It’s March Break, which means last chance to do winter activities for some families in Canada. Unfortunately, I’m not Winter Fun Mom so I booked Son #2 - the only person in our family who is interested in winter sports - on a bus-in snowboarding camp. On day 1 I warned him to be careful and to try not to injure himself. On day 2 I forgot to warn him. So at 2pm on day 2 I got a call from the snowboard instructor to tell me that my son had fallen and would soon be on his way to hospital in an ambulance.
I know I should be more encouraging of adventure and more accepting of risk-taking in my boys. ...continue reading →
Often when we talk about improving health care, we turn to the Triple Aim. Developed in 2007 by the Institute for Healthcare Improvement (IHI) in the United States, the Triple Aim captures three objectives for a better quality health system: Improving a patient’s experience of care, improving population health and doing this at a reasonable cost. It has become a way of thinking embraced by many health care systems around the world.
The Triple Aim takes a big-picture, system-wide approach that can be applied to any part of the health care system, as well as across all levels of an organization. The ultimate endgame is a sustainable health care system that patients trust and that contributes to healthier populations.
Sir Denis Pereira Gray, OBE, is a consultant at St Leonard’s Research Practice, Exeter, and Emeritus Professor at the University of Exeter in the United Kingdom
A few weeks ago a blog by Domhnall MacAuley picked up on an article that I had written in the British Journal of General Practice, entitled “Academic general practice: a viewpoint on achievements and challenges.” The article was written to ask some big questions and to stimulate debate about academic general practice and Domhnall's blog followed it up interestingly and extended the issues.
I am still optimistic about academic general practice. General practice is the key branch of the medical profession and there are still many aspects of it to be discovered. Yes of course “big data” are a new resource and need new techniques, but a place remains for clinical research in general practice and in single research active general practices too. However, the relationships and the support for research in clinical settings need clarification and funding. The prime role of single practice research is to study new clinical developments, to scope their potential, and pave the way for bigger definitive studies. Single practices do have the numbers for statistical significance if they choose their subject ...continue reading →
Recently, members of the health care community and the public at large mourned the loss of neurologist Dr. Oliver Sacks. My grandfather, also a neurologist, sent me one of Dr. Sacks’s books when I first expressed an interest in applying to medical school. I have since enjoyed many of his other written works.
Earlier this summer, the health care community also lost another tremendous leader, Dr. David Sackett, the father of evidence-based medicine. On my first day of medical school, I remember receiving one of his books too, and to this day it remains a fixture on my bookshelf as a resource.
It may seem odd to bring these two doctors together, because they held such divergent views of the clinical world. ...continue reading →