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Lessons from NASA – How to Become an Expert Clinician

In Editorial, Featured, Opinion by Shahbaz Syed0 Comments

In medicine, we often draw some of our lessons on safety from the aviation industry (i.e.: preoperative checklists), here we will explore a host of pearls that medicine can learn from the brilliant minds at NASA to help augment one’s practice as an expert clinician.  Commander Chris Hadfield has previously discussed a riveting tale regarding his first ever space walk1. During his mission, he was tasked with helping to assemble the Canada 2 …

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“Allergies” – Sometimes they’re real, but usually they’re not

In Editorial, Featured, Opinion by Shahbaz Syed4 Comments

How often have you seen a patient with more documented allergies than medications they’re taking? Commonly; patient’s will often suggest that they are allergic to medications like sulfa, penicillin, codeine and morphine in the Emergency Department. We often think for a moment, and prescribe something different – but I’d like to argue that this line of thinking is far more harmful than we think, and is doing our patients and the healthcare system …

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Proposed Canadian Tax Changes: A Primer

In Editorial, Featured, Opinion by Shahbaz Syed1 Comment

There has been a lot of recent buzz and media attention around some proposed tax changes from the Canadian government. We’ve noticed that there is a lot of misconception and confusion regarding some of these changes, so we hope to provide some clarity into some of the issues as they affect small business and in particular, incorporated physicians. For the purposes of this article, the CanadiEM Editorial team has joined forces with Mrs. …

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Bouncebacks: Much ado about nothing?

In Commentary, Featured, Opinion by Shahbaz Syed0 Comments

“Hey Doc, remember that patient you saw last night…?” That one phrase terrifies Emergency Room (ER) Physicians everywhere. There is such a strong negative connotation associated with “bounceback” visits to the ER. Historically, medicine has emphasized a culture of perfection, so a bounceback is often considered an significant failure, as it is unacceptable to miss a diagnosis. However, we’re entering a new era of medicine; we are seeing larger patient volumes, increased complexity …

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A letter to my younger self

In Commentary, Opinion by Shahbaz Syed2 Comments

I recently took an extended vacation at the end of residency, and had some time to reflect upon nearly an decade of medical training. I write this as an letter to my younger, naive self, in hopes that trainees may learn from my experiences. Dear PGY-1 Shahbaz, I have some big news for you: things are going to change. Don’t bother memorizing the SIRS criteria, its going to be gone in a few years. …