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.
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.
The MCCQE II, a Medical Council of Canada licensing exam, is considered by some critics to be an outdated and unnecessary burden.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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.