Tag Archives: innovation

Domhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK

 

The concept of the “Salon” is based on the tradition of European intellectual gatherings that led to the great literary, artistic and political movements of our time. At a recent meeting of primary care researchers in Colorado Springs, Frank deGruy gathered a group of colleagues in this way together to create discussion, debate and perhaps generate ideas. Such gatherings might take place with any group and in any context - in a department, region or nationally. On this occasion, Frank attracted a group of about twenty delegates of the NAPCRG meeting from various international and professional backgrounds and I was fortunate enough to be included. ...continue reading

Domhnall_MacDomhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK. He recently attended the 2016 Primary Health Care Research Conference (PHCRIS) in Canberra, Australia
 

Grant Russell, newly elected for a second term as President of the Australasia Association of Academic Primary Care (AAAPC) was upbeat in his introduction to the second day of the meeting. He reminded us how the Canadian academic, Martin Bass, had warned against learned helplessness and he pointed out that primary care has much more influence than we give ourselves credit for.

Claire Jackson, one of Australia’s leading primary care researchers was introduced at her plenary lecture as “an eternal optimist”. True to form, she told us that there has never been a more exciting time to be in primary care research. She listed the national primary health care strategy, the primary care framework, and the 31 primary health networks. While there have been numerous health care reforms, each one has primary care at its centre and there is growing government awareness of the need to address complex chronic illness in community. ...continue reading

Domhnall MacAuleyDomhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK

 

At Dotmed2014 “The creative medical conferenceeveryone present seemed to be just a little bit different, both on the stage and in the audience. There were artists, musicians, poets, novelists, doctors and patients. Muiris Houston, doctor, journalist, and joint convenor of the conference, said it was designed to explore that space between medicine and humanity. But, it was also empowering, entertaining, stimulating and mind bending.

When she saw the blood on the glove she knew it was time to create a fuss. Not everyone does a rectal examination on their dad, but his blood pressure was dropping and the medical staff were not taking enough notice and someone had to look for a cause. Stories grab attention and when Dr Louise Aronson from UCSF told a gripping story of her father’s stay in hospital she showed that doctors, just like patients, respond well to narratives. For those of involved in public medical communication Aronson said, “the communication ecosystem has changed” and she gave five tips: ...continue reading

Domhnall MacAuleyDomhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK

 

The “Medical Innovation Bill” could radically change the way doctors make treatment decisions in the UK. Lord Saatchi, in response to the death of his wife from cancer, seeks to change the law to allow doctors to use experimental treatments, a concept that challenges evolved standards of practice. This Private Members Bill, which will be discussed at committee stage in the UK House of Lords on Friday, provoked ongoing discussions among leading doctors highlighting the tension between evidence based medicine and innovative clinical practice.

Medicine has made many mistakes in the past, some of which are listed in the website of the James Lind Library, the brainchild of Iain Chalmers, champion of the randomised controlled trial. While they recognise that doctors have always done their best, patients have been harmed because doctors didn’t have reliable knowledge on the effectiveness of treatment. As scientists, we recognise the need to make decisions based on the best evidence available and, equally important, to identify the harms. But, emotion is a powerful motivation ...continue reading

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Domhnall_MacDomhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK

 

Energised, refreshed, and inspired. The National Institute of Health Research, School for Primary Care Research annual research showcase meeting in Oxford brought together senior academics, key opinion leaders and young researchers from the Universities of Birmingham, Bristol, Keele, Manchester, Nottingham, Oxford, Southampton and UCL. But, unlike many academic conferences, the focus wasn’t just on scholarly content alone, but under the wider theme of “Promoting excellence and impact”.

