The case for Healthcare Workers to get mandatory flu shots.

In Editorial by Edmund Kwok4 Comments

It is a very interesting social phenomenon how some healthcare workers have come to put up such an emotionally charged and adamant fight against getting vaccinated. This issue reached a head with the recent battle in British Columbia over trying to make it mandatory for frontline nurses to get the flu shot. I call this a “social phenomenon” because the surprising resistance is exponentially spurred by forces beyond any solid scientific evidence, despite …

The Reference Letter Triple Crown

In CaRMS Guide, Mentorship by Brent Thoma12 Comments

Interviews for the Canadian Residency Matching Service (CaRMS) are over and they were as difficult as ever. One thing nobody appreciates on the medical student side of the CaRMS equation is how difficult it is for the programs to come up with our rank list. The applicants this year were spectacular and ranking them was more difficult than splitting hairs. Fortunately, the depth of the applicants makes us confident that we will be …

A Review of Systematic Reviews

In Knowledge Translation by Brent Thoma9 Comments

Dr. Wikipedia said that:“An understanding of systematic reviews and how to implement them in practice is becoming mandatory for all professionals involved in the delivery of health care.” And to me, the word of Wikipedia is the next best thing to the word of Weingart. As usual, I think Dr. Wikipedia is correct. Systematic reviews are where a lot of the evidence-based medicine that we aspire to practice is consolidated, and we require …

How much does a doctor make a year? You’re asking the wrong question.

In Editorial by Edmund KwokLeave a Comment

Okay, enough already. It seems like the media’s flavor of the week is focused on determining what a doctor’s annual income is, and whether that magical guess-timation is too high or too low. The underlying assumptions driving this hunt include: 1)coming up with an average annual income (gross/net) would somehow be reflective of individual physician practices or be meaningful in any shape or form, and 2)even if the previous assumption is correct, that …

Pearls of Evaluating Psych Patients in the ER

In Medical Concepts by Nadim LalaniLeave a Comment

Psychiatry presentations comprise about 5-6% of total presentations,1,2 but account for way more work. It’s a common mis-perception that psych patients require a one-hour intensive interview in order to ascertain what they need. Not true. We got an inservice from one of our psychiatry faculty today. He allowed me to share his pearls on evaluating psych patients with the most important parts of a history that can be done in 15 minutes: The …

Arguments for a Journal of FOAM

In Knowledge Translation by Brent Thoma19 Comments

Over the past couple of weeks myself and others (Michelle Lin, Todd Raine, Lauren Westafer, Minh Le Cong, Javier Benítez , Simon Carley, Nadim Lalani, etc!) have tweeted, mused and, in the case of Michelle Lin, even experimented with the idea of peer-review for FOAM. My thoughts are summarized in blog posts here and here. Those posts, along with Todd Raine’s Storified version of the twitter conversation and Michelle Lin’s post on her experiment …