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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 SyedLeave a Comment

“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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Shared decision making

In Editorial, Featured, Opinion by Shahbaz Syed3 Comments

Resource utilization in medicine is becoming an increasingly critical issue (as also noted by the number of discussions we’ve had on it here at CanadiEM), and this acknowledgement is important. However, once we’ve accepted the harms (to the patient and system) with excessive over-utilization, we can begin to look at ways to address and optimize physician behaviour. There are many ways to approach the subject, and one that is often cited is Shared Decision Making …

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#AnthroEve: An Intro to Anthropology and Medical Enculturation

In Commentary, Opinion by Eve Purdy6 Comments

I am becoming quite expert in navigating the look of confusion on my colleagues’ faces when I tell them that I am completing my master’s in anthropology. I can see behind their glazed eyes, in real time, the exotic mental images they are conjuring of the famous cultural anthropologist Margaret Mead or the comical similarities in social functioning between me and fictional physical anthropologist Temperance Brennan. A few remember that Paul Farmer is an anthropologist …

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Want to be a (simulation) Olympian?

In Editorial, Education & Quality Improvement, Featured by Erin BrennanLeave a Comment

A five year-old boy is brought into your resuscitation bay by EMS after falling out of a motor-boat in the frigid waters of the St Lawrence river.  CPR was started at the scene and when he arrives he has regained a pulse but is hypotensive with a decreased level of consciousness.  Your heart races as you assemble your team and divide up responsibilities – “we need an airway assessment, vascular access, get him …