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.

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.

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 https://first10em.com/i-have-been-doing-this-for-10-years/ 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.