fourwinns298" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>fourwinns298</span></a></span></p>
Auscandoc<p><a href="https://med-mastodon.com/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a> <a href="https://med-mastodon.com/tags/FamilyMedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyMedicine</span></a> <a href="https://med-mastodon.com/tags/FamilyPractice" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPractice</span></a></p>
Auscandoc<p><a href="https://med-mastodon.com/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a> blames inefficient <a href="https://med-mastodon.com/tags/EMR" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>EMR</span></a> software for departure | The Eastern Graphic | peicanada.com <a href="https://www.peicanada.com/eastern_graphic/family-physician-blames-inefficient-emr-software-for-departure/article_48018b36-ee8a-11ed-b82b-f78d1774062f.html" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">peicanada.com/eastern_graphic/</span><span class="invisible">family-physician-blames-inefficient-emr-software-for-departure/article_48018b36-ee8a-11ed-b82b-f78d1774062f.html</span></a></p><p>“Dr Christensen explained a combination of factors, not uncommon to <a href="https://med-mastodon.com/tags/doctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>doctors</span></a> in <a href="https://med-mastodon.com/tags/rural" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>rural</span></a> areas across the country led to nearly unsustainable work-life balance. Health PEI-specific issues added to the challenge.</p><p>was Health PEI’s adoption of what Dr Christensen describes as a dysfunctional electronic record system that forced his work-life balance brutally over the edge.”</p>
AskPippa🇨🇦<p>A story on the Canadian <a href="https://c.im/tags/Healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Healthcare</span></a> Network describes how too much paperwork has lead to family <a href="https://c.im/tags/doctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>doctors</span></a> seeing fewer patients, doctors leaving their practices, and fewer <a href="https://c.im/tags/medical" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medical</span></a> students choosing family medicine as a profession. </p><p>The full story is accessible for free to doctors and <a href="https://c.im/tags/pharmacists" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>pharmacists</span></a> in <a href="https://c.im/tags/Canada" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Canada</span></a>. Here is the first part:</p><p>The admin burden that’s really killing family practice, by Dr. Sohail Gandhi. <br>"On Saturday, I logged into my Electronic <a href="https://c.im/tags/Medical" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Medical</span></a> Record (EMR), correctly realizing that if I waited until Monday, the <a href="https://c.im/tags/EMR" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>EMR</span></a> inbox would crush my sorry soul."...</p><p>"Recently, there’s been a lot of talk about the “administration burden” faced by family physicians.</p><p>The <a href="https://c.im/tags/Ontario" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Ontario</span></a> College of Family Physicians estimates family doctors spend up to 19 hours a week on “paper work.” Given there are only so many hours in a week, the more hours spent doing paperwork, the less hours seeing patients.</p><p>It also contributes to situations where people just get too frustrated with family medicine, and quit. Data shows 20% of Toronto family doctors are planning on leaving within five years. This bad karma is not lost on medical students, who, as I mentioned in a previous blog—are avoiding family practice like the plague, worsening a crisis that has been years in the making.</p><p>But what exactly is this “administration burden?” What’s the “paper work” that is driving us all to frustration? I would argue it’s not paper per se, it’s digital.</p><p>That’s not to say there isn’t paper. I frequently get asked for completely pointless sick notes from employers, impractical forms to return to work and seemingly useless—“we agreed your patient was permanently disabled, but we want a one year update to make sure your patient is still permanently disabled” forms from the pointy headed bureaucrats at insurance companies. But I’ve taken a somewhat mercenary approach to those forms in order to keep myself sane.</p><p>...I reconcile the fact that these forms are a burden, with the fact that at least I make money out of them. While somewhat unscrupulous on my part, it keeps me from totally blowing my lid whenever I see one of these.</p><p>*** No, the real admin burden comes from the completely absurd and unrelenting avalanche of reports/lab work/follow up notes—all of which present to me in a haphazard way, seemingly designed to drive me to psychiatric medications.</p><p>I took the Friday of Eid ul Fitr off to celebrate with my family. On Saturday, I logged into my Electronic Medical Record (EMR), correctly realizing that if I waited until Monday, the EMR inbox would crush my sorry soul.