Health Infrastructure

Episode 43 – Clinical Education and Healthcare Delivery in the CTU with Dr. Brandon Tang

International fellows in the shadows: The other side of post-graduate medical education

International clinical fellows have been the unsung heroes throughout the pandemic. Yet, we still haven’t been able to guarantee some of the basic workplace provisions for them that their Canadian colleagues take for granted.

New PSA has potential, but devil is in the capitation details

The new Physician Services Agreement adds a complexity modifier to capitation-based primary care models in Ontario, which could be an important step toward equity. Done right, it could incentivize physicians to serve those who most need care and address ongoing health gaps. But the devil is in the details.

Gender segregation, pay inequity. Understanding the ‘pink-collar’ tier in medicine

Understanding the history of health care’s gender segregation, the basis for today’s “pink collar” tier of female-dominated specialties, could help current efforts to improve pay equity in medicine.

Medical council considering alternatives to ‘outdated’ licensing exam

The MCCQE II, a Medical Council of Canada licensing exam, is considered by some critics to be an outdated and unnecessary burden. Temporarily paused by the pandemic, the MCC will soon decide whether and how the exam will return - and what role it will play in the changing world of medical education.

Call the ‘brown doctor’: A case for language-sensitive delivery of health care

In a multicultural city like Toronto, it only makes ethical and financial sense to provide language-sensitive care in hospitals. Without it, culturally sensitive communication is incomplete.

Physician Service Agreement yet again leaves the most vulnerable in the shadows

Somewhere along the line, we’ve managed to create barriers to health care that have caused us to deviate from the vision of Tommy Douglas.

Sharing is caring – app aims to fill gaps in health-data infrastructure

Vaccination records in Canada have long been fragmented and decentralized, dragging the country's pandemic response capabilities with it. The digital immunization records sharing app, CANImmunize, takes a stab at filling these vital gaps in Canada's health data infrastructure.

Overdiagnosis: Good intentions gone bad

Overdiagnosis is a problem that's been recognized for decades, but in the last 10 years research has proven that early detection does not always mean better outcomes. Overdiagnosis can sometimes cause physical, psychological or financial harm. But there are things that both physicians and patients can do to help prevent it.

Omicron and medical conferences – a balancing of risks

Large, in-person medical conferences can be risky in the Omicron era. Yet, proponents say these risks can be mitigated, and resuming in-person learning and networking are necessary to advance medicine and support a profession at its breaking point.

There is no debate – Patient Medical Homes are the way to go

The Patient's Medical Home is a vision for the future of family practice in Canada: One that focuses on comprehensive, coordinated, and continuing care for populations through a family physician working with health care teams.

Deadly cracks in a broken mental-health system

While struggling with any illness, it is reassuring to feel that there is a place to go for help if things deteriorate beyond your ability to handle it. This is a sense of comfort I have lost. I have been forced to face the reality of what the emergency department can provide for mental health crises – not a lot. But there's more we could do.

In support of addiction and mental health patients in emergency departments

If our health-care system claims to be equitable and considerate of patients with addiction and mental-health concerns, it has to resolve the issue of boarded mental-health patients in emergency departments, which can lead to higher overall wait times for emergency care.

National licensure, better virtual-care needed to fix system ‘close to the precipice’: incoming CMA president

Dr. Alika Lafontaine sat down with Healthy Debate to talk about the challenges facing our health-care system as it grapples with pandemic recovery.

Access to virtual care highlights urban/rural divide

The move to virtual care is leaving some communities behind. For rural Canadians, especially those in remote and Indigenous communities, there are obstacles to seeing a doctor both in person and online.

Why would anyone want to be a family doctor?

Let’s face it – fewer and fewer medical graduates want to be family doctors. But why? Finances, respect in the field and the challenges of family medicine could all play a part.

A plea from a family medicine resident: We must recognize the changing nature of primary care to prevent an exodus of doctors

The pandemic and climate crisis have put extra strain on the already evolving primary care system and worsened the B.C. family-doctor shortage. But the current structure of family medicine has not adapted.

The digital revolution is upon us; how can e-prescribing help alleviate the click burden?

As we continue returning to a semblance of normalcy, it’s important we don’t lose the progress that we’ve made in safe and effective virtual care. e-Prescribing tools should continue to be a part of safer and more efficient medication management.

Episode 36 – Making Hospitals Safer

Taking action

Our health-care system is very energy intensive and produces large volumes of solid waste and toxic waste. But this is, in fact, counter to our ethical duty to do no harm, which must include not harming the environment and the health of people and communities.