Lawrence Loh is an Adjunct Professor at the Dalla Lana School of Public Health at the University of Toronto
I took up run-commuting following the birth of my first child because leisure time physical activity just wasn’t going to happen. My office had a shower, and what better way to counter the drudgery of the commute? I soon discovered mental calisthenics were also part of the running deal—not only in planning logistics, like ensuring you have enough toiletries, underwear, and the right accessories at the office—but also in the opportunity to sharpen one’s sense of observation.
The routine of run commuting leads one to notice patterns over time. If you leave at the same time most days, ...continue reading →
For Canadian resident doctors, July 1st is more than a national holiday; it represents the day when newly-minted doctors become responsible for decisions in patient care. While this is an exciting day, it can also be fraught with anxiety and stress. Over the course of residency, acute work-related stressors, including traumas and patient deaths, can negatively impact residents’ wellbeing. Additionally, residents endure chronic stressors such as large debts, extended work hours, and isolation from family. These factors predispose residents to burnout. The prevalence of burnout among resident doctors is up to a staggering 75%. Resiliency interventions have been shown to work, and the time to begin implementing them nationwide is now. ...continue reading →
Hong Yu (Andrew) Su is a medical student in the Class of 2019 at Western University
Jessica Chin is a medical student in the Class of 2019 at Western University
Matthew Greenacre is a medical student in the Class of 2019 at Western University
John is a fictitious name given to an elderly gentleman that myself and some of my colleagues visited on a regular basis. John may be one person, but his situation mirrors that of many, many more across the country. In that sense, therefore, John represents not just himself, but a much greater social predicament. This is John’s story. ...continue reading →
Rising awareness of the toll that physician burnout is taking on our profession and our healthcare services has inspired numerous organizational physician wellness initiatives and resilience courses aimed at individual physicians. Yet, as experts discuss the relative merits of the system-level approach vs. the individual-wellness-training approach to addressing burnout, one key element seems to be all-but ignored: the healing power of the relationship between physicians and the patients they serve.
Dr. Tom Hutchinson, in his book, Whole Person Care: Transforming Healthcare (Springer International Publishing AG, 2017), suggests that we have lost touch with “the interior processes of healing and growth in the individual patient and the practitioner that give meaning to illness and to healthcare,” ...continue reading →
Ariane Litalien is a medical student in the Class of 2020 at McGill University
I was about halfway through my second year as a medical student at McGill University when—for a variety of health-related reasons—life decided I needed to take a break from my studies. I packed up my short white coat, Littmann stethoscope, and practice suturing tools in a square box, wrote “transition to clerkship” in tidy Sharpie letters on the top flap, and started looking for a full-time job.
Like Vancouver and a handful of European countries, Montreal’s public health agency (CIUSSS du Centre-Sud-de-l'Île-de-Montréal) was on the verge of opening four supervised injection sites for intravenous drug users across the city. Given my professional experience related to social work and HIV, I decided to apply for a position as an outreach worker. ...continue reading →
Sahil Sharma is a medical student in the Class of 2020 at Western University
Nearing the end of my first year in Medical School, I am amazed by the wealth of knowledge acquired during such a short time. There have even been several moments throughout the year where picturing myself as a fully licensed physician seemed slightly less daunting. I have become comfortable with routine physicals, certain diagnoses, different drugs, and management of a wide range of illnesses. I have no doubt I will encounter each of these facets of healthcare during my career. However, there is one unavoidable aspect of medicine that has been discussed very little: death.
The discussion of death is, understandably, quite sensitive; thus, discussing it with such a diverse demographic of students requires a certain amount of skill and reserve. But after learning about concepts such as palliative care and patient-physician relationships, it seems unjust to gloss over one of the most vital roles of a physician — the ability to comfort patients in their most troubling times. ...continue reading →
Sondos Zayed is a medical student in the Class of 2018 at McGill University
Raised in an impoverished household, Ms. K was married off at a young age to a man decades her senior. As the years passed, the abuse her husband inflicted upon her escalated until she began fearing for her life. She spent years saving money and meticulously planning her escape, though her departure also meant abandoning her family to the mercy of her husband’s wrath. She eventually sought refuge in Québec, Canada.
With no real proof of identity, she was imprisoned for months upon arrival. Once released, with neither connections nor funds, she was directed to the YMCA Residence (which in 2010 had come to an agreement with the ...continue reading →
Reza Mirza is a second year Internal Medicine resident at McMaster University
Justin Hall is a third year Emergency Medicine Resident at the University of Toronto.
Odion Kalaci is a PGY-3 in Pediatrics at the University of British Columbia
(All authors are members of the Practice Committee of the Resident Doctors of Canada - RDoC)
In Canada, 38 percent of recently graduated specialists are unemployed or underemployed with a further 31 percent having delayed entering the job market altogether according to a Royal College report. Thus, many of us will struggle. As residents and members of Resident Doctors of Canada (RDoC), this report is alarming as it reinforces existing job-security anxieties. And yet Canadian patients face the longest wait times among high income countries. Consider: 29 percent of patients had to wait four or more hours for an emergency room visit, compared to one to four percent in Germany and France according to a Commonwealth Fund report.
Specifically, the report reveals that 16 percent of specialist physicians were unable to secure employment three months from certification. This excludes 22 percent of new physician graduates who piece together an income by combining locum and part-time positions (they wryly self-identify as “locum-ologists”) ...continue reading →