Trisha Greenhalgh, currently professor of primary care at Barts and the London School of Medicine and Dentistry but soon to move to Oxford, gave the keynote address, entirely appropriate given her academic title as Dean for Research Impact. Her main message was that research must make a difference and that assessing the impact of one’s work is important at both ends of the research process from grant acquisition to dissemination and evaluation. ...continue reading

Kirsten_headshotKirsten Patrick is Deputy Editor at CMAJ

 

A recently published CMAJ Q&A with David Naylor, chair of the federal government's new Advisory Panel on Healthcare Innovation, hinted at how Canada seems to be lagging when it comes to innovating in the health space. Last Thursday I attended the Canadian Academy of Health Sciences annual meeting in Ottawa, which focused on the commercialization of health research for health, economic and social benefit in Canada.

The forum began with a talk by former deputy chief of staff for policy in the office of the Canadian PM, Dr. Peter Nicholson. Nicholson talked about innovation in Canada beyond the health care arena and pointed out that Canadian business has only been as innovative as it has needed to be – i.e. not very – which has resulted in a decades-long low innovation equilibrium. Why? Because we are too comfortable in Canada. Canada’s good fortune in having vast natural resources means that business innovation is just not as pressing a need as for some other countries. And our proximity to the US is no help – Canadian business is comfortably and profitably integrated with US business (“the ‘junior partner’ in North America?” asked Bill Tholl, Founding President and CEO of HealthCareCAN) making it particularly challenging for Canadian business to embrace global business models, keep pace with revolutionary technology, establish significant positions in sophisticated global value chains and develop clusters of skills and infrastructure that enhance innovation, Nicholson said.

It seems that dragging innovation in the health care space is not an anomaly but mirrors that of general Canadian industry. ...continue reading

Kirsten_headshotKirsten Patrick is a deputy editor at CMAJ

 

Health care professionals need to learn to do more to encourage self-expression in healing.

Watching Friday’s TEDMED session entitled ‘Weird and Wonderful’ I was humbled by talks by two non-medics who have done wonderful creative things that have vastly improved the lives of patients.

First up was Bob Carey. I had never heard of Bob Carey before – WHY had I never heard of Bob Carey before? – so I was surprised to see a middle-aged man standing on the TEDMED stage in a pink tutu and nothing else. He said, “I’m a commercial photographer …and I have been photographing myself for over 20 years as a form of self-therapy because that’s what I do; when things get hard I go take pictures of myself…and it’s a lot cheaper than real therapy...” He transforms himself through photography into something that he is ‘not’ and that helps him to get out of himself, he says. In 2003 his wife, Linda, was diagnosed with an aggressive form of breast cancer and Bob started to take pictures of himself wearing a pink tutu in beautiful landscapes. What started out as a way of expressing his inner discomfort and difficult feelings and sharing his wife’s experience, grew, through self-publication of a book, into the Tutu Project. ...continue reading

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Erin Russell is an assistant editor on CMAJ and CMAJ Open

This week, some 2,200 leaders from medical and non-medical fields (including CMAJ Editorial Advisory Board member Erica Frank) will come together for TEDMED 2014, the independently owned and operated health and medicine edition of the world-famous TED conference, dedicated to “ideas worth spreading.”

Naturally, the CMAJ editorial staff is interested in this event dedicated to what’s new, inspiring, provocative, and relevant in health and medicine. What’s especially exciting about this event is the availability of TEDMED Live Streaming. As a registered affiliate of TEDMED, CMAJ editors will be streaming the event live in our offices and blogging about it here ...continue reading

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Andrew and Akshay - Hacking Health

photo credit: Victor Panlilio

Dr. Akshay Shetty (centre right) is an Internal Medicine Resident at the University of Calgary Dr. Won Hyung A. Ryu (centre left) is a Neurosurgery Resident at the University of Calgary
Dr Aleem Bharwani is Director for the Medical Teaching Unit, Internist, and assistant prof at the University of Calgary

For budding young physicians, it’s almost a rite of passage: you finish your residency, accrue research along the way and then enter the clinical workforce. But a small wrinkle has crept into this tried and tested formula. More than ever, physicians in training are disrupting their medical education to foster innovation and improve the field of health care through non-conventional means, but often at the expense of their own traditional careers. ...continue reading