You are only seeing articles/posts authors requested be public.

Register and Login to view comments and participate in all variety of discussions.


News Showcase

Health Records and Privacy (Humour?)
Public

If you haven't already seen this, here is a somewhat humorous piece from the American Civil Liberties Union

http://www.aclu.org/pizza/images/screen.swf

You can also check out their home page for other interesting news stories,

http://www.aclu.org

Second Opinion re: BCMA Physician Master Agreement
Public

BC doctors have seen several communications from the BCMA/Doctors of BC asking its membership to vote in favour of the 5-year Physician Master Agreement (PMA) by Dec. 4, 2014.

I would like to share my 'second opinion' of this complex agreement, in the sincere hope that it will help stimulate needed discussion and more thoughtful reflection amongst my fellow colleagues.

eHealth series in the Province newspaper
Public

Vancouver, BC - Sep 24, 2013

Beginning at the end of last week and continuing this week the Province newspaper is publishing a series of articles on eHealth.

Topics so far include:

Video link saves time all around.

Website brings help to chronic disease sufferers.

New Electronic tools are making patients active partners in their own health care.

Isn't there a medical app for that?

A doctor, a patient and an iPad: Innovation on the front lines.

Job Posting for Deputy Registrar at College of Physicians and Surgeons (CPSBC) – Is something different?
Public

Z. Essak, MD – Vancouver, BC – 2015 Apr 23

medical regulation shield imageThe College of Physicians and Surgeons of BC is looking to hire a new Deputy Registrar with the deadline for applications of April 30, 2015 fast approaching.

Is there something different about the experience required in this job posting – “a career opportunity in medical regulation”?

The proven experience and qualifications all candidates should have begins with, "minimum 10 years of senior administrative experience in a complex health-related organization (e.g. regulator, health authority, association, etc.)"

Also the requirements, while including "medical degree preferred", are open to others with "master of business/health administration or law degree also accepted".

Is this a sign of changes or a shift underway at the College (CPSBC)?

BCCLA provides synopsis of the SCC decision on death with dignity
Public

BCCLA team on the steps of the SCCThe BC Civil Liberties Association has posted a brief synopsis of the Supreme Court of Canada decision on death with dignity.

The BCCLA filed the case in 2011 on behalf of Gloria Taylor, who suffered with ALS, Dr William Schoichet, a family doctor and Ms. Carter and Mr. Johnson from Roberts Creek, BC who accompanied Ms. Carter's 89 year old mother, Kathleen (Kay) Carter, to Switzerland to peacefully end her life.

Survey results: Why did more than 70% not bother to vote in 2016 Doctors of BC elections
Public

The results on the survey so far may come as a surprise.

Was it fair to ask these questions? Some comments have questioned this, but these are some of the questions that doctors have been asking each other in hallways, over coffee, and at meetings. So why not ask them in a survey?

The survey was not sponsored by anyone. All members of doclounge can use the survey tools to create a questionnaire and the survey was made public to allow the questions to be answered anonymously. The tools can be used for any kind of survey.

What are the results of the survey?

What are the fiduciary duties of directors of the BC Medical Association?
Public

Vancouver, BC - Z. Essak, April 22,  2014

The BC Medical Association (BCMA), now rebranding itself as the DoctorsOfBC, is a non-profit Society in BC. It is a voluntary professional association of physicians that purports to represent all BC physicians in negotiations regardless of whether or not physicians choose to be a member.

The 2014 BCMA elections are now underway. Which way are the winds blowing? Are they winds of change? Are they strong enough? Will we see openness, transparency and accountability emerge or continued substitution with opaque communications and marketing?

Mistakes were made (but not by me): Cognitive dissonance
Public

Mistakes were made (but not by me): Why we justify foolish beliefs, bad decisions, and hurtful acts... a book co-authored by Elliot Aronson.

Psychiatrists specialize in the ails of individuals. Social psychologists specialize in the ails of groups. The eminent social psychologist Elliot Aronson was interviewed in a CBC audio "podcast" available from the following site:

http://podcast.cbc.ca/mp3/ideas_20080428_5430.mp3

It is an interesting program from the CBC radio “Ideas” on the subject of cognitive dissonance. It offers some insight into how people can so badly misinterpret things to fit their preconceived notions and prejudices and become incapable of accepting any other view.

The program runs about 50 minutes and I suspect if people even listen to just the first 12 minutes they might find it sufficiently compelling to listen to the rest. (The MP3 file can be imported into iTunes or other music manager or burned to CD.)

