Casebook of a Community Internist

Blogs

• 8/12/2020

  Motivation and Incentives

  What motivates doctors to get up in the morning and do a good job? Firstly, you really do have to know-love-understand the pathophysiology of homo sapiens. You don’t flunk Anatomy 101 and expect to succeed. Secondly, you must have a driven work-ethic, one that rewards your dopaminergic centres on an almost continual basis. But what we really need in medicine is some sort of incentive program, like Aeroplan, one with points for different accomplishments. How many points could you rack up?
• 7/13/2020

  Bleeders come first

  I remember this little book, written in 1980 by Colin Douglas. It made me think of some excitement I’ve had in days gone by.
• 7/8/2020

  Experience, the greatest teacher

• 7/3/2020

  PQI & U

  A few years ago, I was asked to participate in PQI—Physician Quality Improvement. This was an initiative stemming from interest by the Ministry of Health and the Doctors of BC. Monies were set aside in the Master Agreement to fund QI initiatives throughout the province. The infrastructure had to be built, courses had to be developed, players had to be found—and they were. Enthusiasts can be found, or made. QI is contagious. Like viral RNA being injected into a bacterium, it spreads quickly and effectively throughout the organization.
• 6/18/2020

  Universities missing out on who has gone before

• 6/10/2020

  Fun with stress testing

• 6/1/2020

  Age, frailty and loneliness

• 5/1/2020

  Telemedicine: Day 40

  I go through the motions of phone calls and computer keystrokes with considerably less enthusiasm than I had expected. Why?
• 4/24/2020

  Miss Daisy driving