Category: clinical medicine

Is it time we let computers drive our medical care? According to the World Health Organization, there was a global shortage of 7.2 million health providers in 2013, and this figure will to increase to 12.9 million by 2035. Establishing new medical schools, which every country has adopted, isn’t a long term solution. Increasing the […]

Medicine is not just a science. It is a living practice. Translating emerging science into practice is one of the key skills of doctors. Before scientific knowledge became viral, translation was merely a matter of communication. Now, as the science of medicine reaches epidemic proportions, it is becoming more and more difficult to perform this […]

Medicine is a multinational industry no longer defined by country boundaries. Its main product is a workforce. It is time to disrupt our rigid health care so that it can bend For example, doctors now can work autonomously and remotely from their traditional locations for at least some of their work-time. Radiologists, for example, now […]

Risks are ephemeral. Once identified they are no longer risks but problems to be solved. Risks that cannot or should not be problematized need to be abandoned. In the most positive light, identifying risks should only be a first step in a long pathway of improvement. First, the risk must be linked to a behaviour […]

Under the surface, health care leadership is a stagnant pond filled with ever deepening chasms between the two rival schools – clinicians and managers.  Clinical leadership is no longer about advocating for individual patients, especially about expensive interventions and hospital stays where there is little likelihood of these clinical decisions ever being substantiated by research. […]

Seasonal change often generates a flurry of diagnosing. It should be okay to be sad about the shortening days, rather than suffering from ‘seasonal affective disorder’. In women, a runny nose and a sore throat transforms into ‘flu’ and in men it becomes ‘manflu’. Once a diagnosis is made it is indelible. Escalation of symptoms […]

Receiving a diagnosis that we have a progressively debilitating disease such as cancer or multiple sclerosis is a lifetime sentence. Initial diagnostic tests can accurately stage the disease. New imaging tools such as PET scans, MRIs, and genetic testing can detect the extent of the disease long spread before it becomes evident to clinicians and […]