This is a guest post from Carolyn Thomas:
An Open Letter To All Hospital Staff
Dear hospital employees,
After a particularly bizarre experience undergoing a treadmill stress echocardiogram at your hospital recently, I decided to do something that I have never done before: I called the manager of the cardiology department to complain about her staff. (Incidentally, a recent opinion survey of international tourists found that Canadians were #1 in only one category: “Least likely to complain when things go wrong” — so you can appreciate that lodging an official complaint is a fairly big deal here!)
In my best PR fashion, I told the manager how distressing the appointment had been because of the behaviour of the two cardiac technicians in the room. It’s not so much that they were openly rude, but it was their insufferable lack of people skills that had pushed me over the edge. No introductions, no eye contact, no consideration of how awkward this test can be, no explanation of the test procedures or even the flimsiest effort at polite conversation. To them, I was merely the 1:00 o’clock appointment, the obstacle between them and their next coffee break, just a piece of meat on a slab — but worse, an invisible piece of meat. Read more »
What if some physicians actually like the way primary care is currently practiced? It’s hard to believe, considering the majority of studies suggest marked dissatisfaction among primary care doctors, and an increasing prevalence of physician burnout.
The ACP’s Bob Doherty recently summarized an epic Health Affairs article devoted to fixing primary care. The bottom line was that paying primary care doctors better isn’t enough. The whole field needs to be re-invented. Read more »
*This blog post was originally published at KevinMD.com*
As the period of debate over the Healthcare Reform Bill ends with President Obama penning his signature, one moment from the “debate” at Blair House stands out in my mind. A Republican Congressman sitting behind a copy of the then-current reform bill –- a pile higher than 2,000 pages –- was mocked for using such a prop. It’s complicated to fix healthcare with the laconic response to his theatrics.
Things don’t appear to have grown any simpler as we settle in for a period of discovery to determine exactly what this new law spells out for us in terms of reform. There is no consensus on whether this law will help or hinder, and I’m worried.
I cannot read 2,600 pages written in legalese. I juggle my time now to keep up with the medical literature necessary to adequately do my job and I suspect other physicians struggle similarly. All doctors fight a daily battle with time, trying to care for each patient in the best way possible (this is why many of us walk so fast through hospitals and clinics.) I hope that healthcare reform doesn’t result in less time for direct patient care. Read more »