The core problem is among MDs themselves. It's interesting how 'partialist' MDs concerned with 1-2 organs like the kidney, heart or skin somehow ended up at the top of the pyramid compared to the 'generalist' caring for all the organs, the patient as a person and their world.

ESP and femoral blocks in the ER. Maybe I need to up my game (and I have registered for a training) and I POCUS a lot - but in the busy ERs I work these patients mostly aren't going home and there are a ton more waiting to be seen. I'm just not doing them. Honest answer.

You cannot run or hide from the dizzy patient and that is why Dr. Peter Johns' YouTube channel on this critical topic is so essential. Peter Johns M.D.
youtube.com/Peter Johns M.D.

Ask my dad if fam med is growing. He's a family doc in Ontario for >40yrs trying to retire for 2yrs & literally no one will take his practice

If family medicine was 'growing' and well supported, we wouldn't have 2.3M or 16% of the Ontario population without a fam MD!

The 40 pages every ER doctor in the world must read because we will have a dizzy patient on every shift for the rest of our careers. 'Do or do not do, there is no try' said Master Yoda. saem.org/publications/g…

The other issue is follow-up care. There is no obligation for any specialist in the community after ER care to accept the uninsured patient for follow-up care. ER use, hospitalization and hospital specialist use goes up as a consequence. That is bad for everyone.

Choosing in the 2nd iteration to do family medicine is not a predictor of practising it. It's a pragmatic choice of zero income/training vs. some income/training potentially leading to ER, hospitalist, anesthesia, palliative or pain medicine. thestar.com/news/canada/me…

The greatest moment in politics when Republican Senator McCain defended + respected his opponent. 'No, ma’am. He’s a decent family man [and] citizen that just I just happen to have disagreements with on fundamental issues'. Pierre Poilievre CanadianPM
youtu.be/JIjenjANqAk?si…

Thank you to CAEP and Canadian ER docs who will put the benefit of the patient squarely as the priority in front of provincial leaders. Can CAEP members and ER docs attend to watch and explode out the key messages by our peers? alan drummond Trevor Jain Dr. Atul Kapur

In 23y of practice, after 14y of post-secondary ed, I've never had that high an income for my 1000 patients despite working 50+ hours weekly. And recall, my overhead comes OUT of my income. And recall, family docs have NO pension, benefits, vacation.

open.alberta.ca/publications/n…

Stop. You’re literally wrong. You have no clue what matching to family medicine means

Most of these MDs will work in a non 1o care envt. How do I know this? Bc I literally teach them. They’re seeking clinical opportunities where they are paid enough to pay back their $150K debt.

Feb/24: Ontario struggles, only getting 26% of admits out of the ER within 8 hours. Premier Ford said in Feb/24, 'I'm going to be zoned in on these emergency departments....I'll put the money in that is needed.' A lot of days, there are just no ER beds. Ask an MD, RN or patient

Why would you want to be a family MD in Alberta?
cbc.ca/news/canada/ca…

Why would anyone want to be a family doctor in Alberta? Parksy

In patients on GLP-1 antagonist with rapid weight loss (all of them) and Abdo pain, think biliary pathology. Rapid weight loss —> major risk factor

Sylvia Jones These spots were forced filled through the second match. Occupied by graduating medical students who need a job and would rather do family medicine than sit a year out unpaid. This is a misleading statement.

The greatest moment in politics when Republican Senator McCain defended + respected his opponent. 'No, ma’am. He’s a decent family man [and] citizen that just I just happen to have disagreements with on fundamental issues'. Pierre Poilievre CanadianPM
youtu.be/JIjenjANqAk?si…

'Alberta premier stands by pick of ’contrarian’ chair to lead COVID-19 data review' edmontonjournal.com/news/politics/… via Edmonton Journal by Lisa Johnson

1) Having the government elevate a 'contrarian' view isn't about 'fresh eyes', it is the institutionalization of false balance /…