</p><p>Unsurprisingly, I had a total of 75 labs/reports/messages about patients to review. It wasn’t so much the number of items to take care of, (truly if they were straight forward it wouldn’t have been too bad). It was rather how badly and inefficiently the <a href="https://c.im/tags/information" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>information</span></a> came to me that sucked all of the happiness I had enjoyed on Eid from my spirit.<br>One method of getting information to me is via a system called Hospital Report Manager (HRM). I look at HRM in my EMR and see a report on a renal transplant patient from SickKids. But the note was “uncategorized” which meant that I had to go into the HRM software and enter the category “nephrologist” in the report. The VERY NEXT report in my HRM in box was . . . the exact same report on the exact same patient, but this time HRM had categorized the report as being from a cardiologist—so I had to go in, change the report once again to “nephrologist” and I now have two copies of the same report.</p><p>By the way—SickKids hospital provides exceptional medical and nursing care to my patients, but ever since they switched their hospital IT systems to a company called EPIC there has been no end of issues like this. The only thing that software is epic at is causing physician distress.</p><p>That’s not all. HRM has more goodies awaiting for me. There’s a report from my colleague Dr. Collings on his expert management of a wrist fracture on one of my patients. Thorough, comprehensive and well done. Except HRM has auto-categorized him to be a gynaecologist. So yes, I either have inaccurate information in my patients chart, or I go back and re-categorize the report to reflect that Dr. Collings is an orthopaedic surgeon."</p><p>...and more...<br> <a href="https://c.im/tags/Canada" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Canada</span></a> <a href="https://c.im/tags/doctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>doctors</span></a> <a href="https://c.im/tags/medicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medicine</span></a> <span class="h-card"><a href="https://a.gup.pe/u/medmastodon" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>medmastodon</span></a></span> <a href="https://c.im/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://c.im/tags/familyphysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>familyphysician</span></a> <a href="https://c.im/tags/medicaladmin" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medicaladmin</span></a> <br> <a href="https://www.canadianhealthcarenetwork.ca/admin-burden-thats-really-killing-family-practice" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">canadianhealthcarenetwork.ca/a</span><span class="invisible">dmin-burden-thats-really-killing-family-practice</span></a></p>
Todd Fraser :verified:<p>A day in the life of a General Practitioner - great new article by Ashe Coxon</p><p><a href="https://osler.app.link/MEHTbPoiryb" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://</span><span class="">osler.app.link/MEHTbPoiryb</span><span class="invisible"></span></a></p><p><a href="https://med-mastodon.com/tags/meded" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>meded</span></a> <a href="https://med-mastodon.com/tags/juniordoctors" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>juniordoctors</span></a> <a href="https://med-mastodon.com/tags/medtwitter" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medtwitter</span></a> <a href="https://med-mastodon.com/tags/medstudenttwitter" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medstudenttwitter</span></a> <a href="https://med-mastodon.com/tags/medstudent" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medstudent</span></a> <a href="https://med-mastodon.com/tags/juniordocs" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>juniordocs</span></a> <a href="https://med-mastodon.com/tags/tipsfornewdocs" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>tipsfornewdocs</span></a> <a href="https://med-mastodon.com/tags/familymedicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>familymedicine</span></a> <a href="https://med-mastodon.com/tags/familyphysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>familyphysician</span></a> <a href="https://med-mastodon.com/tags/medstudents" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medstudents</span></a></p>
AnitaH2<p>This was an encouraging, thorough article on <a href="https://snabelen.no/tags/CFSME" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CFSME</span></a> .<br>It surely is a long read, but it needs to be read by every <a href="https://snabelen.no/tags/pediatrics" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>pediatrics</span></a> specialist and <a href="https://snabelen.no/tags/FamilyPhysician" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>FamilyPhysician</span></a> .<br>Also <a href="https://snabelen.no/tags/CommunityNurses" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CommunityNurses</span></a>, and <a href="https://snabelen.no/tags/school" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>school</span></a> personell in contact with patients.<br><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827635/" rel="nofollow noopener noreferrer" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">ncbi.nlm.nih.gov/pmc/articles/</span><span class="invisible">PMC9827635/</span></a></p>
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