Medical Post editor votes for doctors to rescue public health care in Canada
Public

Medical post editorialThe Medical Post editorial published on May 24, 2011 draws attention to a report co-authored by David Dodge and Richard Dion on "Chronic Healthcare Spending Disease". The editorial also offers several insights on why the editor votes for doctors to rescue public health care.

"Deja Vu" - Dr Norman Rigby
Public

Dr. Norman Rigby, Retired GP and Former Executive Director BCMA.

"The best thing we had going for us was the District 6 Newsletter."

"It excited the attention of the membership."

"What really changed things was when ... the administrator became the President of the hospital, ... and governments started to deal with the President not the Board."

Video highlight from June 3, 2006 Forum for Physicians, Vancouver.

"Deja Vu"
Dr. Norman Rigby, Retired GP and Former Executive Director BCMA.

BCMA AGM - Unfunded liabilities?
Public

After the presentation of the Financial Reports at Saturday's AGM of the BCMA I asked Finance Committee Chair a couple of questions. As in the past, what interested me was what had been omitted rather than what had been included.

Page 2 of the 'white paper' report contains a listing of revenue and expenses, and under the latter heading was listed Consulting and Professional Fees in the amount of $998,101.00 This was further broken down on one of the projected slides as indicating that about $250K were 'legal' fees; but no further description.

Why do Ontario docs rock on a different day?
Public

I'm always happy to receive wishes to have a good day.

Today, I was surprised by a designated doctor's day on May 1 in Ontario. Complete with kids coloring page, "My doc rocks because ..."

This is new to me. I've never celebrated doctor's day or known anyone who has.

On looking a little further I found that March 30 is touted as a national doctors day,

Federal Privacy Commissioner rules against RCMP Health Services
Public

RCMP Breach of Privacy

All Canadian physicians should be made aware of a damning report from the Federal Privacy Commissioner regarding breach of confidential medical information by the RCMP Health Services Division.  The report, which is publicly available as File PA-032579, follows a complaint made in July 2013 by a number of RCMP members to the Federal Privacy Commissioner, arising from the disclosure sensitive health information to a third party.

BC Auditor General issues report on Electronic Health Record (EHR) Implementation.
Public

Health professionals not effectively or adequately engaged.

Approach should ensure health professionals, stakeholders and the public are informed.

BC Auditor General, EHR implementation in BCOn February 17, 2010 the Auditor General of BC, John Doyle, issued his report on “Electronic Health Record Implementation in British Columbia” which is available on their website http://www.bcauditor.com

In his report, the BC Auditor General, acknowledges “The development and implementation of an EHR system … is a complex and high-risk endeavour … because of the large investment of public funds” and “because collecting, storing and disclosing information electronically raises concerns about the privacy and security of personal health information”.

Concerns about the privacy and security of personal health information is not covered to any great extent in the BC Auditor General’s report.  However, several issues have been reported on by the BC Commissioner of Privacy and individual orders are available on their website, http://www.oipc.bc.ca/.  The BC Civil Liberties Association also provides information and discussion on eHealth issues on their website, http://www.bccla.org/ehealth.html

BC is one of five Provincial Auditor General Offices that will issue separate reports for their jurisdictions and the Office of the Auditor General of Canada will be issuing a joint summary report in April 2010.

There’s more in the full report than contained in the news release and Executive summary.  Here are some key highlights.

Nutrients in Our Food
Public

USDA Nutrient Database search urlIf you ever find yourself wondering what nutrients are in different foods you might want to take a look at the US Department of Agriculture (USDA) Nutrient database. 

It provides a wealth of information on over 7,500 specific food items and details of the nutrients they contain down to the many different minerals, vitamins, types of fats, carbohydrates, proteins and various amino acids.

There are two very useful ways to look at this information on their website. 

You can search for a specific food item and see all the nutrients it contains at
http://www.nal.usda.gov/fnic/foodcomp/search/

For example you can look up "pistachio" nuts, dry roasted or some other food item and see the list of different nutrients measured in that food item.

News Items

Don't get swept away by the spin on health care
Public

medical spin2016-08-22 Dr Z. Essak, MD - Vancouver, BC

We better be careful not to get swept away by the spin of BC Liberals pre-election buzz.

And when it comes to the spin on health care they're not alone.

The same spin seems to be coming from the leaders of the medical association DoctorsOfBC. Is this the result of being co-managers of BC healthcare for almost a decade through the GPSC and other initiatives?

