Grateful and excited to be continuing my training as an IM resident Department of Medicine University of Toronto! Thank you to everyone who has supported me over the years - it truly takes a village! #CaRMS2022

The highest compliment from someone who disagrees with you is not “You were right.” It’s “You made me think.” Good arguments help us recognize complexity where we once saw simplicity. The ultimate purpose of debate is not to produce consensus. It’s to promote critical thinking.

As climate change reshapes life on earth, it may also become the single biggest upstream driver of pandemic risk. Our new study in nature simulates how 3,139 species will share viruses - and create new spillover risk hotspots - over the next 50 years. nature.com/articles/s4158…

Dr. Prabhat Jha (@countthedead), director of the Centre for Global Health Research at St. Michael’s, speaks to The New York Times about a new report that finds nearly 15 million more people died during the pandemic than would have died during normal times. nyti.ms/3P7tYjA

Excited to share our article evaluating a new curricular session U of T MD Program which aims to foster recognition of systemic causes & solutions to patient safety incidents! journalhosting.ucalgary.ca/index.php/cmej…

Not forcing residents to work 24hr shifts & instead capping at "just" 16hrs associated with ~33% reduction in medical errors & adverse events. Errors resulting in death dropped by 63%. Tell me again how exploitative hours are essential for proper training. qualitysafety.bmj.com/content/early/…

We keep hearing how our healthcare system is collapsing (which it is). But that does nothing to improve our understanding. Let’s use a hypothetical emergency department visit to highlight the disaster that is happening every day around the country. Here’s a thread 🧵:

Feeling demoralized about yesterday's Ontario election result? Remember that democracy doesn't end at the ballot box. Strategize. Organize. Don't make it easy for them to cut & privatize. Stand in solidarity with those who are the most vulnerable. Above all, resist. ✊🏽 #onpoli

Why don't we have more CME that's based on people following up on their cases to understand what happened? eg, why don't we have specialists have CME soliciting feedback from PCPs on the long-term outcomes of their consults / hospitalists soliciting feedback from the SNF?

One of Canada's busiest emergency departments can not operate safely this weekend unless docs fill in needed nursing shifts - and it's not the first time. Toronto Western Hospital has sent out a message asking docs, residents and fellows at University Health Network to "volunteer" at $50/hr. 1/5

The shortage of kids acetaminophen & ibuprofen has been stressful for parents Thanks to our amazing SMHAFHT pharmacists Brenda Chang, Doret Cheng, and Jon Hunchuck Unity Health Toronto UofT Family Medicine for this handy resource on how you can split and/or crush adult tabs for kids

UpToDate wrapped just dropped

From the perspective of a physician, allowing private pay access to my care I worry will change the patient-doctor relationship into that of a consumer-provider. I worry how practice patterns will change when some patients pay a premium to be seen while others do not.

All over the world, the evidence shows that for-profit hospitals typically cost more and provide lower quality care than non-profits. See here for an overview of the evidence. journals.plos.org/plosone/articl…

A single, province-wide EMR for hospitals and clinics would improve so many aspects of care- prevent repeat testing, greater knowledge of our patients, improved communication, coordination, etc. We have learned helplessness and think it's fanciful to even think about this

250 family medicine resident spots when unfilled yesterday. 1 in 5 Canadians do not have a primary care provider. Hundreds of family doctors are also set to retire in the next few years. This is a health system crisis. There is no universal health care without primary care.

Excited to announce a new project with my favourite collaborator Nishila Mehta 💍🥂🎉

🎉 Congratulations, Vinyas & Nishila! You two need to leave some good looks for the rest of us!

St. Michael's Hospital staff Dr. Amol Verma, general internist, Dr. Muhammad Mamdani, vice president of data science and advanced analytics, and Shirley Bell, clinical nurse educator, spoke about their study in CMAJ on #AI tool CHARTWatch, via CBC News. bit.ly/3XOHlvq

Welcome to our new GIM fellows! Excited for a wonderful year ahead Department of Medicine University of Toronto 🎉