Ludicrous that out workflow in medicine starts with machine readable text that is then converted to a “dear doctor” pdf that is faxed, followed by programmers having to work extra hard to convert it back to machine readable format AND extract relevant info. We need PM software instead of letters.

Question: should we be reporting Holter studies when there are no diary entries? Hmm…

Nothing fills me with rage quite as much as having to complete hospital modules for software that I already use…. And teach others how to use.

Additionally, IT is useless - quoting policies that have no grounding in reality as “security” concerns, making it harder to do our jobs. I could keep going on and on with the various layers of sheer obstructionism that prevents me from being able to provide appropriate patient care and services.

Not sure why a huge review of each health authority is required. I can give the BC govt the answer right now: every admin person’s answer to any question is “i dunno, not my job” with no attempt to help physicians navigate the opaque system and get to who they do need to speak with.

Tip for residents: leave passive aggressive comments out of your consults when receiving patients from rural areas. The sole internist in the community has been managing them while transfer keeps getting delayed and by some miracle just started to turn them around when the transport crew arrived.

I hear a lot of “we just need more doctors”. Why aren’t people talking about the reality that no matter how many bodies you throw at the problem, no one can provide care in a system full of administrators who not only fail at their job but go out of their way to make it impossible to do yours.

Additionally, patients have trouble recalling which of the various virtual clinics are calling them so I have no idea who to send my consult note to. What’s the point of seeing a specialist if that information remains siloed and can’t be accessed by a care team?

The virtual clinic “solution” in Northern Health is NOT working. Antiquated EMR use with no medinet integration has led to so many medication errors that my previously optimized complex patients return decompensated in follow up.

a lively, functional microblogging site (eg twitter, bluesky) is required as the lifeblood of FOAMed.

I hope that we can rebuild what MedTwitter once was, here.

from a reflection first10em.com/i-have-been-doing-this-f... by Justin Morgenstern @first10em.bsky.social

See kids, learning programming is a form of literacy. Learn your search queries and the limitations of the tools you build… and maybe hold off on making grandiose claims without validating your results.

Seems typically that we are not training the model given confidentiality concerns. Depends on the user agreement.

Information overload. This is where having automated refills at the pharmacy comes in handy.