By  | September 5, 2018 |  0
It’s been 20 years since my third year of medical school. I studied endlessly, worked tirelessly, and forged the identity that created the physician I am today. Those were the days. I still remember them well. Attendings cursing my missteps in the operating room. My senior resident constantly dressing me down. I arrived at the […]
By  | March 1, 2017 |  0
We sat in the living room at a colleague’s home, drinking beer, wine or sparkling water, eating desserts, and talking. Talk started with residents comparing notes about clinical sites or rotations, worries about being prepared for boards, congratulations on fellowship matches, and discussions about trying to decide what to do post-residency. “How are you doing?” […]
By  | February 2, 2017 |  0
Yeah, I know the headline drew you in.  I sleuthed ya—but I have a reason. A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing. First, to declare my priors. I will take an IMG to work by my side any day of the week.  You need […]
By  | June 12, 2012 |  7
Professor James Reason is the intellectual father of the patient safety field. I remember reading his book Managing the Risks of Organizational Accidents in 1999 and having the same feeling that I had when I first donned eyeglasses: I saw my world anew, in sharper focus. Reason’s “Swiss cheese” model, in particular – which holds […]
By  | March 19, 2012 |  15
These days, I’d never consider trying a new restaurant or hotel without reading the on-line ratings on TripAdvisor or Yelp. I seldom even bother with professional restaurant or travel critics. Until recently, there was little patient-generated information about doctors, practices or hospitals to help inform patient decisions. But that is rapidly changing, and the results […]
By  | January 16, 2012 |  6
I remember reading an article that observed that systems of universal insurance – which need to put their energy into providing a “decent minimum” for the masses – must also offer a “safety valve for the wealthy disaffected.” Canada bans private insurance for basic hospital and medical care services. So, when affluent Canadians want “the […]