Reflections

Magbule Doko is a family physician in Windsor, Ontario, and an adjunct professor at The University of Western Ontario

 

 

Our decision, firm and dedicated
To become doctors: a noble profession
Long years of heads in our books
Clinical years of emotional turmoil
Oh yes you did not know
Their stories touched us, imprinted on our minds
We wept ...continue reading

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Howard Abrams is the Director of , a design and innovation shop located at the University Health Network (UHN) in Toronto

 

Andre Picard recently proposed in the : “if we want a healthier Canada, we should spend less on healthcare.” This may, at first, seem counterintuitive, but it has been long recognized that the social determinants of health are at least as, if not more, important in the health of a population. This is where food intersects with public health in a pivotal way. If we look at the evidence, we know that and are two major risk factors for chronic disease and adverse health outcomes. Patients we serve don’t show up out of thin air, but come out of a community environment rich with factors that impact their health ...continue reading

Paul G. Thomas is Professor Emeritus of Political Studies at the University of Manitoba. From 2004 to 2007 he served as the founding board chair for the Manitoba Institute for Patient Safety.

 

My introduction to the complex and emotional world of adverse events in healthcare occurred in 2001 when I chaired a committee to review an inquest report into the tragic deaths of twelve infants in a paediatric surgery program in Manitoba. Justice Murray Sinclair who conducted the inquest had concluded that at least five of the deaths were preventable.

Back then there was no apology law in Manitoba.  Neither the (2000) nor the Thomas report (2001) recommended .   ...continue reading

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Lawrence Loh is an Adjunct Professor at the Dalla Lana School of Public Health at the University of Toronto

 

I took up run-commuting following the birth of my first child because leisure time physical activity just wasn’t going to happen. My office had a shower, and what better way to counter the drudgery of the commute? I soon discovered mental calisthenics were also part of the running deal—not only in planning logistics, like ensuring you have enough toiletries, underwear, and the right accessories at the office—but also in the opportunity to sharpen one’s sense of observation.

The routine of run commuting leads one to notice patterns over time. If you leave at the same time most days, ...continue reading

  is the chief resident in the Department of Physical Medicine & Rehabilitation at Western University

is a fellow in cardiovascular disease at Northwestern University Feinberg School of Medicine

 

The meteoric rise of bitcoin has fueled and, more broadly, blockchain technology. The once obscure brainchild of has evolved into a speculator’s paradise, rivaling the . While bitcoin’s future as a digital currency is a topic of debate, its underlying blockchain software has become the foundation for a technological revolution that began in finance, but is . The application of blockchain to the world of healthcare may prove to be its most humanitarian of functions.

Acclaimed as one of the biggest innovations since the internet itself, blockchain eliminates trusted third parties such as banks from online transactions and replaces them with a decentralized database, or a ledger, of transactions. The ledger is stored across a network of computers that is visible to everybody, and a combination of cryptographic keys is used to create a secure reference of identity. ...continue reading

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Sharon Yeung is a MD/MSc student at Queen’s University

 

I’ll be the first to admit: I’ve never been one for politics.

The garish lawn signs of electoral campaigns, the predatory advertisements and the shiny, charismatic politicians, bred in me a deep political apathy at an early age. It was an apathy fueled by a lack of understanding of how these matters were relevant to my daily life – and for the most part, my political apathy was left unchallenged.

I suspect my experiences are not unlike those of my peers in my generation. After all, weren’t we all once taught that politics is a sacred taboo? The kind you should never talk about at dinner, second only to religion. As it turns out, it’s also the kind you don’t talk about in polished Medical School Classrooms.

The apolitical culture of medical school is, however, not inconsequential. ...continue reading

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Sarah Tulk is an Ontario physician who recently finished her residency training in family medicine at McMaster University

 

“If only he had chosen a higher floor, we wouldn’t have had to come here!”

These were the words that came out of my preceptor’s mouth. I was a wide-eyed medical student, shadowing in orthopedic surgery. The patient was an older man who had sustained multiple fractures after attempting to end his life by jumping from an apartment building balcony. The trauma ward was full, so he was, inconveniently, located on a distant ward which meant his poor choice of departure level was now encroaching on our operating room time. In medical school, I learned that mental illness was shameful before I learned how to use a stethoscope. ...continue reading

2 Comments

Mehdi Aloosh is a Public Health and Preventive Medicine resident (R1) at McMaster University and a graduate of medicine from Tehran University and master’s in surgical education from McGill University

 

Cal Robinson is a pediatric resident (R1) at McMaster University and completed medical school in the UK

 

International Medical Graduates (IMGs) that match to residency positions in Ontario are required to participate in the Pre-Residency Program (PRP) in order to begin their residency.  We participated in the 2017 PRP program as trainees and benefited from the learning opportunities specific to practicing medicine in Canada that the program provided. However, the PRP program structure does not follow the fundamental principles of Competency-Based Medical Education (CBME). PRP re-design, incorporating a CBME model of outcome-based assessment with identification of residents requiring additional support would optimize ...continue reading

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Hissan Butt is a medical student at Queen’s University in Kingston, Ontario

 

I recently learned that two Canadian medical students died in the past three weeks. Little is known about the circumstances surrounding these deaths.

However, this has not stopped worried Canadian medical students from speculating about the causes of death. The speculation arises not because of a desire to gossip. Rather, I think, it stems partly from a lack of information and partly because of fear. At the time of writing, most believe that the students died by suicide. One university has acknowledged the of one of the students, although the cause is not identified.

The silence is justified - we are told through unofficial sources – by a request from the families to respect their right to privacy. We are also told that talk might spark copying. Indeed, any decent person should want to respect the wishes of the bereaved families, to help them grieve and lighten their burden in this difficult time. There is no need for naming, but there is a need to talk. ...continue reading

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Meagan Mahoney is a pediatric intensivist at Alberta Children’s Hospital in Calgary

Jennifer Woolfsmith is Mackenzy’s mom

Matthew Weiss is a pediatric intensivist at the Centre Mère-Enfant Soleil du CHU de Québec and medical director of organ donation at

 

 

Organ donation is a gift. Not just for those who receive, but often for the families of those who give.

When 22-month-old Mackenzy Woolfsmith died suddenly and tragically in 2012, her organs saved the lives of four people. For her parents, this decision has made a lasting, positive impact on their lives, one of the few positive aspects they were able to salvage from this traumatic loss. The story of Mackenzy’s parents’ experience of organ donation as a gift received, as an integral part of end-of-life care and bereavement, is, we believe, a story that is not told often enough. ...continue reading