Is it any surprise they are all so complimenting of each other?

What are we to believe? That they have a plan? That it's going to work, someday, soon?

Yes, the plan to spend tax payer dollars is happening. Billions of dollars and hundreds of millions over budget. So where are the results?

The future of medicine and health care in BC and Canada: Where are we going?
Public

Norman Rockwell Doctors Office2016-07-21 Dr Z. Essak, MD - Vancouver, BC

What is the future of medicine and health care in BC and Canada? Where are we going?

While everyone is out having fun in the summertime, the Government and other organizations, use this time to put out information they know few will have time to see or digest. Much like they also use the busy time of Christmas and the Winter holiday season to slip through items. Some people may just consider it prudent timing, others may see it as deliberate avoidance of proper public consultation.

In recent weeks we have heard about the "GP for Me" initiative of the BC Government with co-management by the Doctors Of BC, legally incorporated as the British Columbia Medical Association.

This initiative has been one of several emanating from the agreements of 2006 and subsequently.

The goal of "GP for Me", a GP for everyone in BC who wants one by 2015, has not been met.

However, we do not hear the Minister of Health, Terry Lake, or the Doctors Of BC speak of having failed to meet the target.

The Patient-Physician Covenant: An Affirmation of Asklepios from Annals of Internal Medicine
Public

Medicine is, at its center, a moral enterprise grounded in a covenant of trust. This covenant obliges physicians to be competent and to use their competence in the patient's best interests. Physicians, therefore, are both intellectually and morally obliged to act as advocates for the sick wherever their welfare is threatened and for their health at all times.

Today, this covenant of trust is significantly threatened.

Survey results: Why did more than 70% not bother to vote in 2016 Doctors of BC elections
Public

The results on the survey so far may come as a surprise.

Was it fair to ask these questions? Some comments have questioned this, but these are some of the questions that doctors have been asking each other in hallways, over coffee, and at meetings. So why not ask them in a survey?

The survey was not sponsored by anyone. All members of doclounge can use the survey tools to create a questionnaire and the survey was made public to allow the questions to be answered anonymously. The tools can be used for any kind of survey.

What are the results of the survey?

Last kick at the can for some tax credits
Public

This tax season has been one of the least stressful thanks in large part to StudioTax free software for Canadian tax filing.

Also, thanks to a colleague sharing their recommendation and experience along with a few helpful tips to encourage using it.

Only after having completed the Netfile process I came across an article on the Globe and Mail website highlighting the last kick at the can for some tax credits. Some of these extend into the 2016 and 2017 Tax years and well worth a look. They relate to Fitness and Art tax credits, Education and textbook credits, as well as some less broadly applicable ones.

Why do Ontario docs rock on a different day?
Public

I'm always happy to receive wishes to have a good day.

Today, I was surprised by a designated doctor's day on May 1 in Ontario. Complete with kids coloring page, "My doc rocks because ..."

This is new to me. I've never celebrated doctor's day or known anyone who has.

On looking a little further I found that March 30 is touted as a national doctors day,

Federal Government seeks intervenor status in B.C. health care court case
Public

Z. Essak, MD - Vancouver - April 26, 2016.

Below is a link to the Globe and Mail article from April 13, 2016.

Hopefully, the debate around the court case, involving Dr. Brian Day's private Cambie Surgery Centre and the BC Provincial Government with a trial scheduled to begin June 6, will not become polarized with views of exclusivity between public and private health care but instead what we could and should do to make public health care more effective so that escape valves, like private care, are less needed without eradicating access to private care by individuals should they need it.

How far do individuals have to go? If the public system delivers the needed service great. If not, is there private care here at home in Canada or do people have to go to other countries?

Job Posting for Deputy Registrar at College of Physicians and Surgeons (CPSBC) – Is something different?
Public

Z. Essak, MD – Vancouver, BC – 2015 Apr 23

medical regulation shield imageThe College of Physicians and Surgeons of BC is looking to hire a new Deputy Registrar with the deadline for applications of April 30, 2015 fast approaching.

Is there something different about the experience required in this job posting – “a career opportunity in medical regulation”?

The proven experience and qualifications all candidates should have begins with, "minimum 10 years of senior administrative experience in a complex health-related organization (e.g. regulator, health authority, association, etc.)"

Also the requirements, while including "medical degree preferred", are open to others with "master of business/health administration or law degree also accepted".

Is this a sign of changes or a shift underway at the College (CPSBC)?

Syndicate content