I noticed that senior BC civil servants were recently given substantial raises to make their salaries competitive. This logic brings to mind one issue that has not been mentioned in discussions about deficiencies in our health care system, namely executive compensation. CEOs of public hospitals are paid a pittance in comparison with their colleagues in the private sector. Apparently, their salaries should be more in the range of $9 million per year (the average compensation for CEOs of Canada’s top 100 companies)—plus stock options based on numbers of meetings, baskets of services, and patients processed per minute, one assumes. This is the kind of incentive that is needed to, as we privateers like to say, bring the best and brightest executive talent to the table.
Now of course, in line with economics as interpreted by those with the most to gain, we would need to decrease the salaries of semi-skilled public physicians, health care workers, cleaners, and supporting actors significantly. Possibly we may need to de-unionize everyone (sorry BCMA). This free market should increase productivity and motivation for everybody to work harder, smarter, and faster. This is until said labor burns out and is replaced by still cheaper stakeholders from offshore.
In other words, welcome to the 19th century.
—Michael Dettman, MD
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org